1/7. prevalence of post-traumatic stress disorder in patients with chronic idiopathic facial pain.34 patients with chronic idiopathic orofacial pain were assessed by a structured clinical interview for diagnosis of mental disorders according to the Diagnostic and Statistical Manual for mental disorders (DSM-III-R). Five (15%) had a history of post traumatic stress disorder (PTSD) which coincided with the pain onset. The majority of these PTSD sufferers also had a personality disorder. The implications of these findings in the diagnosis and management of post-traumatic chronic TMJ pain syndromes is discussed.- - - - - - - - - - ranking = 1keywords = stress disorder (Clic here for more details about this article) |
2/7. Successful treatment of post traumatic stress disorder and chronic pain with paraspinal square wave stimulation.OBJECTIVE: To determine if Paraspinal Square Wave Stimulation (PSWS) is effective in treating Post Traumatic Stress Disorder (PTSD) and or chronic pain. METHOD: PSWS is applied to the paraspinal area from the craniocervical junction to the lower sacrum. RESULTS: Patient achieved dramatic relief from PTSD, unequaled by any previous pharmacologic or psychotherapies. The chronic pain is almost completely disappeared, unlike any previous therapies. CONCLUSION: PSWS is the treatment of choice for this patient with PTSD and chronic pain. This patient appears to have completely recovered from PTSD, unlike any other study reported so far.- - - - - - - - - - ranking = 0.8keywords = stress disorder (Clic here for more details about this article) |
3/7. Pain flashbacks in posttraumatic stress disorder.OBJECTIVES: Surgical patients who regain consciousness while under general anesthesia may develop symptoms of Posttraumatic Stress Disorder (PTSD). One common PTSD symptom is the experiencing of abnormal perceptions during which the patient feels as if the trauma is recurring. The objective of this report is to document the re-occurrence of pain as part of the PTSD sequelae. RESULTS: We present two patients who developed PTSD following an episode of awareness under anesthesia. In both cases, posttraumatic sequelae persisted for years and included pain symptoms that resembled, in quality and location, pain experienced during surgery. In addition to their similarity to the original pain, these pain symptoms were triggered by stimuli associated with the traumatic situation, suggesting that they were flashbacks to the episode of awareness under anesthesia. DISCUSSION: The similarity between the patients' pain symptoms and pain experienced during trauma, the triggering by traumatic cues, and the associated emotional arousal and avoidance suggest the involvement of a somatosensory memory mechanism.- - - - - - - - - - ranking = 0.8keywords = stress disorder (Clic here for more details about this article) |
4/7. Auditory hallucinations in combat-related chronic posttraumatic stress disorder.Intrusive images have been reported to occur in a broad range of people with posttraumatic stress disorder, but the frequency of intrusive auditory perceptions has rarely been addressed. This study compared five posttraumatic stress disorder veterans experiencing auditory hallucinations with 31 nonhallucinating veterans on demographic, military, postmilitary, and symptom variables. veterans who reported auditory hallucinations had higher combat exposure and more intense posttraumatic stress disorder symptoms than the other veterans. These veterans also tended to be more refractory to treatment than veterans with no hallucinations. Clinical vignettes of the veterans with auditory hallucinations are given, and the implications of the results for a subgroup of chronic posttraumatic stress disorder veterans are discussed.- - - - - - - - - - ranking = 1.6keywords = stress disorder (Clic here for more details about this article) |
5/7. Self-inflicted ocular injuries. A rare form of self-mutilation.Two unusual patients with chronic, undifferentiated schizophrenia committed acts of ocular self-mutilation. The types of patients who perform acts of self-inflicted ocular injuries are described, with particular emphasis on individuals suffering from post-traumatic stress disorder (PTSD). A discussion of these cases, as well as a review of the literature on the more common forms of self-mutilation, is presented.- - - - - - - - - - ranking = 0.2keywords = stress disorder (Clic here for more details about this article) |
6/7. Psychiatric aspects of chronic pain.chronic pain complaints often reflect or are influenced by psychiatric factors. physicians commonly encounter "illness-affirming behaviors" in which patient complaints or symptoms go beyond what should be expected from a specific disease process. In this paper, I describe common psychiatric conditions that often feature pain as part of the illness: somatization disorder, hypochondriasis, factitious physical disorders, pain associated with psychological factors (new DSM-IV nomenclature), and malingering. These conditions can be distinguished based on the conscious awareness (or lack of awareness) of both motivation and symptom production. Other psychiatric disorders may strongly influence chronic pain without directly causing it--depression, anxiety, panic, and post-traumatic stress disorders. Except for malingering and factitious pain, chronic pain should be regarded as genuine. Effective management requires psychiatric as well as biological considerations.- - - - - - - - - - ranking = 0.2keywords = stress disorder (Clic here for more details about this article) |
7/7. Whiplash and post-traumatic stress disorder.PURPOSE: This study examined the comorbidity of whiplash and post-traumatic stress disorder (PTSD) following motor vehicle accidents. A treatment strategy in cases with both disorders is proposed. METHOD: A review of the literature on psychological consequences of motor vehicle accidents and on risk factors associated with developing chronic whiplash complaints is given. A case report is presented to illustrate the treatment strategy. RESULTS: Traffic accidents lead to psychological complaints more often than is realized in clinical practice. It is estimated that PTSD occurs in at least 25% of traffic accident victims who sustain physical injuries. This number is probably higher in patients with chronic whiplash complaints. The case report shows that improvement in relation with the post-traumatic stress symptoms can have a beneficial effect on coping with the chronic whiplash complaints. CONCLUSIONS: The psychotherapeutic treatment of patients with chronic whiplash complaints and PTSD should be aimed primarily at coping with the trauma and not at the chronic pain complaints.- - - - - - - - - - ranking = 1keywords = stress disorder (Clic here for more details about this article) |