The role of pain and socioenvironmental factors on posttraumatic stress disorder symptoms in traumatically injured adults: A 1-year prospective study.
Journal
Journal of traumatic stress
ISSN: 1573-6598
Titre abrégé: J Trauma Stress
Pays: United States
ID NLM: 8809259
Informations de publication
Date de publication:
08 2022
08 2022
Historique:
revised:
11
01
2022
received:
12
07
2021
accepted:
11
01
2022
pubmed:
4
3
2022
medline:
5
8
2022
entrez:
3
3
2022
Statut:
ppublish
Résumé
Approximately 20% of individuals who experience a traumatic injury will subsequently develop posttraumatic stress disorder (PTSD). Physical pain following traumatic injury has received increasing attention as both a distinct, functionally debilitating disorder and a comorbid symptom related to PTSD. Studies have demonstrated that both clinician-assessed injury severity and patient pain ratings can be important predictors of nonremitting PTSD; however, few have examined pain and PTSD alongside socioenvironmental factors. We postulated that both area- and individual-level socioeconomic circumstances and lifetime trauma history would be uniquely associated with PTSD symptoms and interact with the pain-PTSD association. To test these effects, pain and PTSD symptoms were assessed at four visits across a 1-year period in a sample of 219 traumatically injured participants recruited from a Level 1 trauma center. We used a hierarchal linear modeling approach to evaluate whether (a) patient-reported pain ratings were a better predictor of PTSD than clinician-assessed injury severity scores and (b) socioenvironmental factors, specifically neighborhood socioeconomic disadvantage, individual income, and lifetime trauma history, influenced the pain-PTSD association. Results demonstrated associations between patient-reported pain ratings, but not clinician-assessed injury severity scores, and PTSD symptoms, R
Identifiants
pubmed: 35238074
doi: 10.1002/jts.22815
pmc: PMC9357124
mid: NIHMS1807043
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
1142-1153Subventions
Organisme : NIMH NIH HHS
ID : F32 MH127793
Pays : United States
Organisme : NIMH NIH HHS
ID : R01 MH106574
Pays : United States
Organisme : NCATS NIH HHS
ID : TL1 TR001437
Pays : United States
Organisme : NCATS NIH HHS
ID : UL1 TR001436
Pays : United States
Informations de copyright
© 2022 International Society for Traumatic Stress Studies.
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