Child Abuse and Dissociation in Patients with Complex Regional Pain Syndrome

Autor: John Read, Robert Large, Michael Williams
Jazyk: angličtina
Rok vydání: 1999
Předmět:
Zdroj: Pain Research and Management, Vol 4, Iss 1, Pp 15-22 (1999)
ISSN: 1203-6765
Popis: >OBJECTIVE:In the absence of a proven medical explanation for the chronic pain syndrome Complex Regional Pain Syndrome type I (CRPS I), this study explored a hypothetical link between childhood physical and sexual abuse, and the subsequent development of CRPS I. The hypothesis predicts the existence of a subpopulation of CRPS I patients with a high frequency of dissociative experiences corresponding to a history of childhood trauma.DESIGN:To test this theory, CRPS I patients attending the Auckland Hospital Pain Clinic, Auckland, New Zealand were assessed by self-report questionnaires for their frequency of dissociative experiences and for a history of childhood abuse. The data were compared with those of a low back pain control group and a healthy, pain-free control group.RESULTS:CRPS I patients were not unusually dissociative and had not experienced significantly higher rates of childhood abuse than the general population. Two of the 18 CRPS I patients were highly dissociative; both reported childhood sexual abuse.CONCLUSIONS:A trauma-dissociation pathway to CPRS I was not found. The desirability of screening for that subpopulation of CPRS I sufferers who may have been abused is discussed.
Databáze: OpenAIRE