Relationship Between Pain and Post-Traumatic Stress Symptoms in Palliative Care
| dc.contributor.author | Roth, Maya | |
| dc.contributor.author | St. Cyr, Kate | |
| dc.contributor.author | Harle, Ingrid | |
| dc.contributor.author | Katz, Joel | |
| dc.date.accessioned | 2014-10-15T12:59:57Z | |
| dc.date.available | 2014-10-15T12:59:57Z | |
| dc.date.issued | 2013-08 | |
| dc.description.abstract | http://www.journals.elsevier.com/journal-of-pain-and-symptom-management/ 0885-3924 Context. Previous research suggests that patients receiving palliative care may simultaneously experience poorly managed pain and post-traumatic stress disorder (PTSD)-related symptoms as a result of their deteriorating health. Objectives. To: 1) examine predictors of PTSD-related symptoms in patients requiring palliative care; 2) assess whether anxiety, depression, pain catastrophizing, and pain anxiety mediate the relationship between pain interference and PTSD-related symptoms; and 3) evaluate the impact of these variables on pain interference and PTSD-related symptoms. Methods. One hundred patients receiving palliative care at one of two palliative care sites in London, ON, Canada, completed the PTSD ChecklistdCivilian version (PCL-C), the Hospital Anxiety and Depression Scale (HADS), the Pain Catastrophizing Scale (PCS), the Brief Pain Inventory-Short Form (BPI-SF), and the Pain Anxiety Symptoms Scale-20 (PASS-20). Hierarchical multiple regressions were used to examine HADS-Anxiety, HADS-Depression, PCS and PASS-20 scores as predictors of PCL-C scores; and mediation analyses were used to test the effect of HADS-Anxiety, HADS-Depression, PCS, and PASS-20 on the relationship between BPI-SF interference and PCL-C. Mediators that significantly affected this relationship in the individual mediator models were entered into a multiple mediator model. Results. Only pain anxiety and pain catastrophizing emerged as significant mediators of the relationship between pain interference and PTSD-related symptoms. After being entered in a multiple mediator model, pain anxiety emerged as the strongest mediator. Conclusion. The findings of the present study reveal that pain and PTSD-related symptoms are important concerns in palliative care, and that pain must be addressed to best meet the needs of this population. | en_US |
| dc.description.sponsorship | Dr. Roth was supported by a Canadian Institutes of Health Research (CIHR) Doctoral Research Award. Dr. Katz was supported by a CIHR Canada Research Chair in Health Psychology. This article is based in part on Dr. Roth’s doctoral dissertation. The authors declare no conflicts of interest. | |
| dc.identifier.citation | Roth, M., Harle, I.A., St. Cyr, K., & Katz, J. (2013). Posttraumatic stress disorder symptoms in palliative care patients. Journal of Pain and Symptom Management, 46 (2), 182-191, doi: 10.1016/j.jpainsymman.2012.07.015. Epub 2012 Nov 22. | |
| dc.identifier.issn | 0885-3924 | |
| dc.identifier.uri | http://hdl.handle.net/10315/27962 | |
| dc.language.iso | en_US | en_US |
| dc.publisher | Elsevier | en_US |
| dc.rights.article | http://www.jpsmjournal.com/article/S0885-3924(12)00440-X/abstract | |
| dc.rights.journal | http://www.journals.elsevier.com/journal-of-pain-and-symptom-management/ | en_US |
| dc.rights.publisher | http://www.elsevier.com/ | en_US |
| dc.subject | Post-traumatic stress symptoms, pain anxiety, pain catastrophizing, palliative care | en_US |
| dc.title | Relationship Between Pain and Post-Traumatic Stress Symptoms in Palliative Care | |
| dc.type | Article | en_US |