Trauma-related guilt and pain among veterans with PTSD.
Fear of pain
Pain
Posttraumatic stress disorder
Trauma-related guilt
Journal
Psychiatry research
ISSN: 1872-7123
Titre abrégé: Psychiatry Res
Pays: Ireland
ID NLM: 7911385
Informations de publication
Date de publication:
27 Jan 2020
27 Jan 2020
Historique:
received:
01
11
2019
revised:
25
01
2020
accepted:
26
01
2020
pubmed:
6
2
2020
medline:
6
2
2020
entrez:
5
2
2020
Statut:
aheadofprint
Résumé
Despite the well-known co-occurrence of posttraumatic stress disorder (PTSD) and chronic pain, large gaps remain in understanding how these two conditions influence each other. The aim of the present study was to examine the association between trauma-related guilt and pain among veterans with PTSD. Participants were 140 veterans enrolling in treatment for PTSD and alcohol use disorder. Trauma-related guilt was assessed by the trauma-related guilt inventory, including the global guilt, distress, and guilt cognitions scales. Measures of pain included pain severity, pain disability, and fear of pain. Several significant bivariate associations were observed between trauma-related guilt scales and pain outcomes; however, in linear regression models, only the association between thoughts of trauma-related guilt and fear of pain remained statistically significant after controlling for confounding factors. Further, thoughts of trauma-related guilt, specifically thoughts of wrongdoing, partially mediated the association between PTSD severity and fear of pain. Our findings suggest that trauma-related guilt may play a role in the relationship between PTSD and chronic pain. Future research is encouraged to examine thoughts of trauma-related guilt as a potential therapeutic target in the treatment of persons with comorbid PTSD and chronic pain.
Identifiants
pubmed: 32014625
pii: S0165-1781(19)32232-2
doi: 10.1016/j.psychres.2020.112820
pmc: PMC8557792
mid: NIHMS1697598
pii:
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
112820Subventions
Organisme : CSRD VA
ID : I01 CX000756
Pays : United States
Organisme : RRD VA
ID : IK2 RX002807
Pays : United States
Organisme : NIAAA NIH HHS
ID : T32 AA013525
Pays : United States
Informations de copyright
Copyright © 2020. Published by Elsevier B.V.
Déclaration de conflit d'intérêts
Declaration of Competing Interest The authors have no conflicts of interest to report.
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