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Post-traumatic stress in patients with injury-related chronic pain participating in a multimodal rehabilitation program
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
Umeå University, Faculty of Medicine, Department of Community Medicine and Rehabilitation, Rehabilitation Medicine.
2010 (English)In: Neuropsychiatric Disease and Treatment, ISSN 1176-6328, E-ISSN 1178-2021, Vol. 6, no 1, 59-66 p.Article in journal (Refereed) Published
Abstract [en]

Aim: To investigate post-traumatic stress, pain intensity, depression, and anxiety in patients with injury-related chronic pain before and after participating in multimodal pain rehabilitation.

Methods: Twenty-eight patients, 21 women and seven men, who participated in the multimodal rehabilitation programs (special whiplash program for whiplash injuries within 1.5 years after the trauma or ordinary program) answered a set of questionnaires to assess post-traumatic stress (Impact of Event Scale [IES], pain intensity [Visual Analogue Scale (VAS)], depression, and anxiety (Hospital Anxiety and Depression Scale [HAD] before and after the programs.

Results: Both pain intensity and post-traumatic stress decreased significantly after the rehabilitation programs in comparison with before (VAS: 57.8 ± 21.6 vs. 67.5 ± 21.9; P = 0.009, IES total score 21.8 ± 13.2 vs. 29.5 ± 12.9; P < 0.001). Patients younger than 40 years reported a statistically higher level of post-traumatic stress compared with patients older than 40 years both before (P = 0.037) and after rehabilitation (P = 0.023). No statistically significant differences were found on the HAD scores.

Conclusion: The multimodal rehabilitation programs were effective in reducing both pain intensity and post-traumatic stress. The experience of higher levels of post-traumatic stress in younger persons has to be taken into account when managing patients with injury-related chronic pain.

Place, publisher, year, edition, pages
Dove Medical Press , 2010. Vol. 6, no 1, 59-66 p.
Keyword [en]
post-traumatic, stress disorder, chronic pain, whiplash injuries
National Category
Psychiatry Neurosciences
URN: urn:nbn:se:umu:diva-67908DOI: 10.2147/NDT.S7985ISI: 000294953300007OAI: diva2:614812
Available from: 2013-04-07 Created: 2013-04-07 Last updated: 2015-09-24Bibliographically approved

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Stålnacke, Britt-MarieÖstman, Anna
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