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The Contribution of Posttraumatic Stress Symptoms to Chronic Pain Adjustment
Objectives: To examine whether there are differences between non-trauma-exposed, trauma-exposed without posttraumatic stress symptoms (PSS), and trauma-exposed with PSS chronic musculoskeletal pain patients in vulnerability, protective, and pain-adjustment variables; to test the interactive relation...
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Published in: | Health psychology 2014-09, Vol.33 (9), p.958-967 |
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description | Objectives: To examine whether there are differences between non-trauma-exposed, trauma-exposed without posttraumatic stress symptoms (PSS), and trauma-exposed with PSS chronic musculoskeletal pain patients in vulnerability, protective, and pain-adjustment variables; to test the interactive relationship between PSS and the vulnerability and protective psychological variables across pain adjustment in the group of trauma-exposed-patients. Method: Seven hundred and fourteen patients with chronic musculoskeletal pain were assessed. Of these, 346 patients (244 women and 102 men) completed the study (117 non-trauma-exposed, 119 trauma-exposed without PSS, and 110 trauma-exposed with PSS). The instruments used were the Stressful Life Event Screening Questionnaire Revised, Davidson Trauma Scale, Anxiety Sensitivity Index, Acceptance and Action Questionnaire, Pain Catastrophizing Scale, Fear-Avoidance Beliefs Questionnaire, Pain Anxiety Symptoms Scale, Pain Vigilance and Awareness Questionnaire, Resilience Scale, Chronic Pain Acceptance Questionnaire, Pain Numerical Rating Scale, Roland Morris Disability Questionnaire, and Hospital Anxiety and Depression Scale. Results: Eight ANCOVAs showed that there were statistically significant differences in vulnerability, protection, and pain adjustment variables between the trauma-exposed with PSS patients and the other 2 groups. The moderated multiple regression analyses showed that PSS added a significantly incremental variance to pain intensity, emotional distress, and disability when interacting with vulnerability and protection variables. Conclusion: The current study supports the models of posttraumatic stress and chronic pain, such as the mutual maintenance and the shared vulnerability theories, providing an initial comprehensive framework for understanding the comorbidity of both disorders. |
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Method: Seven hundred and fourteen patients with chronic musculoskeletal pain were assessed. Of these, 346 patients (244 women and 102 men) completed the study (117 non-trauma-exposed, 119 trauma-exposed without PSS, and 110 trauma-exposed with PSS). The instruments used were the Stressful Life Event Screening Questionnaire Revised, Davidson Trauma Scale, Anxiety Sensitivity Index, Acceptance and Action Questionnaire, Pain Catastrophizing Scale, Fear-Avoidance Beliefs Questionnaire, Pain Anxiety Symptoms Scale, Pain Vigilance and Awareness Questionnaire, Resilience Scale, Chronic Pain Acceptance Questionnaire, Pain Numerical Rating Scale, Roland Morris Disability Questionnaire, and Hospital Anxiety and Depression Scale. Results: Eight ANCOVAs showed that there were statistically significant differences in vulnerability, protection, and pain adjustment variables between the trauma-exposed with PSS patients and the other 2 groups. The moderated multiple regression analyses showed that PSS added a significantly incremental variance to pain intensity, emotional distress, and disability when interacting with vulnerability and protection variables. Conclusion: The current study supports the models of posttraumatic stress and chronic pain, such as the mutual maintenance and the shared vulnerability theories, providing an initial comprehensive framework for understanding the comorbidity of both disorders.</description><identifier>ISSN: 0278-6133</identifier><identifier>EISSN: 1930-7810</identifier><identifier>DOI: 10.1037/hea0000040</identifier><identifier>PMID: 24364372</identifier><language>eng</language><publisher>Washington, DC: American Psychological Association</publisher><subject>Adaptation, Psychological ; Adjustment ; Adult and adolescent clinical studies ; Analysis of Variance ; Anxiety - diagnosis ; Anxiety - psychology ; Anxiety disorders. Neuroses ; Back Pain - etiology ; Back Pain - psychology ; Biological and medical sciences ; Catastrophization ; Chronic Pain ; Chronic Pain - etiology ; Chronic Pain - psychology ; Fear - psychology ; Female ; Human ; Humans ; Male ; Medical sciences ; Musculoskeletal Disorders ; Post-traumatic stress disorder ; Posttraumatic Stress Disorder ; Psychiatric Status Rating Scales ; Psychodynamics ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Regression Analysis ; Spain ; Stress Disorders, Post-Traumatic - complications ; Stress Disorders, Post-Traumatic - psychology ; Surveys and Questionnaires ; Symptoms ; Trauma</subject><ispartof>Health psychology, 2014-09, Vol.33 (9), p.958-967</ispartof><rights>2013 American Psychological Association</rights><rights>2015 INIST-CNRS</rights><rights>(PsycINFO Database Record (c) 2014 APA, all rights reserved).</rights><rights>2013, American Psychological Association</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a484t-8f09840ae4872e2906a3492f5d1d9651203c08a943a330d7291bae82ad2fbf023</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=28772510$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24364372$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><contributor>Kazak, Anne E</contributor><creatorcontrib>Ruiz-Párraga, Gema T.</creatorcontrib><creatorcontrib>López-Martínez, Alicia E.</creatorcontrib><title>The Contribution of Posttraumatic Stress Symptoms to Chronic Pain Adjustment</title><title>Health psychology</title><addtitle>Health Psychol</addtitle><description>Objectives: To examine whether there are differences between non-trauma-exposed, trauma-exposed without posttraumatic stress symptoms (PSS), and trauma-exposed with PSS chronic musculoskeletal pain patients in vulnerability, protective, and pain-adjustment variables; to test the interactive relationship between PSS and the vulnerability and protective psychological variables across pain adjustment in the group of trauma-exposed-patients. Method: Seven hundred and fourteen patients with chronic musculoskeletal pain were assessed. Of these, 346 patients (244 women and 102 men) completed the study (117 non-trauma-exposed, 119 trauma-exposed without PSS, and 110 trauma-exposed with PSS). The instruments used were the Stressful Life Event Screening Questionnaire Revised, Davidson Trauma Scale, Anxiety Sensitivity Index, Acceptance and Action Questionnaire, Pain Catastrophizing Scale, Fear-Avoidance Beliefs Questionnaire, Pain Anxiety Symptoms Scale, Pain Vigilance and Awareness Questionnaire, Resilience Scale, Chronic Pain Acceptance Questionnaire, Pain Numerical Rating Scale, Roland Morris Disability Questionnaire, and Hospital Anxiety and Depression Scale. Results: Eight ANCOVAs showed that there were statistically significant differences in vulnerability, protection, and pain adjustment variables between the trauma-exposed with PSS patients and the other 2 groups. The moderated multiple regression analyses showed that PSS added a significantly incremental variance to pain intensity, emotional distress, and disability when interacting with vulnerability and protection variables. Conclusion: The current study supports the models of posttraumatic stress and chronic pain, such as the mutual maintenance and the shared vulnerability theories, providing an initial comprehensive framework for understanding the comorbidity of both disorders.</description><subject>Adaptation, Psychological</subject><subject>Adjustment</subject><subject>Adult and adolescent clinical studies</subject><subject>Analysis of Variance</subject><subject>Anxiety - diagnosis</subject><subject>Anxiety - psychology</subject><subject>Anxiety disorders. Neuroses</subject><subject>Back Pain - etiology</subject><subject>Back Pain - psychology</subject><subject>Biological and medical sciences</subject><subject>Catastrophization</subject><subject>Chronic Pain</subject><subject>Chronic Pain - etiology</subject><subject>Chronic Pain - psychology</subject><subject>Fear - psychology</subject><subject>Female</subject><subject>Human</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Musculoskeletal Disorders</subject><subject>Post-traumatic stress disorder</subject><subject>Posttraumatic Stress Disorder</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychodynamics</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Regression Analysis</subject><subject>Spain</subject><subject>Stress Disorders, Post-Traumatic - complications</subject><subject>Stress Disorders, Post-Traumatic - psychology</subject><subject>Surveys and Questionnaires</subject><subject>Symptoms</subject><subject>Trauma</subject><issn>0278-6133</issn><issn>1930-7810</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNpd0E1r3DAQBmBRWppN2kt_QDGUQmhxOvqwJR3DkrSFhQSSnsWsLbNebMvVyIf999Wy2waqyxz08M7wMvaBww0Hqb_tPMLxKXjFVtxKKLXh8JqtQGhT1lzKC3ZJtM9E2Kp6yy6EkrWSWqzY5nnni3WYUuy3S-rDVISueAyUUsRlxNQ3xVOKnqh4OoxzCiMVKRTrXQxT_nrEfipu2_1CafRTesfedDiQf3-eV-zX_d3z-ke5efj-c327KVEZlUrTgTUK0CujhRcWapTKiq5qeWvriguQDRi0SqKU0Gph-Ra9EdiKbtuBkFfs-pQ7x_B78ZTc2FPjhwEnHxZyvKoBrLY1ZPrpP7oPS5zydY7nnRXkG-qsvpxUEwNR9J2bYz9iPDgO7tixe-k444_nyGU7-vYf_VtqBp_PAKnBoYs4NT29OKO1qPgx6OvJ4YxupkODMfc9eGqWGHOdx6VOSmedrYz8AwqMkWY</recordid><startdate>20140901</startdate><enddate>20140901</enddate><creator>Ruiz-Párraga, Gema T.</creator><creator>López-Martínez, Alicia E.</creator><general>American Psychological Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7RZ</scope><scope>PSYQQ</scope><scope>7X8</scope></search><sort><creationdate>20140901</creationdate><title>The Contribution of Posttraumatic Stress Symptoms to Chronic Pain Adjustment</title><author>Ruiz-Párraga, Gema T. ; López-Martínez, Alicia E.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a484t-8f09840ae4872e2906a3492f5d1d9651203c08a943a330d7291bae82ad2fbf023</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Adaptation, Psychological</topic><topic>Adjustment</topic><topic>Adult and adolescent clinical studies</topic><topic>Analysis of Variance</topic><topic>Anxiety - diagnosis</topic><topic>Anxiety - psychology</topic><topic>Anxiety disorders. Neuroses</topic><topic>Back Pain - etiology</topic><topic>Back Pain - psychology</topic><topic>Biological and medical sciences</topic><topic>Catastrophization</topic><topic>Chronic Pain</topic><topic>Chronic Pain - etiology</topic><topic>Chronic Pain - psychology</topic><topic>Fear - psychology</topic><topic>Female</topic><topic>Human</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Musculoskeletal Disorders</topic><topic>Post-traumatic stress disorder</topic><topic>Posttraumatic Stress Disorder</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychodynamics</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Regression Analysis</topic><topic>Spain</topic><topic>Stress Disorders, Post-Traumatic - complications</topic><topic>Stress Disorders, Post-Traumatic - psychology</topic><topic>Surveys and Questionnaires</topic><topic>Symptoms</topic><topic>Trauma</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ruiz-Párraga, Gema T.</creatorcontrib><creatorcontrib>López-Martínez, Alicia E.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Access via APA PsycArticles® (ProQuest)</collection><collection>ProQuest One Psychology</collection><collection>MEDLINE - Academic</collection><jtitle>Health psychology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ruiz-Párraga, Gema T.</au><au>López-Martínez, Alicia E.</au><au>Kazak, Anne E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The Contribution of Posttraumatic Stress Symptoms to Chronic Pain Adjustment</atitle><jtitle>Health psychology</jtitle><addtitle>Health Psychol</addtitle><date>2014-09-01</date><risdate>2014</risdate><volume>33</volume><issue>9</issue><spage>958</spage><epage>967</epage><pages>958-967</pages><issn>0278-6133</issn><eissn>1930-7810</eissn><abstract>Objectives: To examine whether there are differences between non-trauma-exposed, trauma-exposed without posttraumatic stress symptoms (PSS), and trauma-exposed with PSS chronic musculoskeletal pain patients in vulnerability, protective, and pain-adjustment variables; to test the interactive relationship between PSS and the vulnerability and protective psychological variables across pain adjustment in the group of trauma-exposed-patients. Method: Seven hundred and fourteen patients with chronic musculoskeletal pain were assessed. Of these, 346 patients (244 women and 102 men) completed the study (117 non-trauma-exposed, 119 trauma-exposed without PSS, and 110 trauma-exposed with PSS). The instruments used were the Stressful Life Event Screening Questionnaire Revised, Davidson Trauma Scale, Anxiety Sensitivity Index, Acceptance and Action Questionnaire, Pain Catastrophizing Scale, Fear-Avoidance Beliefs Questionnaire, Pain Anxiety Symptoms Scale, Pain Vigilance and Awareness Questionnaire, Resilience Scale, Chronic Pain Acceptance Questionnaire, Pain Numerical Rating Scale, Roland Morris Disability Questionnaire, and Hospital Anxiety and Depression Scale. Results: Eight ANCOVAs showed that there were statistically significant differences in vulnerability, protection, and pain adjustment variables between the trauma-exposed with PSS patients and the other 2 groups. The moderated multiple regression analyses showed that PSS added a significantly incremental variance to pain intensity, emotional distress, and disability when interacting with vulnerability and protection variables. Conclusion: The current study supports the models of posttraumatic stress and chronic pain, such as the mutual maintenance and the shared vulnerability theories, providing an initial comprehensive framework for understanding the comorbidity of both disorders.</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>24364372</pmid><doi>10.1037/hea0000040</doi><tpages>10</tpages></addata></record> |
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subjects | Adaptation, Psychological Adjustment Adult and adolescent clinical studies Analysis of Variance Anxiety - diagnosis Anxiety - psychology Anxiety disorders. Neuroses Back Pain - etiology Back Pain - psychology Biological and medical sciences Catastrophization Chronic Pain Chronic Pain - etiology Chronic Pain - psychology Fear - psychology Female Human Humans Male Medical sciences Musculoskeletal Disorders Post-traumatic stress disorder Posttraumatic Stress Disorder Psychiatric Status Rating Scales Psychodynamics Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Regression Analysis Spain Stress Disorders, Post-Traumatic - complications Stress Disorders, Post-Traumatic - psychology Surveys and Questionnaires Symptoms Trauma |
title | The Contribution of Posttraumatic Stress Symptoms to Chronic Pain Adjustment |
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