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Annals of Behavioral Medicine
Published in: Annals of Behavioral Medicine 6/2015

01-12-2015 | Original Article

Heightened Temporal Summation of Pain in Patients with Functional Gastrointestinal Disorders and History of Trauma

Authors: Amanda L. Sherman, MS, Matthew C. Morris, PhD, Stephen Bruehl, PhD, Travis D. Westbrook, BA, Lynn S. Walker, PhD

Published in: Annals of Behavioral Medicine | Issue 6/2015

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Abstract

Background

Individuals with functional gastrointestinal disorders (FGIDs) report experiencing trauma more often than healthy controls, but little is known regarding psychophysical correlates.

Purpose

The purpose of this study was to test the hypothesis that adolescents and young adults with FGIDs since childhood and a trauma history (n = 38) would exhibit heightened temporal summation to thermal pain stimuli, an index of central sensitization, and greater clinical symptoms compared to patients with FGIDs and no trauma history (n = 95) and healthy controls (n = 135).

Methods

Participants completed self-report measures, an experimental pain protocol, and psychiatric diagnostic interview as part of a larger longitudinal study.

Results

FGID + Trauma patients exhibited greater temporal summation than FGID + No Trauma patients and healthy controls. Additionally, FGID + Trauma patients exhibited greater gastrointestinal and non-gastrointestinal symptom severity, number of chronic pain sites, and disability.

Conclusions

Assessing for trauma history in patients with FGIDs could identify a subset at risk for greater central sensitization and pain-related symptoms.
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Metadata
Title
Heightened Temporal Summation of Pain in Patients with Functional Gastrointestinal Disorders and History of Trauma
Authors
Amanda L. Sherman, MS
Matthew C. Morris, PhD
Stephen Bruehl, PhD
Travis D. Westbrook, BA
Lynn S. Walker, PhD
Publication date
01-12-2015
Publisher
Springer US
Published in
Annals of Behavioral Medicine / Issue 6/2015
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-015-9712-5

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