TY - JOUR
T1 - Examining the effectiveness of pain rehabilitation on chronic pain and post-traumatic symptoms
AU - Gilliam, Wesley P.
AU - Schumann, Matthew E.
AU - Craner, Julia R.
AU - Cunningham, Julie L.
AU - Morrison, Eleshia J.
AU - Seibel, Shawna
AU - Sawchuk, Craig
AU - Sperry, Jeannie A.
N1 - Publisher Copyright:
© 2020, Springer Science+Business Media, LLC, part of Springer Nature.
PY - 2020/12
Y1 - 2020/12
N2 - Patients with co-morbid chronic pain and post-traumatic stress disorder (PTSD) pose significant treatment challenges. This study evaluated the effectiveness of an interdisciplinary pain rehabilitation program (IPRP) in improving pain and PTSD outcomes, as well as reducing medication use. In addition, the mediating effect of pain catastrophizing, which is theorized to underlie the pain and PTSD comorbidity, was examined. Participants included 83 completers of an IPRP with chronic pain and a provisional PTSD diagnosis. Significant improvements were found for pain outcomes, PTSD symptomatology, depressive symptoms, physical performance, and medication use (i.e., opioids and benzodiazepines). At discharge, 86.7% of participants reliably improved in at least one key measure of functioning and 50.6% demonstrated reliable improvement in PTSD symptomatology. Change in pain catastrophizing mediated improvements in pain interference and PTSD symptomatology. Results support the potential utility of an interdisciplinary pain treatment approach in the treatment of patients with comorbid pain and PTSD.
AB - Patients with co-morbid chronic pain and post-traumatic stress disorder (PTSD) pose significant treatment challenges. This study evaluated the effectiveness of an interdisciplinary pain rehabilitation program (IPRP) in improving pain and PTSD outcomes, as well as reducing medication use. In addition, the mediating effect of pain catastrophizing, which is theorized to underlie the pain and PTSD comorbidity, was examined. Participants included 83 completers of an IPRP with chronic pain and a provisional PTSD diagnosis. Significant improvements were found for pain outcomes, PTSD symptomatology, depressive symptoms, physical performance, and medication use (i.e., opioids and benzodiazepines). At discharge, 86.7% of participants reliably improved in at least one key measure of functioning and 50.6% demonstrated reliable improvement in PTSD symptomatology. Change in pain catastrophizing mediated improvements in pain interference and PTSD symptomatology. Results support the potential utility of an interdisciplinary pain treatment approach in the treatment of patients with comorbid pain and PTSD.
KW - Chronic pain
KW - Cognitive behavioral therapy
KW - Interdisciplinary pain rehabilitation
KW - Pain catastrophizing
KW - Post-traumatic stress disorder
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U2 - 10.1007/s10865-020-00160-3
DO - 10.1007/s10865-020-00160-3
M3 - Article
C2 - 32451649
AN - SCOPUS:85085296677
SN - 0160-7715
VL - 43
SP - 956
EP - 967
JO - Journal of Behavioral Medicine
JF - Journal of Behavioral Medicine
IS - 6
ER -