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dc.contributor.authorRuiz-Párraga, Gema Teresa 
dc.contributor.authorLópez-Martínez, Alicia Eva 
dc.contributor.authorEsteve-Zarazaga, Rosa 
dc.contributor.authorRamírez-Maestre, María del Carmen 
dc.contributor.authorSerrano-Ibáñez, Elena Rocío 
dc.date.accessioned2015-10-02T08:28:29Z
dc.date.available2015-10-02T08:28:29Z
dc.date.created2015
dc.date.issued2015-10-02
dc.identifier.urihttp://hdl.handle.net/10630/10406
dc.description.abstractThere are a significant comorbidity between PTSD and chronic pain. Thus, studies clarifying the vulnerability and protective variables and mechanisms associated with PTSD and chronic pain are needed. The aim of this study was to examine the association between trauma, resilience, PTSD symptoms, and the variables included in the fear-avoidance models (anxiety sensitivity, catastrophizing, fear-avoidance beliefs, fear of pain, pain hypervigilance) as well as pain acceptance and experiential avoidance in explaining adjustment to chronic pain (pain intensity, pain-related disability and emotional distress). Method: the sample consisted of 229 patients with chronic musculoskeletal back pain. Results: Structural Equation Modelling was used. Statistical tests indicated that the hypothesized model adequately fitted the data (RMSEA = .07; CFI = .99; NNFI = .98; TLI = .96). The χ2 test was significant (χ2 (8) = 19.25, χ2 /dl = 2.40, p = .014). The results provided support for the hypothesized model. All the standardized path coefficients were significant (p < .05). Conclusions: This study provides empirical support for the potential role of PTSD symptoms in fear-avoidance models of chronic pain, and may provide support for the diathesis-stress model of pain. It is the first comprehensive model of adjustment to pain to consider vulnerability and protective adaptation mechanisms in patients who have undergone a traumatic event. The study highlights the importance of a comprehensive framework of reference to understand the comorbidity of PTSD and chronic musculoskeletal pain, and the need to provide well-designed treatment programs for the simultaneous treatment of these conditions.es_ES
dc.description.sponsorshipUniversidad de Málaga. Campus de Excelencia Internacional Andalucía Tech.es_ES
dc.language.isoenges_ES
dc.rightsinfo:eu-repo/semantics/openAccesses_ES
dc.subjectDolor - Aspectos psicológicoses_ES
dc.subject.otherPTSDes_ES
dc.subject.otherResiliencees_ES
dc.subject.otherChronic Paines_ES
dc.titleA comprehensive model of adjustment to pain in the co-occurrence of PTSD and chronic musculoskeletal pain: vulnerability and protective pathwayses_ES
dc.typeinfo:eu-repo/semantics/conferenceObjectes_ES
dc.centroFacultad de Psicología y Logopediaes_ES
dc.relation.eventtitle9th Congress of the European Pain Federation Efices_ES
dc.relation.eventplaceVienaes_ES
dc.relation.eventdateSeptiembre 2015es_ES
dc.identifier.orcidhttp://orcid.org/0000-0003-4474-7432es_ES
dc.cclicenseby-nc-ndes_ES


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