Epidemiology of trauma history and body pain : A retrospective study of community-based Australian women

Journal article


Flehr, Alison, Coles, Jan, Dixon, John B., Gibson, Stephen J., Brilleman, Samuel L., Harris, Melissa L. and Loxton, Deborah. (2021). Epidemiology of trauma history and body pain : A retrospective study of community-based Australian women. Pain Medicine. 22(9), pp. 1916-1929. https://doi.org/10.1093/pm/pnaa455
AuthorsFlehr, Alison, Coles, Jan, Dixon, John B., Gibson, Stephen J., Brilleman, Samuel L., Harris, Melissa L. and Loxton, Deborah
Abstract

Objective
To assess whether body pain was associated with different trauma histories (physical injury vs. interpersonal injury [IPI]) within Australian women, along with body pain and trauma history associations with biological and psychological (biopsycho) confounders.

Methods
A retrospective cross-sectional analysis was conducted on the Australian Longitudinal Study on Women’s Health (ALSWH) 1973–1978 birth cohort wave 6 data. Relevant life events were categorized into two types of traumatic experience and included as exposure variables in a multinomial regression model for body pain subgroups. Also, subgroup analyses considered trauma and pain effects and interactions on biopsycho burden.

Results
The unadjusted multinomial regression model revealed that a history of physical injury was found to be significantly associated with body pain severity, as was a history of IPI trauma. After the model was adjusted to include biopsycho confounders, the association between IPI and body pain was no longer significant, and post hoc analysis revealed the relationship was instead mediated by biopsycho confounders. Women with a history of IPI and body pain were also found to have the greatest biopsycho (physical functioning, stress, anxiety, and depression) burden.

Discussion
The relationship between IPI and body pain was found to be mediated by biopsycho burden, whereas the relationship between physical injury and body pain was not. Also, a history of IPI was associated with a greater biopsycho burden than was a history of physical injury. These results suggest there is clinical value in considering the comprehensive trauma history of patients with pain when developing their biopsychosocial model of care.

Keywordspersistent pain; body pain; trauma; biological and psychological burden; epidemiology
Year2021
JournalPain Medicine
Journal citation22 (9), pp. 1916-1929
PublisherOxford University Press
ISSN1526-2375
Digital Object Identifier (DOI)https://doi.org/10.1093/pm/pnaa455
Scopus EID2-s2.0-85116173018
Research or scholarlyResearch
Page range1916-1929
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online13 Mar 2021
Publication process dates
Deposited15 Nov 2021
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