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Chronic Stress and Chronic Pain: Disability After Trauma and Global Trends
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Author(s): Branislav Starcevic (Clinic for Orthopaedic Surgery and Traumatology, Clinical Center of Serbia, Serbia)
Copyright: 2019
Pages: 6
Source title:
Chronic Stress and Its Effect on Brain Structure and Connectivity
Source Author(s)/Editor(s): Ana Starcevic (University of Belgrade, Serbia)
DOI: 10.4018/978-1-5225-7513-9.ch004
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Abstract
Pain and stress basically overlap in conceptual and physiological perceptions. Chronic stress and chronic pain share a common behavioral model of failure to extinguish negative memories as one of psychological and physiological mechanisms of defense. They also have discrepancies such that the final brain endophenotype of posttraumatic stress disorder (PTSD), depression, and chronic pain appears to be different among the three conditions, and the role of the hypothalamic-pituitary-adrenal axis remains unclear in the physiology of pain. Persistence of either stress or pain is maladaptive and could lead to compromised homeostasis. The effectiveness of interventions that may increase return to work and patient satisfaction in trauma victims should be a future directive of research.
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