{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T18:07:32Z","timestamp":1780596452473,"version":"3.54.1"},"reference-count":52,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:00:00Z","timestamp":1741132800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100021054","name":"Military Operational Medicine Research Program","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100021054","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Traumatic Stress"],"published-print":{"date-parts":[[2025,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This study explored the association between changes in pain and related health outcomes and posttraumatic stress disorder (PTSD) symptoms following cognitive processing therapy (CPT) in an active duty military sample. Based on the mutual maintenance model, we hypothesized that PTSD symptom reductions would be associated with improvements in pain and health symptoms following CPT. This secondary, intent\u2010to\u2010treat analysis included data from a parent trial of 127 active duty U.S. Army soldiers diagnosed with PTSD who were receiving variable\u2010length CPT. We used mixed\u2010effect regression models with repeated measures to examine whether treatment responders (i.e., individuals with a reduction of 11 points or more on the PCL\u20105) demonstrated improvements in pain and health outcomes posttreatment. Models included fixed effects of visit (baseline and 1\u2010month follow\u2010up), clinically significant PTSD improvement classification (present or absent), and the respective interaction. There were significant interactions on pain interference,\n                    <jats:italic>F<\/jats:italic>\n                    (1, 75.92)\u00a0=\u00a06.32,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.014; perceived life control,\n                    <jats:italic>F<\/jats:italic>\n                    (1, 95.59)\u00a0=\u00a05.17,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.025; affective distress,\n                    <jats:italic>F<\/jats:italic>\n                    (1, 83.15)\u00a0=\u00a09.77\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.002; mental health,\n                    <jats:italic>F<\/jats:italic>\n                    (1, 96.27)\u00a0=\u00a020.75,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0&lt;\u00a0.001; physical health,\n                    <jats:italic>F<\/jats:italic>\n                    (1, 84.97)\u00a0=\u00a03.98,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.049; and somatic symptoms,\n                    <jats:italic>F<\/jats:italic>\n                    (1, 80.64)\u00a0=\u00a06.08,\n                    <jats:italic>p<\/jats:italic>\n                    \u00a0=\u00a0.016. These interactions revealed that participants with clinically significant PTSD improvement following CPT also demonstrated certain better pain and health outcomes compared to nonresponders. Service members with pain and health issues in addition to PTSD who respond to CPT may also report improvements in these issues posttreatment, increasing the value of connecting them to treatment.\n                  <\/jats:p>","DOI":"10.1002\/jts.23143","type":"journal-article","created":{"date-parts":[[2025,3,11]],"date-time":"2025-03-11T13:10:03Z","timestamp":1741698603000},"page":"447-457","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Changes in pain and related health outcomes after cognitive processing therapy in an active duty military sample"],"prefix":"10.1002","volume":"38","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3272-3997","authenticated-orcid":false,"given":"Norah C.","family":"Hass","sequence":"first","affiliation":[{"name":"VA Boston Healthcare System  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3652-5787","authenticated-orcid":false,"given":"Jennifer Schuster","family":"Wachen","sequence":"additional","affiliation":[{"name":"National Center for PTSD VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8875-1906","authenticated-orcid":false,"given":"Casey L.","family":"Straud","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System  San Antonio Texas USA"},{"name":"Department of Psychology University of Texas at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9250-5185","authenticated-orcid":false,"given":"Erica","family":"Checko","sequence":"additional","affiliation":[{"name":"National Center for PTSD VA Boston Healthcare System  Boston Massachusetts USA"},{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9660-2652","authenticated-orcid":false,"given":"Donald D.","family":"McGeary","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"},{"name":"Research and Development Service South Texas Veterans Health Care System  San Antonio Texas USA"},{"name":"Department of Psychology University of Texas at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9506-9550","authenticated-orcid":false,"given":"Cindy A.","family":"McGeary","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8299-5851","authenticated-orcid":false,"given":"Jim","family":"Mintz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0479-8887","authenticated-orcid":false,"given":"Brett T.","family":"Litz","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Boston University Chobanian &amp; Avedisian School of Medicine  Boston Massachusetts USA"},{"name":"Massachusetts Veterans Epidemiological Research and Information Center VA Boston Healthcare System  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3327-5233","authenticated-orcid":false,"given":"Stacey","family":"Young\u2010McCaughan","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences University of Texas Health Science Center at San Antonio  San Antonio Texas USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6668-874X","authenticated-orcid":false,"given":"Jeffrey S.","family":"Yarvis","sequence":"additional","affiliation":[{"name":"Department of Behavioral Health Carl R. 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