RT Journal Article
T1 The contribution of posttraumatic stress symptoms to chronic pain adjustment.
A1 Ruiz-Párraga, Gema Teresa
A1 López-Martínez, Alicia Eva
K1 Estrés postraumático - Efectos fisiológicos
K1 Dolor crónico - Tratamiento
AB To examine whether there are differences between non-trauma-exposed, trauma-exposedwithout posttraumatic stress symptoms (PSS), and trauma-exposed with PSS chronic musculoskeletalpain patients in vulnerability, protective, and pain-adjustment variables; to test the interactive relationshipbetween PSS and the vulnerability and protective psychological variables across pain adjustment in thegroup of trauma-exposed-patients. Method: 714 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 theStressful Life Event Screening Questionnaire Revised, Davidson Trauma Scale, Anxiety SensitivityIndex, Acceptance and Action Questionnaire, Pain Catastrophizing Scale, Fear-Avoidance BeliefsQuestionnaire, Pain Anxiety Symptoms Scale, Pain Vigilance and Awareness Questionnaire, ResilienceScale, Chronic Pain Acceptance Questionnaire, Pain Numerical Rating Scale, Roland Morris DisabilityQuestionnaire, and Hospital Anxiety and Depression Scale. Results: Eight ANCOVAs showed that therewere statistically significant differences in vulnerability, protection, and pain adjustment variablesbetween the trauma-exposed with PSS patients and the other 2 groups. The moderated multiple regressionanalyses showed that PSS added a significantly incremental variance to pain intensity, emotional distress,and disability when interacting with vulnerability and protection variables. Conclusion: The currentstudy supports the models of posttraumatic stress and chronic pain, such as the mutual maintenance andthe shared vulnerability theories, providing an initial comprehensive framework for understanding thecomorbidity of both disorders.
PB American Psychological Association (APA)
YR 2014
FD 2014
LK https://hdl.handle.net/10630/41108
UL https://hdl.handle.net/10630/41108
LA eng
NO Ruiz-Párraga, G.T., López-Martínez, A.E. (2014). The contribution of posttraumatic stress symptoms to chronic pain adjustment. Health Psychology, 33, 958-967
NO https://openpolicyfinder.jisc.ac.uk/id/publication/3459
DS RIUMA. Repositorio Institucional de la Universidad de Málaga
RD 20 ene 2026