Abstract
The association of traumatic exposures with posttraumatic stress disorder (PTSD) and other mental health conditions is well known. Patients with chronic pain, particularly headache disorders and fibromyalgia (FM), associated with psychological traumas need a special management strategy. Diagnosis of headache disorders and FM in traumatized patients and collecting the clinical history of a traumatic event or diagnosing PTSD in chronic pain patients is of great importance. Psychotherapy and pharmacotherapeutic options should be started on patients with comorbid PTSD and headache disorders and/or FM.
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References and Recommended Reading
Adams RE, Boscarino JA: Predictors of PTSD and delayed PTSD after disaster: the impact of exposure and psychosocial resources. J Nerv Ment Dis 2006, 194:485–493.
Leskin GA, Woodward SH, Young HE, Sheikh JI: Effects of comorbid diagnoses on sleep disturbance in PTSD. J Psychiatr Res 2002, 36:449–452.
Sack WH, Seeley JR, Clarke GN: Does PTSD transcend cultural barriers? A study from the Khmer Adolescent Refugee Project. J Am Acad Child Adolesc Psychiatry 1997, 36:49–54.
Asmundson GJ, Coons MJ, Taylor S, Katz J: PTSD and the experience of pain: research and clinical implications of shared vulnerability and mutual maintenance models. Can J Psychiatry 2002, 47:930–937.
Beckham JC, Crawford AL, Feldman ME, et al.: Chronic posttraumatic stress disorder and chronic pain in Vietnam combat veterans. J Psychosom Res 1997, 43:379–389.
Keane TM, Marshall AD, Taft CT: Posttraumatic stress disorder: etiology, epidemiology, and treatment outcome. Annu Rev Clin Psychol 2006, 2:161–197.
Schur EA, Afari N, Furberg H, et al.: Feeling bad in more ways than one: comorbidity patterns of medically unexplained and psychiatric conditions. J Gen Intern Med 2007, 22:818–821.
Kessler RC, Sonnega A, Bromet E, et al.: Posttraumatic stress disorder in the National Comorbidity Survey. Arch Gen Psychiatry 1995, 52:1048–1060.
Eugene F, Levesque J, Mensour B, et al.: The impact of individual differences on the neural circuitry underlying sadness. Neuroimage 2003, 19(2 Pt 1):354–364.
Palmer I: No pain, no gain. Part II. A personal conceptualisation of PTSD and post traumatic psychological difficulties. J R Army Med Corps 2004, 150:67–71.
Broman-Fulks JJ, Ruggiero KJ, Green BA, et al.: Taxometric investigation of PTSD: data from two nationally representative samples. Behav Ther 2006, 37:364–380.
van der Kolk BA: Clinical implications of neuroscience research in PTSD. Ann N Y Acad Sci 2006, 1071:277–293.
Bracha HS: Can premorbid episodes of diminished vagal tone be detected via histological markers in patients with PTSD? Int J Psychophysiol 2004, 51:127–133.
Bremner JD, Vythilingam M, Vermetten E, et al.: Cortisol response to a cognitive stress challenge in posttraumatic stress disorder (PTSD) related to childhood abuse. Psychoneuroendocrinology 2003, 28:733–750.
Saxe GN, Stoddard F, Hall E, et al.: Pathways to PTSD, part I: children with burns. Am J Psychiatry 2005, 162:1299–1304.
Kaplow JB, Dodge KA, Amaya-Jackson L, Saxe GN: Pathways to PTSD, part II: sexually abused children. Am J Psychiatry 2005, 162:1305–1310.
Shin LM, Orr SP, Carson MA, et al.: Regional cerebral blood flow in the amygdala and medial prefrontal cortex during traumatic imagery in male and female Vietnam veterans with PTSD. Arch Gen Psychiatry 2004, 61:168–176.
Lanius RA, Williamson PC, Boksman K, et al.: Brain activation during script-driven imagery induced dissociative responses in PTSD: a functional magnetic resonance imaging investigation. Biol Psychiatry 2002, 52:305–311.
Peres JF, Newberg AB, Mercante JP, et al.: Cerebral blood flow changes during retrieval of traumatic memories before and after psychotherapy: a SPECT study. Psychol Med 2007, 37:1481–1491.
Boscarino JA: A prospective study of PTSD and early-age heart disease mortality among Vietnam veterans: implications for surveillance and prevention. Psychosom Med 2008, 70:668–676.
Southwick SM, Paige S, Morgan CA 3rd, et al.: Neurotransmitter alterations in PTSD: catecholamines and serotonin. Semin Clin Neuropsychiatry 1999, 4:242–248.
Heidt JM, Marx BP, Forsyth JP: Tonic immobility and childhood sexual abuse: a preliminary report evaluating the sequela of rape-induced paralysis. Behav Res Ther 2005, 43:1157–1171.
Bados A, Toribio L, Garcia-Grau E: Traumatic events and tonic immobility. Span J Psychol 2008, 11:516–521.
Bovin MJ, Jager-Hyman S, Gold SD, et al.: Tonic immobility mediates the influence of peritraumatic fear and perceived inescapability on posttraumatic stress symptom severity among sexual assault survivors. J Trauma Stress 2008, 21:402–409.
Griffing S, Lewis CS, Chu M, et al.: Exposure to interpersonal violence as a predictor of PTSD symptomatology in domestic violence survivors. J Interpers Violence 2006, 21:936–954.
Kaufman ML, Kimble MO, Kaloupek DG, et al.: Peritraumatic dissociation and physiological response to trauma-relevant stimuli in Vietnam combat veterans with posttraumatic stress disorder. J Nerv Ment Dis 2002, 190:167–174.
Naring GW, van Lankveld W, Geenen R: Somatoform dissociation and traumatic experiences in patients with rheumatoid arthritis and fibromyalgia. Clin Exp Rheumatol 2007, 25:872–877.
Roy-Byrne P, Arguelles L, Vitek ME, et al.: Persistence and change of PTSD symptomatology: a longitudinal co-twin control analysis of the Vietnam Era Twin Registry. Soc Psychiatry Psychiatr Epidemiol 2004, 39:681–685.
Peres JF, McFarlane A, Nasello AG, Moores KA: Traumatic memories: bridging the gap between functional neuroimaging and psychotherapy. Aust N Z J Psychiatry 2008, 42:478–488.
Amital D, Fostick L, Polliack ML, et al.: Posttraumatic stress disorder, tenderness, and fibromyalgia syndrome: are they different entities? J Psychosom Res 2006, 61:663–669.
Arguelles LM, Afari N, Buchwald DS, et al.: A twin study of posttraumatic stress disorder symptoms and chronic widespread pain. Pain 2006, 124:150–157.
Weissbecker I, Floyd A, Dedert E, et al.: Childhood trauma and diurnal cortisol disruption in fibromyalgia syndrome. Psychoneuroendocrinology 2006, 31:312–324.
Ciccone DS, Elliott DK, Chandler HK, et al.: Sexual and physical abuse in women with fibromyalgia syndrome: a test of the trauma hypothesis. Clin J Pain 2005, 21:378–386.
Raphael KG, Janal MN, Nayak S: Comorbidity of fibromyalgia and posttraumatic stress disorder symptoms in a community sample of women. Pain Med 2004, 5:33–41.
Cohen H, Neumann L, Haiman Y, et al.: Prevalence of post-traumatic stress disorder in fibromyalgia patients: overlapping syndromes or post-traumatic fibromyalgia syndrome? Semin Arthritis Rheum 2002, 32:38–50.
Pall ML: Common etiology of posttraumatic stress disorder, fibromyalgia, chronic fatigue syndrome and multiple chemical sensitivity via elevated nitric oxide/peroxynitrite. Med Hypotheses 2001, 57:139–145.
Buskila D, Cohen H: Comorbidity of fibromyalgia and psychiatric disorders. Curr Pain Headache Rep 2007, 11:333–338.
Ablin JN, Cohen H, Neumann L, et al.: Coping styles in fibromyalgia: effect of co-morbid posttraumatic stress disorder. Rheumatol Int 2008, 28:649–656.
Engelhard IM, Arntz A, van den Hout MA: Low specificity of symptoms on the post-traumatic stress disorder (PTSD) symptom scale: a comparison of individuals with PTSD, individuals with other anxiety disorders and individuals without psychopathology. Br J Clin Psychol 2007, 46(Pt 4):449–456.
Ehlers A, Clark DM, Dunmore E, et al.: Predicting response to exposure treatment in PTSD: the role of mental defeat and alienation. J Trauma Stress 1998, 11:457–471.
Ehlers A: More evidence for the role of persistent dissociation in PTSD. Am J Psychiatry 2006, 163:1112.
Mayou R, Levenson J, Sharpe M: Somatoform disorders in DSM-V. Psychosomatics 2003, 44:449–451.
Arnson Y, Amital D, Fostick L, et al.: Physical activity protects male patients with post-traumatic stress disorder from developing severe fibromyalgia. Clin Exp Rheumatol 2007, 25:529–533.
Queiroz LP, Peres MF, Kowacs F, et al.: Chronic daily headache in Brazil: a nationwide population-based study. Cephalalgia 2008, 28:1264–1269.
Queiroz LP, Peres MF, Piovesan EJ, et al.: A nationwide population-based study of migraine in Brazil. Cephalalgia 2009 Feb 2 (Epub ahead of print).
Queiroz LP, Peres MF, Piovesan EJ, et al.: A nationwide population-based study of tension-type headache in Brazil. Headache 2009, 49:71–78.
Peterlin BL, Tietjen G, Meng S, et al.: Post-traumatic stress disorder in episodic and chronic migraine. Headache 2008, 48:517–522.
Peterlin BL, Tietjen GE, Brandes JL, et al.: Posttraumatic stress disorder in migraine. Headache 2009, 49:541–551.
de Leeuw R, Schmidt JE, Carlson CR: Traumatic stressors and post-traumatic stress disorder symptoms in headache patients. Headache 2005, 45:1365–1374.
PTSD Treatment Guidelines Task Force: Guidelines for treatment of PTSD. J Trauma Stress 2000, 13:539–588.
The expert consensus guideline series. Treatment of posttraumatic stress disorder. The Expert Consensus Panels for PTSD (no authors listed). J Clin Psychiatry 1999, 60(Suppl 16):3–76.
Peres J, Mercante J, Nasello AG: Psychological dynamics affecting traumatic memories: implications in psychotherapy. Psychol Psychother 2005, 78(Pt 4):431–447.
Brewin CR: Risk factor effect sizes in PTSD: what this means for intervention. J Trauma Dissociation 2005, 6:123–130.
van der Hart O, Brown P, Turco RN: Hypnotherapy for traumatic grief: janetian and modern approaches integrated. Am J Clin Hypn 1990, 32:263–271.
Diseth TH: Dissociation in children and adolescents as reaction to trauma: an overview of conceptual issues and neurobiological factors. Nord J Psychiatry 2005, 59:79–91.
Lampe A, Mitmansgruber H, Gast U, et al.: Treatment outcome of psychodynamic trauma therapy in an inpatient setting [in German]. Neuropsychiatr 2008, 22:189–197.
Bisson J, Andrew M: Psychological treatment of posttraumatic stress disorder (PTSD). Cochrane Database Syst Rev 2007, 3:CD003388.
Opler LA, Grennan MS, Opler MG: Pharmacotherapy of post-traumatic stress disorder. Drugs Today (Barc) 2006, 42:803–809.
Asnis GM, Kohn SR, Henderson M, Brown NL: SSRIs versus non-SSRIs in post-traumatic stress disorder: an update with recommendations. Drugs 2004, 64:383–404.
Davidson J, Baldwin D, Stein DJ, et al.: Treatment of posttraumatic stress disorder with venlafaxine extended release: a 6-month randomized controlled trial. Arch Gen Psychiatry 2006, 63:1158–1165.
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Peres, J.F.P., Gonçalves, A.L. & Peres, M.F.P. Psychological trauma in chronic pain: Implications of PTSD for fibromyalgia and headache disorders. Current Science Inc 13, 350–357 (2009). https://doi.org/10.1007/s11916-009-0057-2
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DOI: https://doi.org/10.1007/s11916-009-0057-2