Childhood Trauma in People living with Chronic pain
| Key things to know | What the evidence shows |
|---|---|
| How common is it? | Not established childhood-trauma prevalence among all chronic-pain patients |
| Is it more common among people living with chronic pain? | Strong, dose-dependent association with chronic pain |
| Are people living with chronic pain at higher risk? | #N/A |
| How much higher is the risk? | Any ACE → chronic pain aOR 1.53; ≥4 ACEs aOR 1.95 |
| How often can it be missed? | #N/A |
| Does it show up differently among people living with chronic pain? | Very Strong Yes |
| How might it look different? | Pain and trauma can reinforce hypervigilance, threat sensitivity, sleep problems and avoidance; pain is real regardless of trauma history |
| What commonly occurs alongside it? | #N/A |
| What can it be confused with? | Primary pain disorder; PTSD/CPTSD; somatic symptom disorder |
| Common screening tool | ACE Questionnaire — Adverse Childhood Experiences Questionnaire |
| Separate screening tool for people living with chronic pain | None |
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