Citation

Raphael KG, Chandler HK, Ciccone DS. Curr. Pain Headache Rep. 2004; 8(2): 99-110.

Affiliation

UMDNJ New Jersey Medical School, Department of Psychiatry, 183 South Orange Avenue, BHSB F-1512, Newark, NJ 07103, USA. raphaekg@umdnj.edu

Copyright

(Copyright © 2004, Holtzbrinck Springer Nature Publishing Group)

DOI

unavailable

PMID

14980144

Abstract

Childhood sexual and physical abuse often are viewed as important factors in the development and persistence of chronic pain syndromes in adulthood. Nevertheless, earlier reviews on this issue have reached conflicting conclusions regarding the veracity of the relationship. In this critical review of existing research on childhood abuse and pain in adulthood, surprisingly mixed evidence is found, with significant effects found most consistently in very large cross-sectional studies that rely on self-reported abuse status. The few prospective studies that are available do not support the relationship. When examining the literature from the perspective of epidemiological standards for inferring causation, the authors conclude that the evidence does not demonstrate a causal relationship. It appears that any overall relationship between childhood abuse and pain in adulthood probably is modest in magnitude, if it exists at all. Clinical implications and suggestions for future research directions are discussed.

Language: en