caa a22 4500 445304936 CHVBK 20180317142609.0 cr unu---uuuuu 170323e20110601xx s 000 0 eng 10.1007/s10880-011-9239-2 doi (NATIONALLICENCE)springer-10.1007/s10880-011-9239-2 Complicating Factors Associated with Mild Traumatic Brain Injury: Impact on Pain and Posttraumatic Stress Disorder Treatment [Elektronische Daten] [John Otis, Regina McGlinchey, Jennifer Vasterling, Robert Kerns] The nature of combat in Iraq and Afghanistan has resulted in high rates of comorbidity among chronic pain, posttraumatic stress disorder (PTSD), and mild traumatic brain injury (mTBI) in Veterans of Operations Enduring Freedom and Iraqi Freedom (OEF/OIF). Although separate evidence-based psychological treatments have been developed for chronic pain and PTSD, far less is known about how to approach treatment when these conditions co-occur, and especially when they co-occur with mTBI. To provide the best care possible for OEF/OIF Veterans, clinicians need to have a clearer understanding of how to identify these conditions, ways in which these conditions may interact with one another, and ways in which existing evidence-based treatments can be modified to meet the needs of individuals with mTBI. The purpose of the present paper is to review the comorbidity of pain, PTSD, and mTBI in OEF/OIF Veterans, and provide recommendations to clinicians who provide care to Veterans with these conditions. First, we will begin with an overview of the presentation, symptomatology, and treatment of chronic pain and PTSD. The challenges associated with mTBI in OEF/OIF Veterans will be reported and data will be presented on the comorbidity among all three of these conditions in OEF/OIF Veterans. Second, we will present recommendations for providing psychological treatment for chronic pain and PTSD when comorbid with mTBI. Finally, the paper concludes with a discussion of the need for a multidisciplinary treatment approach, as well as a call for continued research to further refine existing treatments for these conditions. Springer Science+Business Media, LLC (outside the USA), 2011 Pain nationallicence Posttraumatic stress disorder nationallicence Traumatic brain injury nationallicence Polytrauma nationallicence Integrated intervention nationallicence Otis John Research Service, VA Boston Healthcare System, 150 South Huntington Avenue, 02130-4893, Boston, MA, USA aut McGlinchey Regina Department of Psychiatry, Harvard Medical School, Boston, MA, USA aut Vasterling Jennifer Psychology Service and National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA aut Kerns Robert VA Connecticut Healthcare System, West Haven, CT, USA aut Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/2(2011-06-01), 145-154 1068-9583 18:2<145 2011 18 10880 https://doi.org/10.1007/s10880-011-9239-2 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10880-011-9239-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Otis John Research Service, VA Boston Healthcare System, 150 South Huntington Avenue, 02130-4893, Boston, MA, USA aut NATIONALLICENCE 700 1- McGlinchey Regina Department of Psychiatry, Harvard Medical School, Boston, MA, USA aut NATIONALLICENCE 700 1- Vasterling Jennifer Psychology Service and National Center for PTSD, VA Boston Healthcare System, Boston, MA, USA aut NATIONALLICENCE 700 1- Kerns Robert VA Connecticut Healthcare System, West Haven, CT, USA aut NATIONALLICENCE 773 0- Journal of Clinical Psychology in Medical Settings Springer US; http://www.springer-ny.com 18/2(2011-06-01), 145-154 1068-9583 18:2<145 2011 18 10880 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer