Disaggregating the Relationship Between Posttraumatic Stress Disorder Symptom Clusters and Chronic Orofacial Pain: Implications for the Prediction of Health Outcomes with PTSD Symptom Clusters.
Summary of "Disaggregating the Relationship Between Posttraumatic Stress Disorder Symptom Clusters and Chronic Orofacial Pain: Implications for the Prediction of Health Outcomes with PTSD Symptom Clusters."
BACKGROUND:
Research has established a significant relationship between posttraumatic stress disorder (PTSD) symptoms and pain; however, very little research has examined the differential role of PTSD symptom clusters on pain outcomes.
PURPOSE:
(a) To confirm the most appropriate PTSD symptom factor structure for an orofacial pain population and (b) to test a model of prediction of pain outcomes with PTSD symptom clusters.
METHODS:
The study was a cross-sectional, retrospective case series of 411 female patients with orofacial pain (mean 41.0 years, SD 13.1). A series of structural equation modeling analyses were conducted to examine five competing models of PTSD symptom clusters.
RESULTS:
Two four-factor models of PTSD symptom clusters fit the data reasonably well, and differing PTSD symptom clusters predicted different components of pain.
CONCLUSIONS:
To increase predictive utility for pain and for a wide range of health disorders, researchers should examine the unique predictive power of PTSD symptom clusters rather than examining a one-factor model of PTSD symptoms.
Affiliation
Department of Psychology, Indiana University-Purdue University Indianapolis, School of Science, Indianapolis, IN, 46202, USA, mcyders@iupui.edu.
Journal Details
This article was published in the following journal.
Name: Annals of behavioral medicine : a publication of the Society of Behavioral Medicine
ISSN: 1532-4796
Pages:
Links
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20740390
- DOI: http://dx.doi.org/10.1007/s12160-010-9221-5
Medical and Biotech [MESH] Definitions
Stress Disorders, Traumatic, Acute
A class of traumatic stress disorders that is characterized by the significant dissociative states seen immediately after overwhelming trauma. By definition it cannot last longer than 1 month, if it persists, a diagnosis of post-traumatic stress disorder (STRESS DISORDERS, POST-TRAUMATIC) is more appropriate.
Stress Disorders, Post-traumatic
A class of traumatic stress disorders with symptoms that last more than one month. There are various forms of post-traumatic stress disorder, depending on the time of onset and the duration of these stress symptoms. In the acute form, the duration of the symptoms is between 1 to 3 months. In the chronic form, symptoms last more than 3 months. With delayed onset, symptoms develop more than 6 months after the traumatic event.
Association
A functional relationship between psychological phenomena of such nature that the presence of one tends to evoke the other; also, the process by which such a relationship is established.
Urinary Incontinence
Involuntary loss of URINE, such as leaking of urine. It is a symptom of various underlying pathological processes. Major types of incontinence include URINARY URGE INCONTINENCE and URINARY STRESS INCONTINENCE.
Osteonecrosis
Death of a bone or part of a bone, either atraumatic or posttraumatic.
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