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Persistent Pain in Survivors of Torture A Cohort Study

Williams, ACD; Pena, CR; Rice, ASC; (2010) Persistent Pain in Survivors of Torture A Cohort Study. J PAIN SYMPTOM MANAG , 40 (5) 715 - 722. 10.1016/j.jpainsymman.2010.02.018.

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Abstract

Context Refugee survivors of torture in the United Kingdom have multiple problems, of which pain may be underrecognized, given the high prevalence recorded in similar populations in DenmarkObjectives To establish in a UK sample the prevalence of persistent pain and to investigate associations between specific pains and torture methodsMethods A cohort of a random 20% sample attending a specialist UK center for survivors of torture in 2005 was taken All complaints of pain recorded at initial interview were categorized for body site and putative pain mechanism These were compared with the database of personal variables and data on torture using odds ratios (ORs) and exact probabilityResults Of 115 men and 63 women, with mean age of 30 years, 78% reported persistent multiple pains, mainly in the head and low back They had experienced a median of six torture methods There was a clear association between female abdominal/pelvic/genital pain and rape/sexual assault (17 of 34 vs zero of 17 exact P < 0 001) and between male anal pain and rape (two of nine vs two of 77 OR = 6 00, 95% confidence interval = 1 79-20) Tests of foot/leg pain with falaka and shoulder pain with suspension did not show expected associationsConclusion A significant relationship emerged between torture and report of persistent pain at a high prevalence Findings do not support the widespread clinical assumption that complaint of persistent pain after torture is predominantly a manifestation of psychological distress Rather, complaints of pain in torture survivors should be assessed and treated in relation to physical trauma J Pain Symptom Manage 2010,40 715-722 (C) 2010 US Cancer Pain Relief Committee Published by Elsevier Inc All rights reserved

Type: Article
Title: Persistent Pain in Survivors of Torture A Cohort Study
DOI: 10.1016/j.jpainsymman.2010.02.018
Keywords: Pain, torture, rape, refugees, asylum seekers, ASYLUM SEEKERS, SEXUAL VIOLENCE, HEALTH, SOMATIZATION, SEQUELAE, REFUGEES, IMPACT, WOMEN, RAPE, WAR
UCL classification: UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: http://discovery.ucl.ac.uk/id/eprint/97699
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