Symptoms of PTSD associated with painful and nonpainful vicarious reactivity following amputation

Melita Joy Giummarra, Bernadette M Fitzgibbon, Jack W Tsao, Stephen J Gibson, Anina Rich, Nellie Georgiou-Karistianis, Michael Jih Yoh Chou, John Lockyer Bradshaw, Aimee L Alphonso, Monica L Tung, Carol Anne Drastal, Steven R Hanling, Paul F Pasquina, Peter Gregory Enticott

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Although the experience of vicarious sensations when observing another in pain have been described postamputation, the underlying mechanisms are unknown. We investigated whether vicarious sensations are related to posttraumatic stress disorder (PTSD) symptoms and chronic pain. In Study 1, 236 amputees completed questionnaires about phantom limb phenomena and vicarious sensations to both innocuous and painful sensory experiences of others. There was a 10.2 incidence of vicarious sensations, which was significantly more prevalent in amputees reporting PTSD-like experiences, particularly increased arousal and reexperiencing the event that led to amputation (? = .16). In Study 2, 63 amputees completed the Empathy for Pain Scale and PTSD Checklist-Civilian Version. Cluster analyses revealed 3 groups: 1 group did not experience vicarious pain or PTSD symptoms, and 2 groups were vicarious pain responders, but only 1 had increased PTSD symptoms. Only the latter group showed increased chronic pain severity compared with the nonresponder group (p = .025) with a moderate effect size (r = .35). The findings from both studies implicated an overlap, but also divergence, between PTSD symptoms and vicarious pain reactivity postamputation. Maladaptive mechanisms implicated in severe chronic pain and physical reactivity posttrauma may increase the incidence of vicarious reactivity to the pain of others
Original languageEnglish
Pages (from-to)330 - 338
Number of pages9
JournalJournal of Traumatic Stress
Volume28
Issue number4
DOIs
Publication statusPublished - 2015

Cite this

Giummarra, Melita Joy ; Fitzgibbon, Bernadette M ; Tsao, Jack W ; Gibson, Stephen J ; Rich, Anina ; Georgiou-Karistianis, Nellie ; Chou, Michael Jih Yoh ; Bradshaw, John Lockyer ; Alphonso, Aimee L ; Tung, Monica L ; Drastal, Carol Anne ; Hanling, Steven R ; Pasquina, Paul F ; Enticott, Peter Gregory. / Symptoms of PTSD associated with painful and nonpainful vicarious reactivity following amputation. In: Journal of Traumatic Stress. 2015 ; Vol. 28, No. 4. pp. 330 - 338.
@article{52a591a64231468ab2035be403a64b74,
title = "Symptoms of PTSD associated with painful and nonpainful vicarious reactivity following amputation",
abstract = "Although the experience of vicarious sensations when observing another in pain have been described postamputation, the underlying mechanisms are unknown. We investigated whether vicarious sensations are related to posttraumatic stress disorder (PTSD) symptoms and chronic pain. In Study 1, 236 amputees completed questionnaires about phantom limb phenomena and vicarious sensations to both innocuous and painful sensory experiences of others. There was a 10.2 incidence of vicarious sensations, which was significantly more prevalent in amputees reporting PTSD-like experiences, particularly increased arousal and reexperiencing the event that led to amputation (? = .16). In Study 2, 63 amputees completed the Empathy for Pain Scale and PTSD Checklist-Civilian Version. Cluster analyses revealed 3 groups: 1 group did not experience vicarious pain or PTSD symptoms, and 2 groups were vicarious pain responders, but only 1 had increased PTSD symptoms. Only the latter group showed increased chronic pain severity compared with the nonresponder group (p = .025) with a moderate effect size (r = .35). The findings from both studies implicated an overlap, but also divergence, between PTSD symptoms and vicarious pain reactivity postamputation. Maladaptive mechanisms implicated in severe chronic pain and physical reactivity posttrauma may increase the incidence of vicarious reactivity to the pain of others",
author = "Giummarra, {Melita Joy} and Fitzgibbon, {Bernadette M} and Tsao, {Jack W} and Gibson, {Stephen J} and Anina Rich and Nellie Georgiou-Karistianis and Chou, {Michael Jih Yoh} and Bradshaw, {John Lockyer} and Alphonso, {Aimee L} and Tung, {Monica L} and Drastal, {Carol Anne} and Hanling, {Steven R} and Pasquina, {Paul F} and Enticott, {Peter Gregory}",
year = "2015",
doi = "10.1002/jts.22030",
language = "English",
volume = "28",
pages = "330 -- 338",
journal = "Journal of Traumatic Stress",
issn = "0894-9867",
publisher = "Wiley-Blackwell",
number = "4",

}

Symptoms of PTSD associated with painful and nonpainful vicarious reactivity following amputation. / Giummarra, Melita Joy; Fitzgibbon, Bernadette M; Tsao, Jack W; Gibson, Stephen J; Rich, Anina; Georgiou-Karistianis, Nellie; Chou, Michael Jih Yoh; Bradshaw, John Lockyer; Alphonso, Aimee L; Tung, Monica L; Drastal, Carol Anne; Hanling, Steven R; Pasquina, Paul F; Enticott, Peter Gregory.

In: Journal of Traumatic Stress, Vol. 28, No. 4, 2015, p. 330 - 338.

Research output: Contribution to journalArticleResearchpeer-review

TY - JOUR

T1 - Symptoms of PTSD associated with painful and nonpainful vicarious reactivity following amputation

AU - Giummarra, Melita Joy

AU - Fitzgibbon, Bernadette M

AU - Tsao, Jack W

AU - Gibson, Stephen J

AU - Rich, Anina

AU - Georgiou-Karistianis, Nellie

AU - Chou, Michael Jih Yoh

AU - Bradshaw, John Lockyer

AU - Alphonso, Aimee L

AU - Tung, Monica L

AU - Drastal, Carol Anne

AU - Hanling, Steven R

AU - Pasquina, Paul F

AU - Enticott, Peter Gregory

PY - 2015

Y1 - 2015

N2 - Although the experience of vicarious sensations when observing another in pain have been described postamputation, the underlying mechanisms are unknown. We investigated whether vicarious sensations are related to posttraumatic stress disorder (PTSD) symptoms and chronic pain. In Study 1, 236 amputees completed questionnaires about phantom limb phenomena and vicarious sensations to both innocuous and painful sensory experiences of others. There was a 10.2 incidence of vicarious sensations, which was significantly more prevalent in amputees reporting PTSD-like experiences, particularly increased arousal and reexperiencing the event that led to amputation (? = .16). In Study 2, 63 amputees completed the Empathy for Pain Scale and PTSD Checklist-Civilian Version. Cluster analyses revealed 3 groups: 1 group did not experience vicarious pain or PTSD symptoms, and 2 groups were vicarious pain responders, but only 1 had increased PTSD symptoms. Only the latter group showed increased chronic pain severity compared with the nonresponder group (p = .025) with a moderate effect size (r = .35). The findings from both studies implicated an overlap, but also divergence, between PTSD symptoms and vicarious pain reactivity postamputation. Maladaptive mechanisms implicated in severe chronic pain and physical reactivity posttrauma may increase the incidence of vicarious reactivity to the pain of others

AB - Although the experience of vicarious sensations when observing another in pain have been described postamputation, the underlying mechanisms are unknown. We investigated whether vicarious sensations are related to posttraumatic stress disorder (PTSD) symptoms and chronic pain. In Study 1, 236 amputees completed questionnaires about phantom limb phenomena and vicarious sensations to both innocuous and painful sensory experiences of others. There was a 10.2 incidence of vicarious sensations, which was significantly more prevalent in amputees reporting PTSD-like experiences, particularly increased arousal and reexperiencing the event that led to amputation (? = .16). In Study 2, 63 amputees completed the Empathy for Pain Scale and PTSD Checklist-Civilian Version. Cluster analyses revealed 3 groups: 1 group did not experience vicarious pain or PTSD symptoms, and 2 groups were vicarious pain responders, but only 1 had increased PTSD symptoms. Only the latter group showed increased chronic pain severity compared with the nonresponder group (p = .025) with a moderate effect size (r = .35). The findings from both studies implicated an overlap, but also divergence, between PTSD symptoms and vicarious pain reactivity postamputation. Maladaptive mechanisms implicated in severe chronic pain and physical reactivity posttrauma may increase the incidence of vicarious reactivity to the pain of others

UR - http://onlinelibrary.wiley.com/doi/10.1002/jts.22030/epdf

U2 - 10.1002/jts.22030

DO - 10.1002/jts.22030

M3 - Article

VL - 28

SP - 330

EP - 338

JO - Journal of Traumatic Stress

JF - Journal of Traumatic Stress

SN - 0894-9867

IS - 4

ER -