Academic journal article European Journal of Psychotraumatology

Accelerated Resolution Therapy for Treatment of Pain Secondary to Symptoms of Combat-Related Posttraumatic Stress Disorder

Academic journal article European Journal of Psychotraumatology

Accelerated Resolution Therapy for Treatment of Pain Secondary to Symptoms of Combat-Related Posttraumatic Stress Disorder

Article excerpt

CLINICAL RESEARCH ARTICLE

Accelerated Resolution Therapy for treatment of pain secondary to symptoms of combat-related posttraumatic stress disorder

Kevin E. Kip1*, Laney Rosenzweig1, Diego F. Hernandez1, Amy Shuman2, David M. Diamond3,4, Sue Ann Girling1, Kelly L. Sullivan5, Trudy Wittenberg1, Ann M. Witt6, Cecile A. Lengacher1, Brian Anderson7 and Susan C. McMillan1

1College of Nursing, University of South Florida, Tampa, FL, USA; 2Western New England University, Springfield, MA, USA; 3Department of Psychology, University of South Florida, Tampa, FL, USA; 4Department of Molecular Pharmacology and Physiology, Center for Preclinical/Clinical Research on PTSD, University of South Florida, Tampa, FL, USA; 5Morsani College of Medicine, University of South Florida, Tampa, FL, USA; 6PieWiseLiving, LLC, Tampa, FL, USA; 7Pasco County Veterans Service Office, Port Richey, FL, USA

Abstract

Background : As many as 70% of veterans with chronic pain treated within the US Veterans Administration (VA) system may have posttraumatic stress disorder (PTSD), and conversely, up to 80% of those with PTSD may have pain. We describe pain experienced by US service members and veterans with symptoms of PTSD, and report on the effect of Accelerated Resolution Therapy (ART), a new, brief exposure-based therapy, on acute pain reduction secondary to treatment of symptoms of PTSD.

Methods : A randomized controlled trial of ART versus an attention control (AC) regimen was conducted among 45 US service members/veterans with symptoms of combat-related PTSD. Participants received a mean of 3.7 sessions of ART.

Results : Mean age was 41.0 + 12.4 years and 20% were female. Most veterans (93%) reported pain. The majority (78%) used descriptive terms indicative of neuropathic pain, with 29% reporting symptoms of a concussion or feeling dazed. Mean pre-/post-change on the Pain Outcomes Questionnaire (POQ) was ?16.9±16.6 in the ART group versus ?0.7±14.2 in the AC group (p =0.0006). Among POQ subscales, treatment effects with ART were reported for pain intensity (effect size = 1.81, p =0.006), pain-related impairment in mobility (effect size = 0.69, p =0.01), and negative affect (effect size = 1.01, p =0.001).

Conclusions : Veterans with symptoms of combat-related PTSD have a high prevalence of significant pain, including neuropathic pain. Brief treatment of symptoms of combat-related PTSD among veterans by use of ART appears to acutely reduce concomitant pain.

Keywords: Psychological trauma; PTSD; pain; exposure therapy; psychotherapy; imagery rescripting; prevalence; clinical trials; eye movements; combat

Responsible Editor: Ruth Lanius, Western University of Canada, Canada.

*Correspondence to: Kevin E. Kip, Research Center, College of Nursing, University of South Florida, Tampa, FL; Department of Epidemiology and Biostatistics, College of Public Health, Tampa, FL 33612, Email: kkip@health.usf.edu

For the abstract or full text in other languages, please see Supplementary files under Article Tools online

Received: 12 February 2014; Revised: 12 April 2014; Accepted: 12 April 2014; Published: 7 May 2014

European Journal of Psychotraumatology 2014. © 2014 Kevin E. Kip et al. This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 Unported (CC-BY 4.0) License (http://creativecommons.org/licenses/by/4.0/), allowing third parties to copy and redistribute the material in any medium or format, and to remix, transform, and build upon the material, for any purpose, even commercially, under the condition that appropriate credit is given, that a link to the license is provided, and that you indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.

Citation: European Journal of Psychotraumatology 2014, 5: 24066 - http://dx. …

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