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Comorbidity of Musculoskeletal Injury Pain and PTSD
Practical Pain Management, 05/13/09
Perish MM et al. - The purpose the study by Starr and colleagues was to determine the prevalence of emotional distress among orthopaedic trauma patients seen in clinic following injury and to examine whether injury or demographic variables were predictive of such emotional distress. This multi-center effort involved testing 580 orthopaedic trauma patients, with injury and demographic information collected for all study patients. Findings revealed that patients with high levels of emotional distress had significantly higher Injury Severity Scores, higher sum of Extremity Abbreviated Injury Scores, and were further out from injury than those without high emotional distress. The study also clearly revealed that emotional distress is common after orthopaedic trauma and led the investigators to plan further research to evaluate whether psychological treatment can prevent high levels of such distress. The research also raised the possibility of a link between emotional outcome and functional outcome, and demonstrated the need for future research to focus on interventions that will address and reduce the emotional distress of patients who sustain orthopaedic injuries.
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