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The presence of trauma\u2010related negative affective states may account for these discrepancies. The current study aimed to evaluate the effect of PTSD and trauma\u2010related negative affect on sensory, affective, physiological, and neuroendocrine responses to an experimental pain task. Trauma\u2010exposed adult women (<jats:italic>N<\/jats:italic>= 87) with or without probable PTSD underwent an emotional disclosure paradigm during which they wrote about a traumatic event or a neutral topic. Participants then completed a pain induction procedure. Sensory and affective reports of pain, as well as physiological and neuroendocrine reactivity, were assessed. Compared to women without PTSD, those with PTSD demonstrated decreased sensory pain responses, \u03b7<jats:sub>p<\/jats:sub>\u00b2 = .11, including increased time to pain detection (i.e., threshold) and ability to withstand the pain stimuli (i.e., tolerance) after accounting for relevant covariates. Women with PTSD also demonstrated increased cortisol reactivity following the pain stimulus, \u03b7<jats:sub>p<\/jats:sub>\u00b2 = .06. The main and interactive effects of PTSD group and writing condition did not significantly predict alterations in affective reports of pain or heart rate reactivity. The results suggest that PTSD symptoms may contribute to alterations in pain sensitivity in trauma\u2010exposed women, but this association is complex and requires further exploration.<\/jats:p>","DOI":"10.1002\/jts.22571","type":"journal-article","created":{"date-parts":[[2020,8,13]],"date-time":"2020-08-13T21:08:12Z","timestamp":1597352892000},"page":"1071-1081","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["The Effects of Posttraumatic Stress and Trauma\u2010Focused Disclosure on Experimental Pain Sensitivity Among Trauma\u2010Exposed Women"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4147-5366","authenticated-orcid":false,"given":"Caitlyn O.","family":"Hood","sequence":"first","affiliation":[{"name":"Department of Psychology University of Kentucky Lexington Kentucky 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