Traumatization and chronic pain: a further model of interaction

Niklaus Egloff,1 Anna Hirschi,2 Roland von Känel1 1Department of General Internal Medicine, Division of Psychosomatic Medicine, Inselspital, University Hospital, Bern, Switzerland; 2Outpatient Clinic for Victims of Torture and War, Swiss Red Cross, Bern-Wabern, Switzerland Abstract: Up to 8...

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Main Authors: Egloff N, Hirschi A, von Känel R
Format: Article
Language:English
Published: Dove Medical Press 2013-11-01
Series:Journal of Pain Research
Online Access:http://www.dovepress.com/traumatization-and-chronic-pain-a-further-model-of-interaction-a14885
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author Egloff N
Hirschi A
von Känel R
author_facet Egloff N
Hirschi A
von Känel R
author_sort Egloff N
collection DOAJ
description Niklaus Egloff,1 Anna Hirschi,2 Roland von Känel1 1Department of General Internal Medicine, Division of Psychosomatic Medicine, Inselspital, University Hospital, Bern, Switzerland; 2Outpatient Clinic for Victims of Torture and War, Swiss Red Cross, Bern-Wabern, Switzerland Abstract: Up to 80% of patients with severe posttraumatic stress disorder are suffering from “unexplained” chronic pain. Theories about the links between traumatization and chronic pain have become the subject of increased interest over the last several years. We will give a short summary about the existing interaction models that emphasize particularly psychological and behavioral aspects of this interaction. After a synopsis of the most important psychoneurobiological mechanisms of pain in the context of traumatization, we introduce the hypermnesia–hyperarousal model, which focuses on two psychoneurobiological aspects of the physiology of learning. This hypothesis provides an answer to the hitherto open question about the origin of pain persistence and pain sensitization following a traumatic event and also provides a straightforward explanatory model for educational purposes. Keywords: posttraumatic stress disorder, chronic pain, hypermnesia, hypersensitivity, traumatization
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spelling doaj.art-06e1c992a66e463c964fe921917f3dce2022-12-22T01:55:39ZengDove Medical PressJournal of Pain Research1178-70902013-11-012013default765770Traumatization and chronic pain: a further model of interactionEgloff NHirschi Avon Känel RNiklaus Egloff,1 Anna Hirschi,2 Roland von Känel1 1Department of General Internal Medicine, Division of Psychosomatic Medicine, Inselspital, University Hospital, Bern, Switzerland; 2Outpatient Clinic for Victims of Torture and War, Swiss Red Cross, Bern-Wabern, Switzerland Abstract: Up to 80% of patients with severe posttraumatic stress disorder are suffering from “unexplained” chronic pain. Theories about the links between traumatization and chronic pain have become the subject of increased interest over the last several years. We will give a short summary about the existing interaction models that emphasize particularly psychological and behavioral aspects of this interaction. After a synopsis of the most important psychoneurobiological mechanisms of pain in the context of traumatization, we introduce the hypermnesia–hyperarousal model, which focuses on two psychoneurobiological aspects of the physiology of learning. This hypothesis provides an answer to the hitherto open question about the origin of pain persistence and pain sensitization following a traumatic event and also provides a straightforward explanatory model for educational purposes. Keywords: posttraumatic stress disorder, chronic pain, hypermnesia, hypersensitivity, traumatizationhttp://www.dovepress.com/traumatization-and-chronic-pain-a-further-model-of-interaction-a14885
spellingShingle Egloff N
Hirschi A
von Känel R
Traumatization and chronic pain: a further model of interaction
Journal of Pain Research
title Traumatization and chronic pain: a further model of interaction
title_full Traumatization and chronic pain: a further model of interaction
title_fullStr Traumatization and chronic pain: a further model of interaction
title_full_unstemmed Traumatization and chronic pain: a further model of interaction
title_short Traumatization and chronic pain: a further model of interaction
title_sort traumatization and chronic pain a further model of interaction
url http://www.dovepress.com/traumatization-and-chronic-pain-a-further-model-of-interaction-a14885
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