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Gepubliceerd in: Cognitive Therapy and Research 1/2022

20-05-2021 | Original Article

Posttraumatic Stress Disorder and Pain in Veterans: Indirect Association Through Anxiety Sensitivity

Auteurs: Amanda M. Raines, Sunni J. Primeaux, Chelsea R. Ennis, Jessica L. Walton, Karen D. Slaton, Joseph O. Vigil, Nicholas P. Allan, Daniel J. Paulus, Michael J. Zvolensky, Norman B. Schmidt, C. Laurel Franklin

Gepubliceerd in: Cognitive Therapy and Research | Uitgave 1/2022

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Abstract

Background

Despite high rates of comorbidity between pain and posttraumatic stress disorder (PTSD), little is known about factors that may account for this association. Previous research demonstrates that anxiety sensitivity (AS), the tendency to fear bodily sensations associated with anxious arousal, is elevated among patients with these conditions. However, no research to date has examined whether AS explains the association between pain and PTSD symptom severity.

Methods

The current sample included 115 veterans with a trauma- and stressor-related disorder (i.e., PTSD or subthreshold PTSD) presenting for psychological services to an outpatient PTSD clinic at a Veterans Affairs hospital.

Results

Findings revealed a significant association between self-reported pain and PTSD symptom severity that was indirect via AS and in particular, AS cognitive concerns.

Conclusions

These findings, though limited by their cross-sectional nature, provide support for AS as a risk factor for perceived pain and PTSD symptoms, particularly among veteran samples.
Voetnoten
1
Given the high rates of comorbidity between depression and pain (Bair et al., 2003) as well as depression and PTSD (Rytwinski et al., 2013), both models were re-run using depression diagnosis as a covariate. The inclusion of this variable did not change the direction or statistical significance of findings.
 
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Metagegevens
Titel
Posttraumatic Stress Disorder and Pain in Veterans: Indirect Association Through Anxiety Sensitivity
Auteurs
Amanda M. Raines
Sunni J. Primeaux
Chelsea R. Ennis
Jessica L. Walton
Karen D. Slaton
Joseph O. Vigil
Nicholas P. Allan
Daniel J. Paulus
Michael J. Zvolensky
Norman B. Schmidt
C. Laurel Franklin
Publicatiedatum
20-05-2021
Uitgeverij
Springer US
Gepubliceerd in
Cognitive Therapy and Research / Uitgave 1/2022
Print ISSN: 0147-5916
Elektronisch ISSN: 1573-2819
DOI
https://doi.org/10.1007/s10608-021-10230-8

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