Abstract:
:Background: The variables that underlie comorbid chronic pain and posttraumatic stress symptoms (PTSS) are not yet clearly established. Objective: The aim of the present study was to analyse the role of the behavioural inhibition system (BIS), behavioural approach system (BAS) and experiential avoidance (EA) in pain adjustment (i.e. pain intensity, daily functioning and pain-related impairment) in patients with chronic pain and PTSS. Methods: A battery of instruments was administered to 388 chronic pain patients. The sample was divided into those with PTSS (n = 194) and those without PTSS (n =194). Results: Significant differences were found between groups in the BIS, EA, impairment and daily functioning. No differences were found between groups in the BAS. Structural equation modelling showed that the BIS and EA were associated with worse adjustment in the 194 patients with both chronic pain and PTSS. The BAS was associated with a lower level of pain and greater daily functioning. Conclusion: The findings provide evidence that BIS and BAS activation and EA play a role in adjustment to chronic pain in patients with concurrent PTSS. These results may help guide the development of psychological treatments for patients with both conditions. :Antecedentes: las variables que subyacen al dolor crónico comórbido y síntomas de estrés postraumático aún no están claramente establecidas.Objetivo: el propósito del presente estudio fue analizar el rol del Sistema de Inhibición del Comportamiento (BIS), el Sistema de activación del Comportamiento (BAS) y la Evitación Experiencial (EA) en la adaptación all dolor (es decir, intensidad del dolor, funcionamiento diario e incapacidad relacionada con dolor) en pacientes con dolor crónico y síntomas de estrés postraumático (PTSS).Métodos: Se administró una batería de instrumentos a 388 pacientes con dolor crónico. La muestra se dividió en aquellos con PTSS (n = 194) y aquellos sin PTSS (n = 194).Resultados: Se encontraron diferencias significativas entre grupos en el BIS, EA, incapacidad y funcionamiento diario. No se encontraron diferencias entre grupos en el BAS. El modelo de ecuaciones estructurales mostró que BIS y EA se asociaron con un peor ajuste en los 194 pacientes con dolor crónico y PTSS concomitante. El BAS se asoció con menor nivel de dolor y funcionamiento diario mayor.Conclusión: los hallazgos proveen evidencia de que la activación de BIS y BAS y la EA desempeñan un rol en el ajuste al dolor crónico en pacientes con PTSS concurrente. Estos resultados podrían ayudar a guiar el desarrollo de tratamientos psicológicos para pacientes con ambas afecciones. :背景:尚未明确慢性疼痛共病创伤后应激症状的影响变量。目的:本研究的目的是分析慢性疼痛共病创伤后应激症状(PTSS)的病人中,行为抑制系统(BIS)、行为激活系统(BAS)和经验避免(EA)在疼痛适应(即疼痛强度,日常功能和疼痛相关的伤害)中的作用。方法:对388名慢性疼痛患者使用一套测量工具,分成具有PTSS(n = 194)和没有PTSS(n = 194)的两组。结果:在BIS、EA、损伤和日常功能方面,两组之间存在显著差异。各组之间未发现BAS差异。结构方程模型显示,在194例慢性疼痛+PTSS患者组中,BIS和EA与较差的疼痛适应相关。 BAS与较低水平的疼痛和较高的日常功能相关。结论:该研究结果提供证据表明BIS、BAS激活和EA在并发PTSS的患者对慢性疼痛的适应中起作用。这些结果可能有助于指导患有这两种疾病的患者的心理治疗的发展。.
journal_name
Eur J Psychotraumatoljournal_title
European journal of psychotraumatologyauthors
Serrano-Ibáñez ER,Ramírez-Maestre C,Esteve R,López-Martínez AEdoi
10.1080/20008198.2019.1581013subject
Has Abstractpub_date
2019-03-11 00:00:00pages
1581013issue
1issn
2000-8066pii
1581013journal_volume
10pub_type
杂志文章abstract::Background: Post-traumatic stress disorder (PTSD) is triggered by distinct events and is therefore amenable to studies of its early pathogenesis. Longitudinal studies during the year that follows trauma exposure revealed typical symptom trajectories leading to either recovery or protracted PTSD. Thezneurobehavioral co...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1683941
更新日期:2019-11-11 00:00:00
abstract:BACKGROUND:Asylum interviews within the asylum procedure are associated with psychological stress for traumatized asylum seekers. This study investigates the impact of asylum interviews on the mental health in a sample of 40 traumatized asylum seekers. The comparison group consisted of refugees (N=10) that had not been...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v6.26286
更新日期:2015-09-01 00:00:00
abstract:BACKGROUND:Despite robust empirical support for the efficacy of trauma-focused treatments, the dissemination proves difficult, especially in relation to patients with comorbid psychosis. Many therapists endorse negative beliefs about the credibility, burden, and harm of such treatment. OBJECTIVE:This feasibility study...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.31712
更新日期:2016-09-06 00:00:00
abstract:BACKGROUND:While males constitute the majority, female adolescent offenders are a sizeable minority of the overall delinquent population. Further, those females who become involved in delinquent activities appear to be doing so at a younger age, and they are involved in a wide range of criminal activities, including vi...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.17247
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:The war in former Yugoslavia, which commenced in 1990, caused the biggest refugee crisis in Europe since World War II. There are numerous research investigations into the trauma and associated problems. However, there is no available publication concerning refugees' own perception of the provided support in ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.8447
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Life-review interventions (LRI) are psychotherapeutic techniques originally derived from gerontology, which can be distinguished from other biographical and reminiscing techniques. They have been systematically implemented and investigated not only in elderly clients with depression, cognitive decline, in on...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.19720
更新日期:2013-05-20 00:00:00
abstract:BACKGROUND:This paper investigated adherence to a self-help web-based intervention for PTSD (Chinese My Trauma Recovery, CMTR) in mainland China and evaluated the association between adherence measures and potential predictors, for example, traumatic symptoms and self-efficacy. METHODS:Data from 56 urban and 90 rural ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.26526
更新日期:2014-12-09 00:00:00
abstract::Background: It is well documented that comorbid post-traumatic stress disorder (PTSD) in chronic pain is associated with a more severe symptom profile with respect to pain, disability and psychological distress. However, very few intervention studies exist targeting both PTSD and pain. The current study is the first r...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1331108
更新日期:2017-05-30 00:00:00
abstract:Background:Due to the one-child policy implemented in China, most families have only one child. When parents experience the death of their only child, these parents receive the label 'Shidu parents'. Shidu is a major public health issue in China. However, the patterns of post-traumatic stress disorder (PTSD) and depres...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1766770
更新日期:2020-07-07 00:00:00
abstract::Background: Despite a large body of evidence demonstrating the effectiveness of psychotherapy for posttraumatic stress for children and adolescents, the adoption of empirically supported treatments (ESTs) in routine care is low. Objective: This implementation study aims to evaluate the dissemination of Trauma-Focused ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2020.1837531
更新日期:2020-11-26 00:00:00
abstract:BACKGROUND:The proposal for ICD-11 postulates major changes for posttraumatic stress disorder (PTSD) diagnosis, which needs investigation in different samples. AIMS:To investigate differences of PTSD prevalence and diagnostic agreement between ICD-10 and ICD-11, factor structure of proposed ICD-11 PTSD, and diagnostic...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v7.29700
更新日期:2016-01-21 00:00:00
abstract:BACKGROUND:To date no validated instrument in the French language exists to screen for posttraumatic stress disorder (PTSD) in survivors of torture and organized violence. OBJECTIVE:The aim of this study is to adapt and validate the Harvard Trauma Questionnaire (HTQ) to this population. METHOD:The adapted version was...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.19225
更新日期:2012-01-01 00:00:00
abstract:BACKGROUND:Predominant dissociation in posttraumatic stress disorder (PTSD) is characterized by restricted affective responses to positive stimuli. To date, no studies have examined neural responses to a range of emotional expressions in PTSD with high dissociative symptoms. OBJECTIVE:This study tested the hypothesis ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.20430
更新日期:2013-09-04 00:00:00
abstract::On 11 March 2011, a devastating earthquake struck off the coast of Japan, causing blustering tsunami that swept over the northeast coast of the country. Many struggled to evacuate from their homes, schools, and workplaces as 8- to 9-m-tall tsunami rapidly reached the coast within half an hour after the earthquake (Eme...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.26515
更新日期:2014-12-09 00:00:00
abstract::Background: Two stress-related disorders have been proposed for inclusion in the revised ICD-11: Posttraumatic Stress Disorder (PTSD) and Complex PTSD (CPTSD). The International Trauma Questionnaire (ITQ) is a bespoke measure of PTSD and CPTSD and has been widely used in English-speaking countries. Objective: The prim...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1608718
更新日期:2019-05-15 00:00:00
abstract::Background: Moral injury has been found to adversely affect US veteran mental health, and the mental health difficulties resulting from moral injury can be particularly challenging to treat. Yet little is known about the impact of moral injury on the well-being of UK armed forces (AF) veterans and how moral injury is ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1562842
更新日期:2019-01-14 00:00:00
abstract::Given the unique context of warzone engagement, which may include chronic threat, multiple and lengthy deployments, and loss, there is a need to understand whether and to what extent knowledge about PTSD derived from studies of civilian trauma exposure is generalizeable to the military. This special issue on PTSD in t...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.25322
更新日期:2014-08-14 00:00:00
abstract::Background: Journalists who cover traumatic events are at risk of developing long-term impairment, such as post-traumatic stress disorder (PTSD). The exposure may also result in perceived positive outcomes, conceptualised as post-traumatic growth (PTG). Social support (SS) at work is one factor that might affect the o...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2019.1620085
更新日期:2019-06-07 00:00:00
abstract:BACKGROUND:While there is a considerable amount of literature addressing consequences of trauma in veterans and holocaust survivors, war and postwar civilian populations, particularly children, are still understudied. Evidence regarding intergenerational effects of trauma in families is inconsistent. OBJECTIVE:To shed...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.21060
更新日期:2013-08-13 00:00:00
abstract:BACKGROUND:Sleep facilitates the consolidation of fear extinction memory. Nightmares and insomnia are hallmark symptoms of posttraumatic stress disorder (PTSD), possibly interfering with fear extinction and compromising recovery. A perpetual circle may develop when sleep disturbances increase the risk for PTSD and vice...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.19142
更新日期:2012-01-01 00:00:00
abstract::Background: Treatment research for dissociative identity disorder (DID) and closely related severe dissociative disorders (DD) is rare, and has been made more difficult by the lack of a reliable, valid measure for assessing treatment progress in these populations. Objective: This paper presents psychometric data for t...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1380471
更新日期:2017-10-13 00:00:00
abstract::Background: Approximately half of all asylum seekers suffer from trauma-related disorders requiring treatment, among them Posttraumatic Stress Disorder (PTSD), depression, anxiety, and somatic symptoms. There is a lack of easily accessible, low-threshold treatments taking the cultural background into account. Cultural...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2017.1390362
更新日期:2017-11-07 00:00:00
abstract:BACKGROUND:Exposure to acute, potentially traumatic events is an unfortunately common experience for children and adolescents. Posttraumatic stress (PTS) responses following acute trauma can have an ongoing impact on child development and well-being. Early intervention to prevent or reduce PTS responses holds promise b...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v5.22757
更新日期:2014-07-02 00:00:00
abstract::Background: Emotional abuse and emotional neglect are related to impaired interpersonal functioning. One underlying mechanism could be a developmental delay in mentalizing, the ability to understand other people's thoughts and emotions. Objective: This study investigates the neural correlates of mentalizing and the sp...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2016.1272788
更新日期:2017-02-09 00:00:00
abstract::There is increasing attention for embedding research in mental healthcare. This involves a linkage between scientific research and routine practice, where research is fed by questions from practice and scientific insights are implemented better and faster in clinical practice. This paper illustrates bridging the gap, ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v3i0.18740
更新日期:2012-01-01 00:00:00
abstract::Background: A diagnosis of post-traumatic stress disorder (PTSD) requires the identification of one or more traumatic events, designated the index trauma, which serves as the basis for assessment of severity of PTSD. In patients who have experienced more than one traumatic event, severity may depend on the exact defin...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1486124
更新日期:2018-07-09 00:00:00
abstract::The present systematic review examined post-migration variables impacting upon mental health outcomes among asylum-seeking and refugee populations in Europe. It focuses on the effects of post-settlement stressors (including length of asylum process and duration of stay, residency status and social integration) and the...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章,评审
doi:10.1080/20008198.2020.1793567
更新日期:2020-12-01 00:00:00
abstract:BACKGROUND:On February 27, 2010 (F-27), an earthquake and tsunami occurred having a significant impact on the mental health of the Chilean population, leading to an increase in cases of post-traumatic stress disorder (PTSD). OBJECTIVES:Within this context, validated for the first time in Chile was the Davidson Trauma ...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.3402/ejpt.v4i0.21239
更新日期:2013-08-22 00:00:00
abstract::Background: Child maltreatment is a major public problem, associated with enormous consequences on the individual and socioeconomic level. Studies show a clear impact of child maltreatment on long-term physical health. However, there is a lack of analyses comprising a wide variety of subtypes of maltreatment and addre...
journal_title:European journal of psychotraumatology
pub_type: 杂志文章
doi:10.1080/20008198.2018.1510278
更新日期:2018-09-07 00:00:00
abstract::Daily news is dominated by reports of traumatic events across the world. Is trauma indeed rather the norm than the exception? What are the facts? How can we better understand, prevent and treat the consequences of trauma? This past year the European Journal of Psychotraumatology (EJPT) has again tried to address these...
journal_title:European journal of psychotraumatology
pub_type: 社论
doi:10.1080/20008198.2019.1578524
更新日期:2019-02-27 00:00:00