2026-06-02T08:14:45Zhttps://riuma.uma.es/rest/oai/requestoai:riuma.uma.es:10630/411082026-02-03T11:31:10Zcom_10630_2254col_10630_37953
RIUMA. Repositorio Institucional de la Universidad de Málaga
author
Ruiz-Párraga, Gema Teresa
author
López-Martínez, Alicia Eva
2025-12-15T10:41:53Z
2025-12-15T10:41:53Z
2014
Ruiz-Párraga, G.T., López-Martínez, A.E. (2014). The contribution of posttraumatic stress symptoms to chronic pain adjustment. Health Psychology, 33, 958-967
https://hdl.handle.net/10630/41108
10.1037/hea0000040
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: 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 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.
eng
Attribution-NonCommercial-NoDerivatives 4.0 Internacional
Estrés postraumático - Efectos fisiológicos
Dolor crónico - Tratamiento
The contribution of posttraumatic stress symptoms to chronic pain adjustment.
journal article
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application/pdf
HEA-2013-1148[1] (1).pdf