Publications by authors named "Dhaneesha Senaratne"

Introduction: Exposure to adverse childhood experiences (ACEs) is associated with a range of poor long-term health outcomes, including multimorbidity and chronic pain. Epidemiological evidence underpins much of this relationship; however, psychophysical testing methods, such as quantitative sensory testing (QST), may provide valuable insights into potential mechanisms. Previous studies have shown inconsistent links between ACEs and QST, but the QST profiles of people with multimorbidity have not been reported.

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Background: There is well-established evidence linking adverse childhood experiences (ACEs) and chronic pain in adulthood. It is less clear how ACE exposure might influence the response to chronic pain treatment. In this systematic review, we synthesise the literature assessing the impact of ACE exposure on outcomes relating to the use, benefits, and harms of analgesic medications (analgesia-related outcomes).

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Background: Adverse childhood experiences (ACEs) have been implicated in the aetiology of a range of health outcomes, including multimorbidity. In this systematic review and meta-analysis, we aimed to identify, synthesise, and quantify the current evidence linking ACEs and multimorbidity.

Methods: We searched seven databases from inception to 20 July 2023: APA PsycNET, CINAHL Plus, Cochrane CENTRAL, Embase, MEDLINE, Scopus, and Web of Science.

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Article Synopsis
  • The review investigates the links between adverse childhood experiences (ACEs) and chronic pain in adulthood, highlighting that both issues significantly impact healthcare systems.
  • A systematic review analyzed 68 studies involving over 196,000 participants, revealing consistent associations and a 'dose'-dependent relationship between ACEs and chronic pain, with mental health acting as a mediator.
  • The findings emphasize the need for considering ACEs in patient assessments and suggest that early interventions could reduce the risk of developing chronic pain later in life.
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