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Epidemiology of Trauma History and Body Pain: A Retrospective Study of Community-Based Australian Women.
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- Author(s): Flehr, Alison; Coles, Jan; Dixon, John B; Gibson, Stephen J; Brilleman, Samuel L; Harris, Melissa L; Loxton, Deborah
- Source:
Pain Medicine; Sep2021, Vol. 22 Issue 9, p1916-1929, 14p- Subject Terms:
INJURY complications; LIFE change events; STATISTICS; PAIN; CROSS-sectional method; MULTIPLE regression analysis; FUNCTIONAL status; RETROSPECTIVE studies; RISK assessment; SEVERITY of illness index; COMMUNITY-based social services; DESCRIPTIVE statistics; MENTAL depression; DATA analysis; ANXIETY; WOMEN'S health; PSYCHOLOGICAL stress - Source:
- Additional Information
- Subject Terms:
- Abstract: Objective To assess whether body pain was associated with different trauma histories (physical injury vs. interpersonal injury [IPI]) within Australian women, along with body pain and trauma history associations with biological and psychological (biopsycho) confounders. Methods A retrospective cross-sectional analysis was conducted on the Australian Longitudinal Study on Women's Health (ALSWH) 1973–1978 birth cohort wave 6 data. Relevant life events were categorized into two types of traumatic experience and included as exposure variables in a multinomial regression model for body pain subgroups. Also, subgroup analyses considered trauma and pain effects and interactions on biopsycho burden. Results The unadjusted multinomial regression model revealed that a history of physical injury was found to be significantly associated with body pain severity, as was a history of IPI trauma. After the model was adjusted to include biopsycho confounders, the association between IPI and body pain was no longer significant, and post hoc analysis revealed the relationship was instead mediated by biopsycho confounders. Women with a history of IPI and body pain were also found to have the greatest biopsycho (physical functioning, stress, anxiety, and depression) burden. Discussion The relationship between IPI and body pain was found to be mediated by biopsycho burden, whereas the relationship between physical injury and body pain was not. Also, a history of IPI was associated with a greater biopsycho burden than was a history of physical injury. These results suggest there is clinical value in considering the comprehensive trauma history of patients with pain when developing their biopsychosocial model of care. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Pain Medicine is the property of Oxford University Press / USA and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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