Posttraumatic Stress Disorder and Chronic Lower Back Pain: The Neurological Impacts of a Comorbid diagnosis and Integrative Treatment
Previous research has indicated a prevalent co-occurrence of chronic lower back pain (CLBP) and Posttraumatic Stress Disorder. Though it is known that the dual diagnosis of these disorders is prevalent and the cyclical nature of their symptomology; with trauma symptoms igniting chronic pain symptoms and bouts of pain engaging trauma symptoms, there continues to be a lack of understanding as to the neurological underpinnings of this phenomena. Further, there has been little exploration into the treatment of said co-occurring disorders. An investigation by Lankster and Williams (2018) recommends to use of Acceptance and Commitment Therapy for individuals triply diagnosed with PTSD, CLBP, and alexithymia. However, the previous study excluded the neurological effects of these disorders, as well as their behavioral and physiological manifestations, which are considered in the current study to develop an intervention with increased efficacy.
The purpose of this systemic review with meta-analysis is to investigate the neurological effects of these conditions, the manner in which they overlap, and the cognitive and behavioral manifestation of dual neurological deficits. It is hypothesized that a structured psychological treatment which includes various aspects of neurological, behavioral, and somatic interventions with concurrent pharmacological treatment will be efficacious in addressing these neurological effects.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).