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Pain from torture: assessment and management
Kirstine Amris1, Lester E Jones2,3, Amanda C de C Williams4
1The Parker Institute, Copenhagen University Hospital, Bispebjerg-Frederiksberaug, Copenhagen, Denmark.
Pain Reports
|January 28, 2020
Summary
Survivors of torture frequently experience persistent pain, often overlooked. Effective pain assessment and management are crucial for their rehabilitation and societal reintegration.
Area of Science:
- Pain Medicine
- Rehabilitation Medicine
- Trauma Studies
Background:
- Survivors of torture face significant risks of undertreated pain, particularly musculoskeletal pain.
- The neurophysiological impact of torture on pain processing remains poorly understood.
- Persistent pain is a common sequela of torture, affecting quality of life.
Purpose of the Study:
- To review the current status of pain assessment and management in torture survivors.
- To highlight the gap in research regarding effective pain rehabilitation for this population.
- To emphasize the importance of addressing pain in the holistic rehabilitation of torture survivors.
Main Methods:
- A narrative review of existing literature on pain assessment and treatment in torture survivors.
- Informed by clinical experience with this patient population.
- Synthesis of findings to identify current challenges and research gaps.
Main Results:
- Pain presentations in torture survivors resemble other chronic primary pain syndromes.
- Pain is frequently misattributed to psychological distress, hindering proper assessment and management.
- There is a lack of studies evaluating the effectiveness of pain management interventions in torture survivors.
Conclusions:
- Current rehabilitation research for torture survivors primarily focuses on mental health.
- Effective pain management strategies for torture survivors are critically understudied.
- Adequate attention to pain is essential for the comprehensive rehabilitation and societal reintegration of torture survivors, as mandated by the UN Convention Against Torture.
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