An Examination of Chronic Pain Indices and the Updated Posttraumatic Stress Disorder Checklist for Diagnostic and Statistical Manual of Mental-Disorders-Fifth Edition.

Abstract:

INTRODUCTION:Chronic pain and post-traumatic stress disorder (PTSD) comorbidity is prevalent among veterans and is associated with increased levels of pain severity and pain-related disability. An improved understanding of the relationship between these co-occurring disorders, in addition to effective integrated treatments, will develop by considering the changes to the PTSD diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). The current study examined the relationship between the revised PTSD Checklist for DSM-5 (PCL-5) symptom clusters (i.e., intrusion, avoidance, negative alterations in cognition and mood [NACM], and arousal) and chronic pain measurements (i.e., pain severity, interference, and disability). MATERIALS AND METHODS:Participants included 103 veterans (ages 26-70, mean = 45.33) participating in a randomized clinical trial examining the efficacy of an interdisciplinary pain management program for chronic musculoskeletal pain. The study was approved by a university system Institutional Review Board and affiliated healthcare system. RESULTS:The participants with a provisional PTSD diagnosis based on PCL-5 responses (N = 76) had significantly greater pain severity, interference, and disability than the participants without a provisional diagnosis (N = 23). Correlations between symptom clusters and pain measurements were mostly significant and positive with varying strengths. The avoidance symptom cluster, however, had relatively weaker correlations with pain measurements and was not significantly associated with the numeric rating scale of pain severity. Path analyses revealed that, after controlling for avoidance symptoms, significant associations remained between NACM and all the pain measurements. After controlling for NACM symptoms, however, there were no significant associations between avoidance symptoms and pain measurements. CONCLUSION:The current study highlights a need to re-examine the leading theories about the mutual maintenance of these disorders in order to develop effective integrative treatment approaches. PTSD-related avoidance may have a relatively weaker role in co-occurring chronic pain than the other symptom clusters and may have a qualitatively different role than chronic pain-related avoidance. Future research should explore the relationship between the avoidance in PTSD and the avoidance in chronic pain as well as identify which chronic pain measurements are the most useful when examining the relationship between PTSD and chronic pain. The potential impact of trauma-related cognition and mood on chronic pain indicates that this is an important area for intervention and should be considered in the development of integrated treatments for chronic pain and PTSD among veterans.

journal_name

Mil Med

journal_title

Military medicine

authors

Lehinger E,Reed DE,Nabity P,Brackins N,Villarreal R,McGeary C,Blount T,Cobos B,Jaramillo C,Eapen BC,Pugh MJ,Potter J,Peterson A,Young-McCaughan S,Houle T,McGeary DD

doi

10.1093/milmed/usaa529

subject

Has Abstract

pub_date

2020-12-10 00:00:00

eissn

0026-4075

issn

1930-613X

pii

6029449

pub_type

杂志文章
  • Comparison of the Effects of Motion and Environment Conditions on Accuracy of Handheld and Finger-Based Pulse Oximeters.

    abstract:INTRODUCTION:The most common cause of preventable death on the battlefield is significant blood loss, eventually causing decrease in tissue oxygen delivery. Pulse oximeters (POs) are widely used by the Israeli Defense Forces to obtain fast and noninvasive information about peripheral oxygen saturation (SpO2). However, ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa314

    authors: Mark N,Lyubin A,Gerasi R,Ofir D,Tsur AM,Chen J,Bader T

    更新日期:2021-01-25 00:00:00

  • Predictors of Wellness Behaviors in U.S. Army Physicians.

    abstract:Introduction:In 2013, the U.S. Army Surgeon General implemented the Performance Triad (P3), an educational initiative to improve health-related behaviors of soldiers throughout the U.S. Army. The components of P3 are Sleep, Activity, and Nutrition with tenet behaviors for each component. This study reports the results ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy059

    authors: Hsu DP,Hansen SL,Roberts TA,Murray CK,Mysliwiec V

    更新日期:2018-11-01 00:00:00

  • High-grade immature teratoma of the testis in infancy.

    abstract::Teratomas of the testis in infants are rare tumors which often display immature elements, disturbing in their histologic appearance. Although the presence of similar histologic features worsens prognosis in testicular teratomas in adults and in teratomas of infants and children presenting at other anatomic sites, the ...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Hudson ME,Konvolinka CW,Deshmukh N

    更新日期:1992-09-01 00:00:00

  • Costs and outcomes of a military bone marrow transplant program.

    abstract::There is a lack of published cost and outcome data concerning bone marrow transplant (BMT) patients treated in a military health care setting. The objectives of this prospective investigation were to collect demographic data concerning the characteristics of patients using the service, to track outcomes of length of s...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Yoder LH

    更新日期:1998-10-01 00:00:00

  • Evaluation of spouse abuse treatment: description and evaluation of the Air Force Family Advocacy Programs for spouse physical abuse.

    abstract::Data are reported from a sample of 2,991 spouse physical abusers who received Air Force Family Advocacy Program (FAP) services and who volunteered to complete program evaluation measures that were administered before and after treatment and at a 6-month follow-up. As expected, after treatment compared with before trea...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Brewster AL,Milner JS,Mollerstrom WW,Saha BT,Harris N

    更新日期:2002-06-01 00:00:00

  • Crush syndrome and acute renal failure in the Marmara earthquake.

    abstract::In this study, patients with acute renal failure as a result of crush syndrome after the Marmara earthquake were evaluated retrospectively. Six hundred thirty injured patients were evaluated after the Marmara earthquake at Gülhane Military Medical Academy. Acute renal failure in association with crush syndrome develop...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Poçan S,Ozkan S,Us MH,Cakir O,Gökben M

    更新日期:2002-06-01 00:00:00

  • Trabectome-Initiated Gonioscopy-Assisted Transluminal Trabeculotomy.

    abstract:Introduction:To introduce a trabectome-initiated gonioscopy-assisted transluminal trabeculotomy (TIGATT) procedure and to report preliminary results. Materials and Methods:A preliminary case series of eight patients who have undergone the newly proposed TIGATT procedure is presented. TIGATT is a new concept that modif...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx174

    authors: Smith BL,Ellyson AC,Kim WI

    更新日期:2018-03-01 00:00:00

  • Two-Stage Osseointegrated Reconstruction of Post-traumatic Unilateral Transfemoral Amputees.

    abstract::A new technique called osseointegration was introduced recently by intimately connecting the artificial limb prosthesis to the residual bone, eliminating the problematic socket-residuum interface. The objective here is to describe the two-stage strategy for the osseointegrated reconstruction of amputated limbs and dis...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx185

    authors: Muderis MA,Lu W,Glatt V,Tetsworth K

    更新日期:2018-03-01 00:00:00

  • The establishment of the Croatian Dental Crops: the front-line experience of a dentist volunteer.

    abstract::The establishment of the first dental office of the Croatian Dental Corps (CDC) in the city of Zadar represented at the same time the beginning of the CDC. This article describes the front-line experience of a dentist who volunteered to provide basic medical help, which eventually laid the groundwork for providing gen...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Jelaca-Bagić S,Sipina J,Visković R,Cakarun Z,Vlatković I,Biloglav D

    更新日期:1997-01-01 00:00:00

  • Genital Autoinoculation with Vaccinia: A Look at Two Cases.

    abstract:Introduction:Smallpox, or vaccinia, has been eradicated worldwide as a disease; however, it may be weaponized and is thus a required immunization when military members deploy to certain parts of the world. Materials and Methods:We report two unusual cases of genital autoinoculation following smallpox vaccination. Res...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx089

    authors: Whittington JR,Rollene NL,Gist RS

    更新日期:2018-05-01 00:00:00

  • Use of biomarkers of heavy drinking in health care practice.

    abstract::Several biochemical tests are available to screen for heavy drinking in patients. Most of these (e.g., liver function tests and macrocytic volume) rise due to adverse effects of alcohol on organs or the organ's functions. Carbohydrate-deficient transferrin, however, seems to elevate because of the direct action of alc...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Allen JP

    更新日期:2003-05-01 00:00:00

  • Assessment of pain in less severely ill and injured aeromedical evacuation patients: a prospective field study.

    abstract::Pain management is vitally important to injured patients being evacuated from the warzone. A prospective assessment of real-time ratings of pain acceptability, intensity, and satisfaction of a convenience sample of 114 less severely ill and injured U.S. military patients being evacuated on Aeromedical Evacuation (AE) ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00407

    authors: Bridges E,Dukes S,Serres J

    更新日期:2015-03-01 00:00:00

  • Sulfur mustard intoxication, oxidative stress, and antioxidants.

    abstract::Sulfur Mustard (SM) is a potent alkylating agent with electrophilic property which has been used as a chemical warfare agent in at least 12 conflicts. It has reemerged as a major threat in recent years. Medical attention is primarily concerned with its action on the skin, eyes, and respiratory tract which may be compl...

    journal_title:Military medicine

    pub_type: 杂志文章,评审

    doi:

    authors: Naghii MR

    更新日期:2002-07-01 00:00:00

  • Outcomes of Pectoralis Major Tears in Active Duty US Military Personnel: A Comparison of Surgical Repairs Performed in the Forward Deployed Setting to Those Performed in the Continental United States.

    abstract:INTRODUCTION:The purpose of our study is to compare pectoralis major tears in active duty military personal repaired surgically in the forward deployed setting to those performed in the Continental United States. MATERIALS AND METHODS:Retrospective comparison of all pectoralis major tendon repairs performed at Madigan...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usz068

    authors: Shakir I,Davis W,Choate WS,Antosh IJ,Parada S,Salazar DH

    更新日期:2019-12-01 00:00:00

  • A case of Pott's disease in a 20-year-old military dependent.

    abstract::Tuberculous spondylitis (Pott's disease) is an uncommon complication of Mycobacterium tuberculosis infection that may have serious consequences if the diagnosis is missed or delayed. A case of tuberculous spondylitis in a military dependent is presented. Clinical presentation, radiologic findings, laboratory findings,...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Grinkemeyer MD,LaBarre RC,Yaszemski MJ,Klucznik RP,Blatt SP,Drehner DM

    更新日期:1994-03-01 00:00:00

  • Humanitarian Surgical Care Provided by a French Forward Surgical Team: Ten Years of Providing Medical Support to the Population of the Ivory Coast.

    abstract:INTRODUCTION:The aims of this study were as follows: first to quantify and review the types of surgical procedures performed by military surgeons assigned to a Forward Surgical Team (FST) providing medical support to the population (MSP) in the Ivory Coast (IC), and second to analyze how this MSP was achieved. METHODS...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00688

    authors: Bonnet S,Bertani A,Savoie PH,Mathieu L,Boddaert G,Gonzalez F,Poichotte A,Durand X,Rongiéras F,Balandraud P,Pons F,Rigal S

    更新日期:2015-10-01 00:00:00

  • Damage Control Resuscitation.

    abstract::Damage control resuscitation (DCR) is a strategy for resuscitating patients from hemorrhagic shock to rapidly restore homeostasis. Efforts are focused on blood product transfusion with whole blood or component therapy closely approximating whole blood, limited use of crystalloid to avoid dilutional coagulopathy, hypot...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy112

    authors: Cap AP,Pidcoke HF,Spinella P,Strandenes G,Borgman MA,Schreiber M,Holcomb J,Tien HC,Beckett AN,Doughty H,Woolley T,Rappold J,Ward K,Reade M,Prat N,Ausset S,Kheirabadi B,Benov A,Griffin EP,Corley JB,Simon CD,Fahie

    更新日期:2018-09-01 00:00:00

  • The association between childhood physical and sexual abuse and functioning and psychiatric symptoms in a sample of U.S. Army soldiers.

    abstract:OBJECTIVE:We examined associations between abusive childhood experiences and functioning and psychiatric symptoms in an active duty sample of U.S. Army soldiers. METHODS:Cross-sectional survey of 204 soldiers stationed at a southern U.S. Army facility. RESULTS:Forty-six percent of individuals reported childhood physi...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed-d-10-00038

    authors: Seifert AE,Polusny MA,Murdoch M

    更新日期:2011-02-01 00:00:00

  • Females Engaged in Elite Training Previously Only Open to Males: Exploring the Variables of Successful Outcomes.

    abstract::To date, there has been no analysis of the skills or attributes predicting success in female trainees who undergo traditionally male elite military training. This retrospective case control study characterized variables specific to females in the Special Operations Combat Medic course. 20/39 males and 15/38 females su...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy291

    authors: Givens ML,Eklund K

    更新日期:2019-03-01 00:00:00

  • Defining quality in health care.

    abstract::The difficulty and importance of developing and implementing a definition of quality in health care is discussed. Some current definitions are considered, and a recommended definition of quality health care is presented. ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Buck AS

    更新日期:1992-05-01 00:00:00

  • Urinary incontinence among female soldiers.

    abstract::A self-administered questionnaire was developed to assess the prevalence of urinary incontinence among active duty female soldiers. The questionnaire also addressed basic demographic information, including height, age, weight, and the subjects' present and past military activities. Adaptive measures that the soldiers ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:

    authors: Davis G,Sherman R,Wong MF,McClure G,Perez R,Hibbert M

    更新日期:1999-03-01 00:00:00

  • New Training System Based on the Discovery of Subperiosteal Transmission of Pressures Between Joint Capsules.

    abstract:BACKGROUND:A new training and rehabilitation methodology called Sanomechanics® is presented based on a recent discovery of the anatomical system called Floating Skeleton System (FSS) responsible for redistributing contact pressures in the joint capsules and thus minimizing the loads on joint cartilages. MATERIALS AND ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa476

    authors: Pitkin M

    更新日期:2021-01-25 00:00:00

  • Repeated Low-Level Blast Exposure: A Descriptive Human Subjects Study.

    abstract::The relationship between repeated exposure to blast overpressure and neurological function was examined in the context of breacher training at the U.S. Marine Corps Weapons Training Battalion Dynamic Entry School. During this training, Students are taught to apply explosive charges to achieve rapid ingress into secure...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-15-00137

    authors: Carr W,Stone JR,Walilko T,Young LA,Snook TL,Paggi ME,Tsao JW,Jankosky CJ,Parish RV,Ahlers ST

    更新日期:2016-05-01 00:00:00

  • Assessment of trauma exposure and post-traumatic stress in long-term care veterans: preliminary data on psychometrics and post-traumatic stress disorder prevalence.

    abstract::This article reports preliminary data on trauma and post-traumatic stress disorder (PTSD) prevalence, as well as test psychometrics, among 35 cognitively intact veterans residing in long-term care settings. Participants received a traumatic event screening, the Mini-Mental Status Examination, Combat Exposure Scale (CE...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/milmed.170.10.862

    authors: Cook JM,Elhai JD,Cassidy EL,Ruzek JI,Ram GD,Sheikh JI

    更新日期:2005-10-01 00:00:00

  • Daily insufficient sleep and active duty status.

    abstract:OBJECTIVE:We assessed the relationship between active duty status and daily insufficient sleep in a telephone survey. METHODS:U.S. military service status (recent defined as past 12 months and past defined as >12 months ago) and daily insufficient sleep in the past 30 days were assessed among 566,861 adults aged 18 to...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-14-00158

    authors: Chapman DP,Liu Y,McKnight-Eily LR,Croft JB,Holt JB,Balkin TJ,Giles WH

    更新日期:2015-01-01 00:00:00

  • Suicide Rates Among Active Duty Service Members Compared with Civilian Counterparts, 2005-2014.

    abstract::The objective of this study was to compare military suicide rates with civilian suicide rates, adjusting for age and sex differences that exist between the two populations. The number of active component (AC) service members whose manner of death was certified as suicide was determined for specific age and sex groups ...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usx209

    authors: Reimann CA,Mazuchowski EL

    更新日期:2018-03-01 00:00:00

  • An English admiral and an American aviator: advanced trauma life support and two historical military casualties.

    abstract::This article considers two historical military casualties in the context of present day Advanced Trauma Life Support (ATLS) teaching. The death of Admiral Lord Nelson, Royal Navy, at the Battle of Trafalgar in 1805 has been well documented while that of Lieutenant Luke, an American aviator, U.S. Army Air Service, in F...

    journal_title:Military medicine

    pub_type: 传,历史文章,杂志文章

    doi:10.7205/milmed-d-09-00261

    authors: Bridgewater FH

    更新日期:2010-11-01 00:00:00

  • Mental health in deployed and nondeployed veteran men and women in comparison with their civilian counterparts.

    abstract:OBJECTIVE:We investigated the mental health of deployed and nondeployed veterans compared with civilians, exploring gender differences. METHODS:We sampled 41,903 respondents from the Behavioral Risk Factor Surveillance System survey. Respondents self-reported how many of the previous 30 days mental health was not good...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.7205/MILMED-D-13-00235

    authors: Hoglund MW,Schwartz RM

    更新日期:2014-01-01 00:00:00

  • Serial Echocardiographic Follow-up of Structural Heart Interventions Performed During Pacific Partnership Interventional Cardiology Subject Matter Exchanges From 2015 to 2017 in Da Nang, Vietnam.

    abstract:INTRODUCTION:The U.S. Navy Medicine has a long history of conducting global health missions that foster international diplomacy through medical knowledge exchange with a goal of increasing partner nation's health care capacity. Pacific Partnership is an annual U.S. Navy-sponsored joint operation that enhances medical c...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usaa499

    authors: Nayak KR,Trieu NB,O'Dell J,Kendall S,Stanton K,Thanh Han NH,Krause D,Wessman D,Lopez J,Phi-Lee T,Adams D,Parrish JS,LanHieu N

    更新日期:2021-01-25 00:00:00

  • A Tale of Two Compulsions - Two Case Studies Using Accelerated Resolution Therapy (ART) for Obsessive Compulsive Disorder (OCD).

    abstract::Although research for accelerated resolution therapy (ART) has been predominately for post-traumatic stress disorder, ART has shown promise as a treatment for other behavioral health conditions as well. ART is a brief, trauma-focused, eye movement-based therapy that has been successfully utilized to treat a wide array...

    journal_title:Military medicine

    pub_type: 杂志文章

    doi:10.1093/milmed/usy257

    authors: Schimmels J,Waits W

    更新日期:2019-05-01 00:00:00