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. 2013 Nov 5;6:765–770. doi: 10.2147/JPR.S52264

Table 1.

Compilation of previous models of interaction between traumatization and chronic pain

Model Central aspect of interaction Reference
Shared vulnerability model The evidence of heightened anxiety sensitivity in individuals affected by posttraumatic stress disorder as well as in individuals with chronic pain is assumed to be a common etiopathogenetic vulnerability factor 7
Mutual maintenance model Common features and symptoms (eg, depressive symptoms, sleep disorder) maintain both diagnoses mutually in the sufferer’s experience. 8
Perpetual avoidance model Typical avoidance behavior and catastrophizing thinking tend to perpetuate symptoms in both people with chronic pain disorders and posttraumatic stress disorder. 9
McLean et al’s model Common biological and endocrine features originate in the overlapping phenomenology of trauma-associated stress disorder and chronic pain symptoms. 10