Pain Severity Ratings Among Patients with Comorbid Chronic Pain and PTSD

Authors

  • Lily Charron Drexel University College of Medicine
  • Eduardo Espiridion

Keywords:

PTSD, chronic pain, pain measurement, , Psychologic stress

Abstract

BACKGROUND: Posttraumatic stress disorder (PTSD) is a psychiatric disorder that may occur after experiencing or witnessing a traumatic event. PTSD is associated with many physiological symptoms, including sleep disturbances and hyperarousal. One understudied symptom in PTSD patients is chronic pain (CP). Acute pain can lead to CP when it persists beyond adaptation. The interconnection between stress and pain has been well-established in fields of neuroscience and psychology. Though the association is well-documented in literature, there are still gaps in our understanding of the nature of this clinical relationship.

METHODS: In the current study, we use a retrospective cohort of patients with PTSD and CP through a database of numerous healthcare organizations called TriNetX. We compare the reported pain severity rating between three groups: those with PTSD and no CP, those with CP and no PTSD, and those with comorbid PTSD and CP. The summary data was compared using a one-way analysis of variance.

RESULTS: The average reported pain severity was significantly different between all three groups. The patients with comorbid PTSD and CP reported the highest average pain severity, followed by patients with only CP and then patients with only PTSD.

CONCLUSION: Our results demonstrate a need to further investigate the complex relationship between PTSD and CP. That the patients with both disorders reported a higher average pain severity indicates that pain management and psychiatric care should become a focus for this population.

Metrics

Metrics Loading ...

References

Brennstuhl, M-J., Tarquinio, C., & Montel, S. (2015). Chronic pain and PTSD: Evolving views on their comorbidity. Perspectives in Psychiatric Care, 51, 295-304. https://doi.org/10.1111/ppc.12093

Fishbain, D.A., Pulikal, A., Lewis, J.E., & Gao, J. (2017). Chronic pain types differ in their reported prevalence of post-traumatic stress disorder (PTSD) and there is consistent evidence that chronic pain is associated with PTSD: An evidence-based structured systematic review. Pain Medicine, 18, 711-35. https://doi.org/10.1093/pm/pnw065

Kind, S. & Otis, J.D. (2019). The interaction between chronic pain and PTSD. Current Pain and Headache Reports, 23(91). https://doi.org/10.1007/s11916-019-0828-3

Morasco, B.J., Lovejoy, T.I., Lu, M., Turk, D.C., Lewis, L., & Dobscha, S.K. (2013). The relationship between PTSD and chronic pain: Mediating role of coping strategies and depression. PAIN, 154(4), 609-16. https://doi.org/10.1016/j.pain.2013.01.001

Otis, J.D., Keane, T.M., & Kerns, R.D. (2003). An examination of the relationship between chronic pain and post-traumatic stress disorder. J Rehabil Res Dev., 40(5), 397-405. https://doi.org/10.1682/jrrd.2003.09.0397.

Scioli-Scalter, E.R., Forman, D.E., Otis, J.D., Gregor, K., Valovski, I., & Rasmusson, A.M. (2015). The shared neuroanatomy and neurobiology of comorbid chronic pain and PTSD. Clin J Pain, 31(4), 363-74. https://doi.org/10.1097/AJP.0000000000000115

Downloads

Published

2025-01-01

How to Cite

Charron, L., & Espiridion, E. (2025). Pain Severity Ratings Among Patients with Comorbid Chronic Pain and PTSD. International Journal of Medical Students, 12, S370. Retrieved from https://ijms.pitt.edu/IJMS/article/view/2877

Issue

Section

Abstracts of the WCMSR

Categories