Conceptualizing a subtype of patients with chronic pain: The necessity of obtaining a history of sexual abuse

David R. Spiegel, Ayesha M. Shaukat, Aidan L. McCroskey, Aparna Chatterjee, Tamana Ahmadi, Drew Simmelink, Edward C. Oldfield, Christopher R. Pryor, Michael Faschan, Olivia Raulli

Research output: Contribution to journalArticle

8 Scopus citations

Abstract

Lifetime history of sexual abuse is estimated to range between 15% and 25% in the general female population. Cross-sectional studies have shown that sexual assault survivors frequently report chronic musculoskeletal pain and functional somatic syndromes. Treating chronic pain with opioids went from being largely discouraged to being included in standards of care and titrating doses until patients self-report adequate control has become common practice, with 8% to 30% of patients with chronic noncancer pain receiving opioids. In this clinical review, we will discuss the association between survivors of sexual assault and chronic pain/functional somatic syndromes. We will further review evidence-based treatment strategies for this "pain-prone phenotype.".

Original languageEnglish (US)
Pages (from-to)84-103
Number of pages20
JournalInternational Journal of Psychiatry in Medicine
Volume51
Issue number1
DOIs
Publication statusPublished - Jan 2016

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All Science Journal Classification (ASJC) codes

  • Psychiatry and Mental health

Cite this

Spiegel, D. R., Shaukat, A. M., McCroskey, A. L., Chatterjee, A., Ahmadi, T., Simmelink, D., ... Raulli, O. (2016). Conceptualizing a subtype of patients with chronic pain: The necessity of obtaining a history of sexual abuse. International Journal of Psychiatry in Medicine, 51(1), 84-103. https://doi.org/10.1177/0091217415621268