Table of Contents
ISRN Psychiatry
Volume 2012, Article ID 196069, 4 pages
http://dx.doi.org/10.5402/2012/196069
Clinical Study

Psychological Symptoms in Patients with Injury-Related Chronic Pain

Department of Community Medicine and Rehabilitation, Umeå University Hospital, Umeå University, 901 85 Umeå, Sweden

Received 16 December 2011; Accepted 8 January 2012

Academic Editor: J. A. Ramos-Brieva

Copyright © 2012 Britt-Marie Stålnacke. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Chronic injury-related pain could be influenced by psychological symptoms such as depression, anxiety, and stress that also affect daily life. Methods. Patients with chronic pain caused by an injury ( ๐‘› = 8 6 ) aged 18–65 years referred to the Pain Rehabilitation Clinic at the Umeå University Hospital answered a set of questionnaires to assess pain intensity, depression, anxiety, posttraumatic stress, sleep disturbance, and fatigue. Results. A significantly higher proportion of women (47.5%) reported depression (Hospital Anxiety and Depression Scale (HAD)) than men (22.2%). In all patients anxiety (HAD) was reported by 39.5% and moderate/severe posttraumatic stress (Impact of Event Scale) by 30.2%. A majority reported sleep disturbance (84.9%) and fatigue (90.7%). Significant relationships were found between posttraumatic stress and depression and anxiety. Conclusion. These findings indicate the importance of assessing and treating psychological symptoms associated with chronic pain as the result of trauma.