Dataset Information

A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.

ABSTRACT:

Purpose/objective

Identifying individuals with high levels of pain catastrophizing (PC) may inform early psychological interventions to prevent the transition from acute to chronic post-injury pain. We examined whether pre-and post-injury posttraumatic stress symptoms (PTSS) predict post-injury PC among emergency department (ED) patients following acute motor vehicle crash (MVC).

Research method/design

This study represents secondary data analysis of a randomized clinical trial (NCT03247179) examining the efficacy of the PTSD Coach app on post-injury PTSS (PTSS_post). Among 63 injured ED patients (63% female; 57% non-White; average age = 37) with moderate pain (≥4 of 10), we assessed recall of pre-injury PTSS (PTSS_recall: stemming from preexisting exposures) and baseline PC within 24 hr post-MVC; PTSS_post stemming from the MVC was assessed 30-days later, and the outcome of PC was assessed at 90-days post-injury. We controlled for group assignment (intervention vs. control) in all analyses.

Results

Results revealed that at baseline and 90-days, PC was higher among non-White versus White participants. After adjusting for relevant covariates, PTSS_recall uniquely predicted post-injury PC and each subscale of PC (helplessness, magnification, and rumination). Similarly, after controlling for PTSS_recall and relevant covariates, PTSS_post uniquely predicted total and subscale post-injury PC. Intervention group participants reported less rumination than control group participants.

Conclusions/implications

These novel findings highlight that injured Black patients may be vulnerable to post-injury PC, and that both PTSS_recall and PTSS_post significantly predict post-injury PC. Brief PTSS assessment in the ED can identify high-risk patients who may benefit from early intervention. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

SUBMITTER: Pacella-LaBarbara ML

PROVIDER: S-EPMC10542514 | biostudies-literature | 2023 Feb

REPOSITORIES: biostudies-literature

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Publications

A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.

Pacella-LaBarbara Maria L ML Plaitano Enzo G EG Suffoletto Brian P BP Kuhn Eric E Germain Anne A Jaramillo Stephany S Repine Melissa M Callaway Clifton W CW

Rehabilitation psychology 20230201 1

<h4>Purpose/objective</h4>Identifying individuals with high levels of pain catastrophizing (PC) may inform early psychological interventions to prevent the transition from acute to chronic post-injury pain. We examined whether pre-and post-injury posttraumatic stress symptoms (PTSS) predict post-injury PC among emergency department (ED) patients following acute motor vehicle crash (MVC).<h4>Research method/design</h4>This study represents secondary data analysis of a randomized clinical trial (N ...[more]

PMID: 36821344

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Project description:To evaluate the cooccurrence, and predictors of remission, of general anxiety, depression, and posttraumatic stress disorder symptoms during 2-year follow-up in survivors of acute lung injury treated in an ICU.Prospective cohort study, with follow-up at 3, 6, 12, and 24 months post-acute lung injury.Thirteen medical and surgical ICUs in four hospitals.Survivors among 520 patients with acute lung injury.The outcomes of interest were measured using the Hospital Anxiety and Depression Scale anxiety and depression subscales (scores ? 8 indicating substantial symptoms) and the Impact of Event Scale-Revised (scores ? 1.6 indicating substantial posttraumatic stress disorder symptoms). Of the 520 enrolled patients, 274 died before 3-month follow-up; 186 of 196 consenting survivors (95%) completed at least one Hospital Anxiety and Depression Scale and Impact of Event Scale-Revised assessment during 2-year follow-up, and most completed multiple assessments. Across follow-up time points, the prevalence of suprathreshold general anxiety, depression, and posttraumatic stress disorder symptoms ranged from 38% to 44%, 26% to 33%, and 22% to 24%, respectively; more than half of the patients had suprathreshold symptoms in at least one domain during 2-year follow-up. The majority of survivors (59%) with any suprathreshold symptoms were above threshold for two or more types of symptoms (i.e., general anxiety, depression, and/or posttraumatic stress disorder). In fact, the most common pattern involved simultaneous general anxiety, depression, and posttraumatic stress disorder symptoms. Most patients with general anxiety, depression, or posttraumatic stress disorder symptoms during 2-year follow-up had suprathreshold symptoms at 24-month (last) follow-up. Higher Short-Form-36 physical functioning domain scores at the prior visit were associated with a greater likelihood of remission from general anxiety and posttraumatic stress disorder symptoms during follow-up.The majority of acute lung injury survivors had clinically significant general anxiety, depression, or posttraumatic stress disorder symptoms, and these symptoms tended to co-occur across domains. Better physical functioning during recovery predicted subsequent remission of general anxiety and posttraumatic stress disorder symptoms.

Dataset Information

A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.

Purpose/objective

Research method/design

Results

Conclusions/implications

Publications

A longitudinal assessment of posttraumatic stress symptoms and pain catastrophizing after injury.

Similar Datasets

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