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Conceptualizing and Treating Comorbid Chronic Pain and PTSD
Michelle A Bosco1, Jessica L Gallinati, Michael E Clark
1James A. Haley Veterans Affairs Hospital, University of South Florida, 13000 Bruce B. Downs Boulevard (116B), Tampa, FL 33612, USA.
Abstract:
The purpose of this paper is to review the rationale for concurrent, evidence-based treatment of chronic pain and posttraumatic stress disorder (PTSD). To meet this end, we review pertinent definitions and extant theories related to the two conditions and their correlations with each other. We then synthesize theoretical components into a proposal of a comprehensive conceptual framework for understanding the relationship and clinical complexity of overlapping chronic pain and PTSD. We conclude with an example of an integrated treatment model designed specifically to address a fundamental factor associated with pain and PTSD: avoidance.
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