{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,30]],"date-time":"2025-12-30T23:37:48Z","timestamp":1767137868663,"version":"build-2238731810"},"reference-count":34,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2019,3,26]],"date-time":"2019-03-26T00:00:00Z","timestamp":1553558400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Among veterans with posttraumatic stress disorder (PTSD), alcohol use disorders (AUDs) are highly prevalent. Furthermore, PTSD frequently co\u2010occurs with chronic pain (CP), and CP is associated with an increased risk of AUD. Pain\u2010related beliefs and appraisals are significantly associated with poorer pain\u2010related functional status, yet few studies have examined negative trauma\u2010related cognitions and their impact on pain\u2010related functional disability in veterans with co\u2010occurring PTSD and AUD. Accordingly, we examined the association between negative trauma\u2010related cognitions and pain severity and pain disability in 137 veterans seeking treatment for PTSD and AUD. Using hierarchical multiple linear regression, we found that higher levels of negative trauma\u2010related cognitions (e.g., \u201cI am completely incompetent\u201d) were associated with a higher level of pain severity, after controlling for PTSD symptom severity and frequency of alcohol use, total\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = .07, \u0394\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = .06. Additionally, as hypothesized, we found that higher levels of negative trauma\u2010related cognitions were associated with higher levels of pain disability, after controlling for PTSD symptom severity, frequency of alcohol use, and pain severity, total\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = .46, \u0394\n                    <jats:italic>R<\/jats:italic>\n                    <jats:sup>2<\/jats:sup>\n                    = .03. Given that negative trauma\u2010related cognitions contributed to pain severity and pain disability, even when controlling for PTSD severity and frequency of alcohol use, future studies should explore the potential impact of interventions that address negative trauma\u2010related cognitions (e.g., prolonged exposure or cognitive processing therapy) on pain severity and disability.\n                  <\/jats:p>","DOI":"10.1002\/jts.22394","type":"journal-article","created":{"date-parts":[[2019,3,26]],"date-time":"2019-03-26T19:44:44Z","timestamp":1553629484000},"page":"317-322","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["The Association Between Negative Trauma\u2010Related Cognitions and Pain\u2010Related Functional Status Among Veterans With Posttraumatic Stress Disorder and Alcohol Use Disorder"],"prefix":"10.1002","volume":"32","author":[{"given":"Inga","family":"Curry","sequence":"first","affiliation":[{"name":"VA San Diego Healthcare System  La Jolla California USA"},{"name":"Department of Psychiatry University of California, San Diego  \u00a0San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne L.","family":"Malaktaris","sequence":"additional","affiliation":[{"name":"VA San Diego Healthcare System  La Jolla California USA"},{"name":"Department of Psychiatry University of California, San Diego  \u00a0San Diego California USA"},{"name":"Center of Excellence for Stress and Mental Health\/VA San Diego Healthcare System  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Robert","family":"Lyons","sequence":"additional","affiliation":[{"name":"San Diego State University\/University of California San Diego Joint Doctoral Program in Clinical Psychology  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthew S.","family":"Herbert","sequence":"additional","affiliation":[{"name":"VA San Diego Healthcare System  La Jolla California USA"},{"name":"Department of Psychiatry University of California, San Diego  \u00a0San Diego California USA"},{"name":"Center of Excellence for Stress and Mental Health\/VA San Diego Healthcare System  San Diego California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sonya B.","family":"Norman","sequence":"additional","affiliation":[{"name":"VA San Diego Healthcare System  La Jolla California USA"},{"name":"Department of Psychiatry University of California, San Diego  \u00a0San Diego California USA"},{"name":"Center of Excellence for Stress and Mental Health\/VA San Diego Healthcare System  San Diego California USA"},{"name":"San Diego State University\/University of California San Diego Joint Doctoral Program in Clinical Psychology  San Diego California USA"},{"name":"National Center for PTSD White River Junction  Vermont USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2019,3,26]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejpain.2011.06.010"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.brs.0000142221.88111.0f"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/0893-164X.11.1.26"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2006.04.020"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2007.01.022"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.PSY.0000024232.11538.54"},{"key":"e_1_2_5_8_1","volume-title":"Structured Clinical Interview for DSM\u2010IV\u2010TR Axis I Disorders, research version, patient edition (SCID\u2010I\/P)","author":"First M. 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(2017).VA\/DOD clinical practice guideline for the management of posttraumatic stress disorder and acute stress disorder. Retrieved fromhttps:\/\/www.healthquality.va.gov\/guidelines\/MH\/ptsd\/VADoDPTSDCPGFinal012418.pdf"},{"key":"e_1_2_5_31_1","doi-asserted-by":"publisher","DOI":"10.1037\/0278-6133.27.2(Suppl.).S136"},{"key":"e_1_2_5_32_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199206000-00002"},{"key":"e_1_2_5_33_1","unstructured":"Weathers F. W. Blake D. D. Schnurr P. P. Kaloupek D. G. Marx B. P. &Keane T. M.(2013).The Clinician\u2010Administered PTSD Scale forDSM\u20105(CAPS\u20105). 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