Comorbidity of post-traumatic stress disorder and chronic pain: implications for clinical and forensic assessment.
A summary of the current state of science is presented with reference to post-traumatic stress disorder (PTSD) and pain. Historical development of the diagnosis, current nosology, epidemiology, pathophysiology, and controversies are discussed. Issues of evaluation are reviewed, with specific reference to forensic assessment. Treatment outcome studies are briefly reviewed, with a review of currently accepted treatment interventions, including pharmacologic and behavioral modalities. An emphasis is placed on an integrated treatment plan in which chronic pain and PTSD both are present.
Kulich
R J
RJ
Department of Anesthesia, Tufts University School of Medicien, Boston, MA 02111, USA.
Mencher
P
P
Bertrand
C
C
Maciewicz
R
R
D002908:Chronic Disease; D015897:Comorbidity; D004185:Disability Evaluation; D005555:Forensic Psychiatry; D006801:Humans; D006854:Hydrocortisone / Q000378:metabolism; D007030:Hypothalamo-Hypophyseal System / Q000503:physiopathology; D015994:Incidence; D007603:Jurisprudence; D010146:Pain / Q000175:diagnosis / Q000453:epidemiology*; D010913:Pituitary-Adrenal System / Q000503:physiopathology; D013313:Stress Disorders, Post-Traumatic / Q000175:diagnosis / Q000453:epidemiology* / Q000503:physiopathology / Q000628:therapy; D016896:Treatment Outcome; D014937:Work
D006854:Hydrocortisone