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Pain and post-traumatic stress disorder symptoms during inpatient rehabilitation among operation enduring freedom/operation iraqi freedom veterans with spinal cord injury.
Arch Phys Med Rehabil. 2013 Jan; 94(1):80-5.AP

Abstract

OBJECTIVE

To examine the frequency of post-traumatic stress disorder (PTSD) symptoms and pain, and how PTSD symptoms were associated with pain severity ratings and the longitudinal course of pain during inpatient rehabilitation for spinal cord injury (SCI) among veterans of the Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) conflicts.

DESIGN

Longitudinal analysis of data gathered from electronic medical records.

SETTING

SCI specialty care centers within the Department of Veterans Affairs.

PARTICIPANTS

Veterans of the OEF/OIF conflicts (N=87) who received inpatient rehabilitation for SCI and disorders at Department of Veterans Affairs SCI centers between May 2003 and October 2009.

INTERVENTIONS

Not applicable.

MAIN OUTCOME MEASURE(S)

PTSD screening at start of rehabilitation and pain numeric rating scale measurements completed throughout rehabilitation. Cut-scores were used to categorize participants into 1 of 4 groups on the basis of scores at the start of rehabilitation: Pain and PTSD, Pain Alone, PTSD Alone, Neither Condition.

RESULTS

Comorbid pain and PTSD symptoms were more common than either condition alone, and nearly as common as not having either condition. Participants with pain at the start of rehabilitation (Pain and PTSD, Pain-Alone groups) showed declines in pain ratings over the course of rehabilitation. In contrast, participants in the PTSD-Alone group showed increasing pain over the course of rehabilitation.

CONCLUSIONS

Pain and PTSD symptoms may be more likely to manifest as comorbidities than as isolated conditions during inpatient rehabilitation. Assessment routines and care plans should be prepared with comorbidities as a foremost concern. It is advisable to screen for pain and PTSD at multiple time points during inpatient rehabilitation to detect new or emerging concerns.

Authors+Show Affiliations

Department of Veterans Affairs, Spinal Cord Injury and Disorders Services, VA Puget Sound Healthcare System, Seattle, WA, USA. philip.ullrich@va.govNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, U.S. Gov't, Non-P.H.S.

Language

eng

PubMed ID

22864017

Citation

Ullrich, Philip M., et al. "Pain and Post-traumatic Stress Disorder Symptoms During Inpatient Rehabilitation Among Operation Enduring Freedom/operation Iraqi Freedom Veterans With Spinal Cord Injury." Archives of Physical Medicine and Rehabilitation, vol. 94, no. 1, 2013, pp. 80-5.
Ullrich PM, Smith BM, Poggensee L, et al. Pain and post-traumatic stress disorder symptoms during inpatient rehabilitation among operation enduring freedom/operation iraqi freedom veterans with spinal cord injury. Arch Phys Med Rehabil. 2013;94(1):80-5.
Ullrich, P. M., Smith, B. M., Poggensee, L., Evans, C. T., Stroupe, K. T., Weaver, F. M., & Burns, S. P. (2013). Pain and post-traumatic stress disorder symptoms during inpatient rehabilitation among operation enduring freedom/operation iraqi freedom veterans with spinal cord injury. Archives of Physical Medicine and Rehabilitation, 94(1), 80-5. https://doi.org/10.1016/j.apmr.2012.07.018
Ullrich PM, et al. Pain and Post-traumatic Stress Disorder Symptoms During Inpatient Rehabilitation Among Operation Enduring Freedom/operation Iraqi Freedom Veterans With Spinal Cord Injury. Arch Phys Med Rehabil. 2013;94(1):80-5. PubMed PMID: 22864017.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pain and post-traumatic stress disorder symptoms during inpatient rehabilitation among operation enduring freedom/operation iraqi freedom veterans with spinal cord injury. AU - Ullrich,Philip M, AU - Smith,Bridget M, AU - Poggensee,Linda, AU - Evans,Charlesnika T, AU - Stroupe,Kevin T, AU - Weaver,Frances M, AU - Burns,Stephen P, Y1 - 2012/08/01/ PY - 2012/07/05/received PY - 2012/07/06/accepted PY - 2012/8/7/entrez PY - 2012/8/7/pubmed PY - 2013/3/13/medline SP - 80 EP - 5 JF - Archives of physical medicine and rehabilitation JO - Arch Phys Med Rehabil VL - 94 IS - 1 N2 - OBJECTIVE: To examine the frequency of post-traumatic stress disorder (PTSD) symptoms and pain, and how PTSD symptoms were associated with pain severity ratings and the longitudinal course of pain during inpatient rehabilitation for spinal cord injury (SCI) among veterans of the Operation Enduring Freedom/Operation Iraqi Freedom (OEF/OIF) conflicts. DESIGN: Longitudinal analysis of data gathered from electronic medical records. SETTING: SCI specialty care centers within the Department of Veterans Affairs. PARTICIPANTS: Veterans of the OEF/OIF conflicts (N=87) who received inpatient rehabilitation for SCI and disorders at Department of Veterans Affairs SCI centers between May 2003 and October 2009. INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURE(S): PTSD screening at start of rehabilitation and pain numeric rating scale measurements completed throughout rehabilitation. Cut-scores were used to categorize participants into 1 of 4 groups on the basis of scores at the start of rehabilitation: Pain and PTSD, Pain Alone, PTSD Alone, Neither Condition. RESULTS: Comorbid pain and PTSD symptoms were more common than either condition alone, and nearly as common as not having either condition. Participants with pain at the start of rehabilitation (Pain and PTSD, Pain-Alone groups) showed declines in pain ratings over the course of rehabilitation. In contrast, participants in the PTSD-Alone group showed increasing pain over the course of rehabilitation. CONCLUSIONS: Pain and PTSD symptoms may be more likely to manifest as comorbidities than as isolated conditions during inpatient rehabilitation. Assessment routines and care plans should be prepared with comorbidities as a foremost concern. It is advisable to screen for pain and PTSD at multiple time points during inpatient rehabilitation to detect new or emerging concerns. SN - 1532-821X UR - https://www.unboundmedicine.com/medline/citation/22864017/Pain_and_post_traumatic_stress_disorder_symptoms_during_inpatient_rehabilitation_among_operation_enduring_freedom/operation_iraqi_freedom_veterans_with_spinal_cord_injury_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0003-9993(12)00588-6 DB - PRIME DP - Unbound Medicine ER -