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Military Chronic Musculoskeletal Pain and Psychiatric Comorbidity: Is Better Pain Management the Answer?
- Source :
- Healthcare; Volume 4; Issue 3; Pages: 38, Healthcare, Healthcare, Vol 4, Iss 3, p 38 (2016)
- Publication Year :
- 2016
- Publisher :
- Multidisciplinary Digital Publishing Institute, 2016.
-
Abstract
- Chronic musculoskeletal pain, such as low back pain, often appears in the presence of psychiatric comorbidities (e.g., depression, posttraumatic stress disorder (PTSD)), especially among U.S. military service members serving in the post-9/11 combat era. Although there has been much speculation about how to best address pain/trauma psychiatric symptom comorbidities, there are little available data to guide practice. The present study sought to examine how pre-treatment depression and PTSD influence outcomes in a functional restoration pain management program using secondary analysis of data from the Department of Defense-funded Functional and Orthopedic Rehabilitation Treatment (FORT) trial. Twenty-eight FORT completers were analyzed using a general linear model exploring how well depression and PTSD symptoms predict post-treatment pain (Visual Analog Scale (VAS) pain rating), disability (Oswestry Disability Index; Million Visual Analog Scale), and functional capacity (Floor-to-Waist and Waist-to-Eye Level progressive isoinertial lifting evaluation scores) in a sample of active duty military members with chronic musculoskeletal pain and comorbid depression or PTSD symptoms. Analysis revealed that pre-treatment depression and PTSD symptoms did not significantly predict rehabilitation outcomes from program completers. Implications of these findings for future research on trauma-related pain comorbidities are discussed.
- Subjects :
- medicine.medical_specialty
Leadership and Management
Visual analogue scale
chronic musculoskeletal pain
medicine.medical_treatment
Military service
lcsh:Medicine
Health Informatics
Article
03 medical and health sciences
0302 clinical medicine
Health Information Management
psychiatric comorbidities
Medicine
030212 general & internal medicine
Psychiatry
Depression (differential diagnoses)
low back pain
Rehabilitation
business.industry
Health Policy
lcsh:R
military service members
PTSD
depression
Low back pain
Oswestry Disability Index
Orthopedic surgery
Physical therapy
Pain catastrophizing
medicine.symptom
business
030217 neurology & neurosurgery
Subjects
Details
- Language :
- English
- ISSN :
- 22279032
- Database :
- OpenAIRE
- Journal :
- Healthcare; Volume 4; Issue 3; Pages: 38
- Accession number :
- edsair.doi.dedup.....f9de7b2b8e15c22e88a766083f9828c8
- Full Text :
- https://doi.org/10.3390/healthcare4030038