RT Journal Article T1 The Behavioral Inhibition System, Behavioral Activation System, and Experiential Avoidance as Explanatory Variables of Comorbid Chronic Pain and Posttraumatic Stress Symptoms. A1 Serrano-Ibáñez, Elena Rocío A1 Ramírez-Maestre, María del Carmen A1 Esteve-Zarazaga, Rosa A1 López-Martínez, Alicia Eva K1 Dolor crónico - Aspectos psicológicos K1 Conducta K1 Evitación (Psicología) AB Background: The variables that underlie comorbid chronic pain and posttraumatic stress symptoms (PTSS) are not yet clearly established.Objective: The aim of the present study was to analyse the role of the behavioural inhibition system (BIS), behavioural approach system (BAS) and experiential avoidance (EA) in pain adjustment (i.e. pain intensity, daily functioning and pain-related impairment) in patients with chronic pain and PTSS.Methods: A battery of instruments was administered to 388 chronic pain patients. The sample was divided into those with PTSS (n = 194) and those without PTSS (n =194).Results: Significant differences were found between groups in the BIS, EA, impairment and daily functioning. No differences were found between groups in the BAS. Structural equation modelling showed that the BIS and EA were associated with worse adjustment in the 194 patients with both chronic pain and PTSS. The BAS was associated with a lower level of pain and greater daily functioning.Conclusion: The findings provide evidence that BIS and BAS activation and EA play a role in adjustment to chronic pain in patients with concurrent PTSS. These results may help guide the development of psychological treatments for patients with both conditions PB Taylor & Francis YR 2019 FD 2019-03-11 LK https://hdl.handle.net/10630/36814 UL https://hdl.handle.net/10630/36814 LA eng NO Serrano-Ibáñez, E.R., Ramírez-Maestre, C., Esteve, R. y López-Martínez, A.E. (2019). The Behavioral Inhibition System, Behavioral Activation System, and Experiential Avoidance as Explanatory Variables of Comorbid Chronic Pain and Posttraumatic Stress Symptoms. European Journal of Psychotraumatology, 10(1), 1-13 https://doi.org/10.1080/20008198.2019.1581013 NO https://openpolicyfinder.jisc.ac.uk/id/publication/18644 NO This work was supported by the Ministerio de Economía y Competitividad [PSI2013-42512-P]; Elena R. Serrano- Ibáñez received a grant from Ministerio de Educación, Cultura y Deporte [FPU13/04928]. DS RIUMA. Repositorio Institucional de la Universidad de Málaga RD 4 mar 2026