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Healthcare 2016, 4(3), 38; doi:10.3390/healthcare4030038

Military Chronic Musculoskeletal Pain and Psychiatric Comorbidity: Is Better Pain Management the Answer?

1
Department of Psychiatry, The University of Texas Health Science Center at San Antonio, San Antonio, TX 78229, USA
2
Department of Psychology, The University of Texas at Arlington, Arlington, TX 76019, USA
*
Author to whom correspondence should be addressed.
Academic Editor: Sampath Parthasarathy
Received: 4 March 2016 / Revised: 6 June 2016 / Accepted: 27 June 2016 / Published: 30 June 2016
(This article belongs to the Special Issue Low Back Pain: Recent Advances And Perspectives)
View Full-Text   |   Download PDF [201 KB, uploaded 30 June 2016]

Abstract

Chronic musculoskeletal pain, such as low back pain, often appears in the presence of psychiatric comorbidities (e.g., depression, posttraumatic stress disorder (PTSD)), especially among U.S. military service members serving in the post-9/11 combat era. Although there has been much speculation about how to best address pain/trauma psychiatric symptom comorbidities, there are little available data to guide practice. The present study sought to examine how pre-treatment depression and PTSD influence outcomes in a functional restoration pain management program using secondary analysis of data from the Department of Defense-funded Functional and Orthopedic Rehabilitation Treatment (FORT) trial. Twenty-eight FORT completers were analyzed using a general linear model exploring how well depression and PTSD symptoms predict post-treatment pain (Visual Analog Scale (VAS) pain rating), disability (Oswestry Disability Index; Million Visual Analog Scale), and functional capacity (Floor-to-Waist and Waist-to-Eye Level progressive isoinertial lifting evaluation scores) in a sample of active duty military members with chronic musculoskeletal pain and comorbid depression or PTSD symptoms. Analysis revealed that pre-treatment depression and PTSD symptoms did not significantly predict rehabilitation outcomes from program completers. Implications of these findings for future research on trauma-related pain comorbidities are discussed. View Full-Text
Keywords: chronic musculoskeletal pain; low back pain; psychiatric comorbidities; PTSD; depression; military service members chronic musculoskeletal pain; low back pain; psychiatric comorbidities; PTSD; depression; military service members
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. (CC BY 4.0).

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MDPI and ACS Style

McGeary, C.A.; McGeary, D.D.; Moreno, J.; Gatchel, R.J. Military Chronic Musculoskeletal Pain and Psychiatric Comorbidity: Is Better Pain Management the Answer? Healthcare 2016, 4, 38.

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