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• W2055396312 abstract "Pain syndromes which commonly develop after exposure to traumatic/stressful events are frequently accompanied by substantial co-morbid posttraumatic stress disorder (PTSD) symptoms. Motor vehicle collision (MVC) is perhaps the most common form of civilian trauma, and a strong association between persistent moderate or severe neck pain (PMSNP) and PTSD symptoms after MVC is well documented. The initial weeks after MVC are a critical period of transition to recovery vs. chronic symptom development, and may be a particularly important time period in which to provide treatment/preventive interventions. Such services should ideally include mental health care (MHC) as part of comprehensive pain management, particularly for patients with substantial co-morbid PTSD symptoms. In this study, we evaluated MHC utilization among patients developing PMSNP with substantial co-morbid PTSD symptoms after MVC. Patients presenting to one of six emergency departments (ED) in 3 states were enrolled at the time of ED presentation. Six week follow-up questionnaire included an evaluation of neck pain severity in the past week (0-10 numeric rating scale), PTSD symptoms (Impact of Event Scale-Revised [IES-R]), and MHC use related to the MVC. Patients with neck pain severity score ≥ 4 were defined as having PMSNP; those also with IES-R score > 22 were defined as having substantial co-morbid PTSD symptoms. Among the 427/485 (88%) who completed the six week questionnaire, 165/427 (39%) reported PMSNP, and 84/165 (51%) of these patients suffered from substantial co-morbid PTSD symptoms as well. MHC providers were seen by only a small fraction of patients with PMSNP and substantial co-morbid PTSD symptoms (6/84, 7%). Consistent with previous reports, more than half of patients in this study with PMSNP after MVC have substantial co-morbid PTSD symptoms. However, the receipt of MHC by patients with PMSNP and substantial co-morbid PTSD symptoms after MVC is rare. Funded by NIH 1R01AR056328." @default.
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• W2055396312 date "2011-04-01" @default.
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• W2055396312 title "Receipt of mental health care services in the initial weeks after motor vehicle collision is rare among patients with persistent neck pain and substantial co-morbid PTSD symptoms" @default.
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• W2055396312 doi "https://doi.org/10.1016/j.jpain.2011.02.003" @default.
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