Share Page:

Volume 23 , Issue 3
Summer 2009

Pages 243–252

Posttraumatic Stress Disorder Symptoms and Chronic Orofacial Pain: An Empirical Examination of the Mutual Maintenance Model

Jessica L. Burris/Melissa A. Cyders/Reny de Leeuw/Gregory T. Smith/Charles R. Carlson

PMID: 19639104

Aims: As there is a high correspondence between the experience of trauma and posttraumatic stress disorder (PTSD) symptoms among chronic orofacial pain patients, study objectives included: (1) to document the nature of traumatic experiences and severity of PTSD symptoms among a female sample of orofacial pain patients, (2) to examine the relationship between PTSD symptoms and both pain-related and psychosocial outcomes, and (3) to use structural equation modeling (SEM) to test hypotheses of mediation derived from the Mutual Maintenance Model of chronic pain and PTSD. Methods: The study design was a cross-sectional, retrospective case series of 411 female patients (mean age 41.0, SD 13.1) who were seen at the University of Kentucky Orofacial Pain Center between 1997 and 2007. A series of correlational and SEM analyses were conducted to test study hypotheses. Results: Of the total sample, 23.6% (n = 97) reported PTSD symptoms consistent with a diagnosis of PTSD. Higher PTSD symptom reports were associated significantly (P < .01) with the following outcomes: symptoms of psychological and affective distress, life interference due to pain, receipt of punishing responses from one’s spouse, limited activity levels, and poor sleep quality. SEM analyses indicated PTSD symptoms likely exert their influence on pain severity through depression and sleep quality. Conclusion: PTSD and depression screening as well as thorough sleep evaluations should be included in the routine assessment for orofacial pain patients and, if appropriate, referrals for treatment of PTSD symptoms should be considered part of the standard of care. J OROFAC PAIN 2009;23:243–252

Full Text PDF File | Order Article


Get Adobe Reader
Adobe Acrobat Reader is required to view PDF files. This is a free program available from the Adobe web site.
Follow the download directions on the Adobe web site to get your copy of Adobe Acrobat Reader.


© 2020 Quintessence Publishing Co, Inc

Current Issue
Ahead of Print
Author Guidelines
Submission Form
Quintessence Home
Terms of Use
Privacy Policy
About Us
Contact Us