This study was supported by the Swiss National Science Foundation (project-no. 32-43640.95, 32-053736.98).
Mutual influence of posttraumatic stress disorder symptoms and chronic pain among injured accident survivors: A longitudinal study†
Article first published online: 18 NOV 2009
Copyright © 2009 International Society for Traumatic Stress Studies
Journal of Traumatic Stress
Special Issue: Special Section: Innovations in Trauma Research Methods, 2008
Volume 22, Issue 6, pages 540–548, December 2009
How to Cite
Jenewein, J., Wittmann, L., Moergeli, H., Creutzig, J. and Schnyder, U. (2009), Mutual influence of posttraumatic stress disorder symptoms and chronic pain among injured accident survivors: A longitudinal study. J. Traum. Stress, 22: 540–548. doi: 10.1002/jts.20453
- Issue published online: 21 DEC 2009
- Article first published online: 18 NOV 2009
The relationship between acute stress disorder (ASD), posttraumatic stress disorder symptoms (PTSD), and chronic pain was investigated in a longitudinal study of injured accident victims (N = 323, 64.7% men). Assessments took place 5 days (T1), 6 (T2) months, and 12 (T3) months postaccident. Relations between pain and posttraumatic stress symptoms were tested by structural equation modeling. Subjects diagnosed with full or subsyndromal PTSD at T2 and at T3 (14 and 19%) reported significantly higher pain intensity. Cross-lagged panel analysis yielded a mutual maintenance of pain intensity and ASD or PTSD symptoms across T2. Across the second half year, PTSD symptoms impacted significantly on pain but not vice versa. Clinicians need to pay careful attention to PTSD symptoms in accident survivors suffering from chronic pain.