Emotional Awareness and Expression Therapy for People With Persistent Pain Following Orthopedic Trauma

Eligibility Criteria

• * One or more acute orthopedic injuries
• * The patient sustained an orthopedic injury including, but not limited to:
• * Pelvic or acetabulum fracture
• * Open/displaced comminuted fracture of long bones
• * Upper extremity injuries with a major nerve involvement
• * Injuries with significant injuries to major blood vessels
• * Traumatic amputation of big toe, thumb, or proximal to the wrist or ankle.
• * Initial admission to the trauma or orthopedic center/service of the participating hospital OR all necessary screening and patient characteristic data available in medical record (determination based on information available at time of enrollment)
• * 18 years old or older
• * Received operative fixation for at least one acute orthopaedic injury at a participating hospital. Patients should be recruited at the time of primary injury, not revision or complication surgery
• * Average Brief Pain Inventory Score \> 3/10
• * Presence of pain most days (\> 3 days/week) for past three months
• * peri-prosthetic fractures of the femur (regardless of etiology)
• * non-ambulatory due to an associated spinal cord injury
• * non-ambulatory pre-injury
• * currently pregnant
• * moderate or severe traumatic brain injury (TBI), as evidenced by intracranial hemorrhage present on admission CT
• * major amputation(s) of the upper or lower extremities
• * non-English speaking
• * Likely to have severe problems with maintaining follow-up for any of the following reasons:
• * The patient has been diagnosed with a severe psychiatric conditions
• * The patient has current alcohol and/or drug addiction based on medical record or patient self-report.
• * The patient is intellectually challenged without adequate family support
• * The patient lives outside the hospital's catchment area
• * The patient follow-up is planned at another medical center
• * The patient is a prisoner
• * The patient is homeless
• * Other