PTSD in People living with Chronic pain

Key things to know What the evidence shows
How common is it? 9.7% pooled PTSD overall; 4.5% with structured interview
Is it more common among people living with chronic pain? Higher in many clinical chronic-pain populations
Are people living with chronic pain at higher risk? Yes
How much higher is the risk? 9.7% pooled; clinical 11.7%; nonclinical 5.1%; diagnostic interviews 4.5%
How often can it be missed? Very high
Does it show up differently among people living with chronic pain? Yes contextually
How might it look different? Pain sensations can become trauma reminders; arousal, avoidance and fear can reinforce pain/disability
What commonly occurs alongside it? MDD; anxiety; substance use; sleep disorders
What can it be confused with? Pain-related fear; panic disorder; somatic symptom disorder; depression
Common screening tool PCL-5
Separate screening tool for people living with chronic pain None
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