Treatment outcomes in group ‐based cognitive behavioural therapy for chronic pain: An examination of PTSD symptoms

ConclusionsNeither traumatic exposure nor baseline symptoms of PTSD predicted the treatment outcomes examined here. Despite improvements in both comorbid depression and anxiety, participation in this pain ‐focused CBT program was not associated with improvements in comorbid PTSD. To the extent that changes in PTSD symptoms did occur, these were mediated by changes in psychological inflexibility during treatment.SignificancePain ‐focused CBT programs yield clinically meaningful improvements in pain and comorbid symptoms of depression and anxiety, but may have little effect on comorbid PTSD. This raises the issue of whether current pain‐focused CBT programs can be modified to improve outcomes for comorbid conditions, per haps by better targeting of psychological flexibility, and/or whether separate treatment of PTSD may be associated with improved pain outcomes.
Source: European Journal of Pain - Category: Anesthesiology Authors: Tags: ORIGINAL ARTICLE Source Type: research

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CONCLUSION: These results identify clinical features of veterans and service members with mTBI(s) who are at highest risk for pain-related disability. These findings also demonstrate the need to consider mental health and sleep problems in their pain evaluation and treatment approach. PMID: 33007066 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
What is the connection between sexual abuse and developing an eating disorder? Why does bingeing, purging, starving and chronic dieting become a “solution” for the abuse? Abuse shatters the sacred innocence of a child and often becomes a primary trigger for an eating disorder. The survivor of sexual abuse becomes plagued with confusion, guilt, shame, fear, anxiety, self-punishment, and rage. She (or he) seeks the soothing comfort, protection, and anesthesia that food offers. Food, after all, is the most available, legal, socially sanctioned, cheapest mood altering drug on the market! And emotional eating is a m...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Abuse Eating Disorders Trauma Anorexia Binge Eating Bulimia Sexual Abuse Source Type: blogs
As a chronic worrier, ongoing anxiety warrior, and general wary-of-what’s-going-to-happen-next kind of person, I know how healing it can be to practice the art of living in the present. As simple as that goal seems, though, it sometimes proves a lot harder than it sounds.  I’ve read numerous articles and books on the subject, including Eckhart Tolle’s The Power of Now, which offers specific practices on how to connect to the outer world and, even more importantly, to the stillness of our inner being to help anchor ourselves in the present moment. As Tolle points out, people can cope with whatever ari...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: Anxiety and Panic Books Self-Help Eckhart Tolle Living in the Now Meditation Stress The Power of Now Source Type: blogs
This study aimed to investigate construct validity and test-retest reliability of the Dutch IEQ. Included patients were 281 adults with multi-factorial chronic pain (>  3 months) from two health care settings. All patients filled out questionnaires that measured perceived injustice, pain characteristics, central sensitization, disability, pain catastrophizing, pain acceptance, depression, anxiety, PTSD symptoms, anger, and perceived illness threat. Thirteen hyp otheses on the strength of the correlations between the IEQ and the other measurements were formulated a priori. Correlations were calculated using P...
Source: Psychological Injury and Law - Category: Medical Law Source Type: research
Moderate to severe acute pain occurs in 91% of traumatic injury patients presenting to the emergency department (ED) and suboptimal analgesia is common [1-3]. Timely and adequate pain control is crucial, as inadequate management has been associated with increased morbidity and development of chronic pain, post-traumatic stress disorder, anxiety, and depression [4]. Intravenous (IV) opioids are routinely used for treatment of acute pain in trauma patients, but increasing outpatient use of buprenorphine for opioid use disorder (OUD) and chronic pain poses a new challenge to traditional pain management strategies [5].
Source: The American Journal of Emergency Medicine - Category: Emergency Medicine Authors: Source Type: research
Conclusions: Kratom use may serve as a self-treatment strategy for a diverse population of patients with pre-existing health diagnoses. Healthcare providers need to be engaging with patients to address safety concerns and potential limitations of its use in clinical practice for specific health conditions.
Source: Journal of Addiction Medicine - Category: Addiction Tags: Original Research Source Type: research
CONCLUSIONS: We found that there is little evidence for any risk factors involved in the development of acute PTH, whereas no study had assessed risk factors for the development of persistent PTH. Further studies are warranted and should be powered to examine possible risk factors for the development of PTH. Rigorous methodology and standardized monitoring should be prioritized to support high-quality research and validate potential findings. PMID: 32320055 [PubMed - as supplied by publisher]
Source: Headache - Category: Neurology Authors: Tags: Headache Source Type: research
This study investigates the incidence of long-term consequences in survivors of critical illness 6 months after ICU care. A retrospective analysis of the risk factors was also completed. METHODS: A mixed-method design was used. A qualitative design was used in the questionnaire study (phase 1), and a quantitative design was used for the retrospective study (phase 2). RESULTS: 116 patients were interviewed. Forty-eight patients (41.4%) reported at least one long-term consequence 6 months after ICU discharge. The most frequent consequences were anxiety (n = 33, 28.4%), depression (n = 32, 27.6%) and chronic pain (n =...
Source: Annali dell Istituto Superiore di Sanita - Category: General Medicine Tags: Ann Ist Super Sanita Source Type: research
CONCLUSIONS: Evaluative studies on organizations that support Veterans are useful to gauge the effectiveness and impact. Through this study, Veterans expressed perceived strengths and weaknesses of the program so further development and appropriate services will be provided. Similar studies on the impact of non-profit organizations are encouraged. Vet TRIIP significantly impacts the lives of many through stress and pain reduction, potentially preventing suicide. PMID: 32236440 [PubMed - as supplied by publisher]
Source: Military Medicine - Category: International Medicine & Public Health Tags: Mil Med Source Type: research
As the physical coronavirus pandemic continues to spread, an emotional pandemic is following fast in its wake. When the whole world is going to pieces, it’s awfully hard for the human mind—a fragile thing in the best of times—to cope, and more and more, doctors are reporting the spread of despair, worry and depression among their patients, especially those already suffering from some form of anxiety disorder. Even before COVID-19 hit its shores, the U.S. was a clinically anxious place. According to the National Institute of Mental Health, just over 19% of all American adults will experience at least one a...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized COVID-19 Source Type: news
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