1/8. Sickle cell disease and posttraumatic stress disorder.Sickle Cell disease (SCD) is a common condition among african americans. It is associated with severe complications including severe pain in the chest, back, abdomen, or extremities. Individuals with SCD also have a reduced life span. Post traumatic stress disorder (PTSD) is a condition increasingly being recognized. In this article we discuss, to our knowledge, the first case of a patient with comorbid sickle cell disease and post-traumatic stress disorder.- - - - - - - - - - ranking = 1keywords = stress disorder (Clic here for more details about this article) |
2/8. 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 = 0.66666666666667keywords = stress disorder (Clic here for more details about this article) |
3/8. 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 = 0.66666666666667keywords = stress disorder (Clic here for more details about this article) |
4/8. reflex sympathetic dystrophy and posttraumatic stress disorder. Multidisciplinary evaluation and treatment.reflex sympathetic dystrophy (RSD) may co-occur with posttraumatic stress disorder (PTSD). A case study is reported of a challenging adolescent patient who presented to a chronic pain service with RSD and PTSD. A multidisciplinary approach utilizing nerve-block therapy with adjunctive pharmacologic treatment, physical rehabilitation, and behavioral/cognitive psychological therapy was employed to produce a significant reduction in pain as well as a more physically and psychologically functional adolescent. The diagnosis and treatment of each disease is essential for the successful resolution of symptoms.- - - - - - - - - - ranking = 0.83333333333333keywords = stress disorder (Clic here for more details about this article) |
5/8. Stress-related, posttraumatic chronic pain syndrome: behavioral treatment approach.chronic pain syndromes are often the result of traumatic injury. The life threatening nature of a substantial number of these traumata precipitates the development of posttraumatic stress disorder in a sizable percentage of accident incurred chronic pain conditions. The present study presents evidence that systematic desensitization, a behavioral technique, can provide significant resolution of posttraumatic stress when this disorder occurs in the chronic pain population.- - - - - - - - - - ranking = 0.16666666666667keywords = stress disorder (Clic here for more details about this article) |
6/8. Uncontrolled pain following physical injury as the core-trauma in post-traumatic stress disorder.Post-traumatic stress disorder (PTSD) is a psychiatric diagnostic category characterized by "the development of characteristic symptoms following a psychologically traumatic event that is generally outside the range of usual human experience". research shows that the prevalence of PTSD among injured survivors of stressful events is higher than that of survivors without physical injury, thus suggesting that secondary stressors (e.g., severe uncontrolled pain, a prolonged state of acute anxiety, uncertainty regarding the immediate future, loss of control, and inability to monitor contact with the environment) may play an important role in the formation of PTSD. However, pain has never been suggested or recognized as a direct cause of PTSD. We present the case of a patient who lost an eye under traumatic circumstances and was later diagnosed as suffering from PTSD. Upon evaluation in a psychophysiological laboratory, this patient's core-trauma was discovered to be 7 h of severe uncontrolled pain while waiting for surgery, rather than the moment when he lost his eye during military service. The case suggests that pain, although not "generally outside the range of usual human experience", may be a strong enough stressor in traumatic circumstances to cause the development of PTSD, thus highlighting the importance of prompt and adequate pain management in hospitalized survivors of traumatic injury.- - - - - - - - - - ranking = 0.83333333333333keywords = stress disorder (Clic here for more details about this article) |
7/8. 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 = 0.16666666666667keywords = stress disorder (Clic here for more details about this article) |
8/8. 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 = 0.83333333333333keywords = stress disorder (Clic here for more details about this article) |