Background & Aims
Chronic pain in patients with posttraumatic stress disorder (PTSD) is a frequent symptom and a complicating factor in the treatment of patients. Ukrainians faced numerous traumatic factors caused by war exposure and witnessing, from the danger of death and physical injury to various symptoms of mental trauma. Many studies investigating the management of chronic pain often exclude the participation of people from refugee and immigrant backgrounds.
The study aimed to examine the associations between chronic pain and mental distress among adult Ukrainians after the invasion at baseline and 6-month follow-up and assess whether associations changed significantly with time.
Methods
The assessment was conducted on three different groups of participants: not displaced persons (NDP) from the Zaporizhzhia region (active hostile zone), internally displaced persons (IDP), and Ukrainian refugees in Poland, Warsaw. The study included gathering socio-demographic data (age, sex, education, location) and validated self-report questionnaires for assessment of physical health conditions, including chronic pain conditions (CPC) and pain indicators, anxiety, and PTSD levels. Thus, 147 adults 43-74 years old were included in this study: 48 participants in the NDP group, 45 subjects in the IDP group, and 54 refugees from Ukraine who are now in Warsaw. Females were the largest numbers in all three groups (82%). Participants denied previously diagnosed mental health issues. A repeat survey was conducted after 6 months. We managed to contact 103 participants Data analysis was performed in SPSS 24.0 (IBM, Armonk, NY, USA).
Results
Group comparison showed that the largest number of PTSD+ individuals was in the group of refugees (70,4%) and the smallest number was in group NDP (42,7%). There were no significant differences between NDP and IDP. Chronic pain prevalence ranged from 28,4% to 60,3% in all groups. The highest level was registered in the refugees group (53,7%), especially in the PTSD+ refugees subgroup (60,3%). The lowest level was in the IDP, PTSD- subgroup (28,4%). Chronic pain was described as moderate to intense in all groups. Correlation for the full PTSD-positive sample between PTSD –like symptoms and pain indicator were moderate and positive (R=0,46-0,62, p?0.001). There was registered significant increasing the number of participants who reached the criteria for PTSD in 6 months in the IDP group, an insignificant increase in the NDP group, and an insignificant decrease in the refugee group. There was a registered increase in reported chronic pain in the NDP and IDP groups.
Conclusions
Conclusions. Participants with comorbid PTSD often reported the presence of chronic pain, increased levels of anxiety, and pain intensity. Refugees were the most vulnerable group in our study, but participants of all groups require further monitoring. Evidence-based interventions addressing both physical and emotional distress are important in improving outcomes.
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Presenting Author
Iana Andreieva
Poster Authors
Topics
- and War
- Organized Violence
- Pain in Special Populations: Torture