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Pain perception and modulation in ex-POWs who underwent torture: The role of subjective and objective suffering.

Published on Nov 1, 2019in Psychological Trauma: Theory, Research, Practice, and Policy2.529
· DOI :10.1037/tra0000437
Noga Tsur5
Estimated H-index: 5
(TAU: Tel Aviv University),
Ruth Defrin28
Estimated H-index: 28
(TAU: Tel Aviv University)
+ 2 AuthorsZahava Solomon59
Estimated H-index: 59
(TAU: Tel Aviv University)
Abstract
  • References (46)
  • Citations (0)
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References46
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#1Ruth Defrin (TAU: Tel Aviv University)H-Index: 28
#2Shaul Schreiber (TAU: Tel Aviv University)H-Index: 33
Last. Karni Ginzburg (TAU: Tel Aviv University)H-Index: 22
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Abstract Posttraumatic stress disorder (PTSD) and chronic pain often co-occur and exacerbate each other. Elucidating the mechanism of this co-occurrence therefore has clinical importance. Previously, patients with PTSD with chronic pain were found to demonstrate a unique paradoxical pain profile: hyperresponsiveness together with hyposensitivity to pain. Our aim was to examine whether 2 seemingly paradoxical facets of PTSD (anxiety and dissociation) underlie this paradoxical profile. Patients wi...
16 CitationsSource
#1Daniel F. GrosH-Index: 25
Last. Sudie E. BackH-Index: 35
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Objective: The frequent co-occurrence of posttraumatic stress disorder (PTSD) and chronic pain has received much attention in the literature. However, the extant literature is limited in that these investigations generally exclude patients with co-occurring substance use disorders (SUD). Thus, the present study investigated symptoms of PTSD and SUD in veterans with high and low pain symptoms. Method: Veterans (N = 136) seeking treatment for comorbid symptoms of PTSD and SUD were recruited as par...
7 CitationsSource
#1Peter Payne (Dartmouth College)H-Index: 4
#2Peter A. LevineH-Index: 2
Last. Mardi A. Crane-Godreau (Dartmouth College)H-Index: 12
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Here we present a theory of human trauma and chronic stress, based on the practice of Somatic Experiencing® (SE), a form of trauma therapy that emphasizes guiding the client's attention to interoceptive, kinesthetic and proprioceptive experience. SE™ claims that this style of inner attention, in addition to the use of kinesthetic and interoceptive imagery, can lead to the resolution of symptoms resulting from chronic and traumatic stress. This is accomplished through the completion of thwarted, ...
44 CitationsSource
SUMMARY All generalist and specialist clinicians are likely to encounter torture survivors among refugees and asylum seekers. A minority of people survive torture and a smaller minority reach a developed country; those who do tend to be the more resilient and resourceful. They have many health, social and welfare problems; persistent pain in the musculoskeletal system is one of the most common. There is little specific evidence on pain in survivors of torture; the guidelines on interdisciplinary...
9 CitationsSource
#1Ruth Defrin (TAU: Tel Aviv University)H-Index: 28
#2Karni Ginzburg (TAU: Tel Aviv University)H-Index: 22
Last. Zahava Solomon (TAU: Tel Aviv University)H-Index: 59
view all 4 authors...
22 CitationsSource
#1Anthony P. King (UM: University of Michigan)H-Index: 23
#2Thane M. Erickson (SPU: Seattle Pacific University)H-Index: 11
Last. Israel Liberzon (UM: University of Michigan)H-Index: 68
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BACKGROUND: "Mindfulness-based" interventions show promise for stress reduction in general medical conditions, and initial evidence suggests that they are accepted in trauma-exposed individuals. Mindfulness-based cognitive therapy (MBCT) shows substantial efficacy for prevention of depression relapse, but it has been less studied in anxiety disorders. This study investigated the feasibility, acceptability, and clinical outcomes of an MBCT group intervention adapted for combat posttraumatic stres...
124 CitationsSource
#1Karen Prip (Rehabilitation and Research Centre for Torture Victims)H-Index: 4
#2Ann L. Persson (Rehabilitation and Research Centre for Torture Victims)H-Index: 10
Last. Bengt H. Sjölund (University of Southern Denmark)H-Index: 11
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Background Falanga torture (beatings on the foot soles) produces local chronic pain and severe walking difficulties. We have previously reported signs of neuropathic pain in the feet of falanga victims. The objective here was to clarify underlying pain mechanisms by quantifying sensory impairments in the feet of torture victims who had experienced both generalized torture and those who had been exposed to falanga in addition. An ethnically matched control group was available.
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#1Zahava Solomon (TAU: Tel Aviv University)H-Index: 59
#2Danny HoreshH-Index: 13
Last. Avi Ohry (TAU: Tel Aviv University)H-Index: 12
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Abstract Although war captivity is a potent pathogen for psychiatric illness, little is known about the long-term trajectories of post-traumatic stress disorder (PTSD) among ex-prisoners of wars (ex-POWs). This study aimed to assess the long-term trajectories of PTSD and their predictors following war captivity. Three follow-ups (1991, 2003, 2008) were conducted over 35 years of 164 Israeli ex-POWs and185 comparable combatants from the 1973 Yom Kippur War. Ex-POWs reported higher PTSD rates than...
75 CitationsSource
#1Alanna D. Hager (UVic: University of Victoria)H-Index: 3
#2Marsha Runtz (UVic: University of Victoria)H-Index: 24
Abstract Objective This retrospective, cross-sectional study investigated the association between childhood physical and psychological maltreatment and self-reported physical health concerns in adult women. The mediating roles of perceived stress and coping strategies were examined. Methods Participants were 235 women (aged 18–59 years) recruited from the community. Semi-structured interviews and questionnaires were used to assess self-reported childhood maltreatment and current perceived stress...
76 CitationsSource
#1Gabi Zeilig (TAU: Tel Aviv University)H-Index: 19
#2Shavit Enosh (TAU: Tel Aviv University)H-Index: 1
Last. Ruth Defrin (TAU: Tel Aviv University)H-Index: 28
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Central pain below the injury level after spinal cord injury is excruciating, chronic and resistive to treatment. Animal studies suggest that pretreatment may prevent central pain, but to date there are no measures to predict its development. Our aim was to monitor changes in the sensory profile below the lesion prior to the development of below-level central pain in order to search for a parameter that could predict its risk and to further explore its pathophysiology. Thirty patients with spina...
64 CitationsSource
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