Gender differences in PTSD severity and pain outcomes: baseline results from the LAMP trial.
Gender differences in PTSD severity and pain outcomes: baseline results from the LAMP trial.
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PTSD 严重程度和疼痛结果的性别差异：LAMP 试验的基线结果。
DOI：
10.1101/2023.10.13.23296998
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发表时间：
2023
期刊：
影响因子：
--
通讯作者：
Burgess,DJ
中科院分区：
文献类型：
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作者：
Friedman,JK;Taylor,BC;HagelCampbell,E;Allen,K;Bangerter,A;Branson,M;Bronfort,G;Calvert,C;Cross,Ljs;Driscoll,M;Evans,R;Ferguson,JE;Haley,A;Hennessy,S;Meis,LA;Burgess,DJ
BackgroundPost-traumatic stress disorder (PTSD) and chronic pain are highly prevalent comorbid conditions. Veterans dually burdened by PTSD and chronic pain experience more severe outcomes compared to either disorder alone. Few studies have enrolled enough women Veterans to test gender differences in pain outcomes [catastrophizing, intensity, interference] by the severity of PTSD symptoms.AimExamine gender differences in the association between PTSD symptoms and pain outcomes among Veterans enrolled in a chronic pain clinical trial.MethodsParticipants were 421 men and 386 women Veterans with chronic pain who provided complete data on PTSD symptoms and pain outcomes. We used hierarchical linear regression models to examine gender differences in pain outcomes by PTSD symptoms.ResultsAdjusted multivariable models indicated that PTSD symptoms were associated with higher levels of pain catastrophizing (0.57, 95% CI [0.51, 0.63]), pain intensity (0.30, 95% CI [0.24, 0.37]), and pain interference (0.46, 95% CI [0.39, 0.52]). No evidence suggesting gender differences in this association were found in either the crude or adjusted models (all interaction p-values<0.05).ConclusionThese findings may reflect the underlying mutual maintenance of these conditions whereby the sensation of pain could trigger PTSD symptoms, particularly if the trauma and pain are associated with the same event. Clinical implications and opportunities testing relevant treatments that may benefit both chronic pain and PTSD are discussed.
