TY - JOUR
T1 - Prevalence and correlates of posttraumatic stress disorder and chronic severe pain in psychiatric outpatients
AU - Villano, Cherie L.
AU - Rosenblum, Andrew
AU - Magura, Stephen
AU - Fong, Chunki
AU - Cleland, Charles
AU - Betzler, Thomas F.
PY - 2007
Y1 - 2007
N2 - This cross-sectional study reports the prevalence and correlates of posttraumatic stress disorder (PTSD) and chronic severe pain in psychiatric outpatients (n = 295), a sample that has not previously been examined for the co-occurrence of these two disorders. Nearly half the participants (46%) met the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition criteria for PTSD; 40% reported chronic severe pain; and 24% had both disorders. We compared four groups of subjects who had either both disorders, PTSD only, chronic severe pain only, or neither disorder for variables previously found to be associated with both disorders or either disorder alone (e.g., psychiatric distress, substance use, stressful life events, physical/sexual abuse). Multiple pairwise comparisons indicated that persons with both disorders were significantly different from persons with neither disorder for all dependent variables and that they had greater physical and psychosocial stressors. Persons with either PTSD or chronic severe pain alone were more likely to have a chronic medical condition, higher ratings of psychiatric distress, and more stressful life events than persons with neither disorder. Mental health treatment providers should be aware of the potential for the co-occurrence of PTSD and chronic severe pain and of the many related factors in psychiatric outpatients.
AB - This cross-sectional study reports the prevalence and correlates of posttraumatic stress disorder (PTSD) and chronic severe pain in psychiatric outpatients (n = 295), a sample that has not previously been examined for the co-occurrence of these two disorders. Nearly half the participants (46%) met the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition criteria for PTSD; 40% reported chronic severe pain; and 24% had both disorders. We compared four groups of subjects who had either both disorders, PTSD only, chronic severe pain only, or neither disorder for variables previously found to be associated with both disorders or either disorder alone (e.g., psychiatric distress, substance use, stressful life events, physical/sexual abuse). Multiple pairwise comparisons indicated that persons with both disorders were significantly different from persons with neither disorder for all dependent variables and that they had greater physical and psychosocial stressors. Persons with either PTSD or chronic severe pain alone were more likely to have a chronic medical condition, higher ratings of psychiatric distress, and more stressful life events than persons with neither disorder. Mental health treatment providers should be aware of the potential for the co-occurrence of PTSD and chronic severe pain and of the many related factors in psychiatric outpatients.
KW - Chronic medical condition
KW - Chronic pain
KW - Mental health
KW - Physical/sexual abuse
KW - Positive affect
KW - Posttraumatic stress disorder
KW - Psychiatric outpatients
KW - Social support
KW - Stressful life events
KW - Substance use
UR - http://www.scopus.com/inward/record.url?scp=34249998633&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=34249998633&partnerID=8YFLogxK
U2 - 10.1682/JRRD.2006.05.0052
DO - 10.1682/JRRD.2006.05.0052
M3 - Article
C2 - 17551871
AN - SCOPUS:34249998633
SN - 0748-7711
VL - 44
SP - 167
EP - 177
JO - Journal of Rehabilitation Research and Development
JF - Journal of Rehabilitation Research and Development
IS - 2
ER -