{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,6]],"date-time":"2026-06-06T08:01:32Z","timestamp":1780732892152,"version":"3.54.1"},"reference-count":55,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,22]],"date-time":"2026-02-22T00:00:00Z","timestamp":1771718400000},"content-version":"vor","delay-in-days":21,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,1]],"date-time":"2026-02-01T00:00:00Z","timestamp":1769904000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Stress and Health"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    Chronic pain is prevalent among military veterans and commonly presents with perceived stress and alcohol use. Allostatic load models suggest moderate\u2010severe chronic pain may reflect a state of physiological dysregulation with heightened associations between pain and behavioural health symptoms. Yet little is known about daily associations between pain intensity, perceived stress, and alcohol use in veterans with and without moderate\u2010severe chronic pain. This study examined day\u2010to\u2010day associations between pain intensity, perceived stress, and alcohol use among veterans, and whether associations differ between those with moderate\u2010severe chronic pain and those with less severe pain. A sample of United States military veterans (\n                    <jats:italic>n<\/jats:italic>\n                    \u00a0=\u00a074) completed smartphone\u2010based daily diary surveys for up to 3\u00a0months, providing 4307\u00a0days of data. Multi\u2010group dynamic structural equation modelling examined within\u2010person, day\u2010to\u2010day associations between symptoms, among veterans with moderate\u2010severe chronic pain and those with less severe pain. Among veterans with moderate\u2010severe chronic pain, bidirectional positive day\u2010to\u2010day associations emerged between pain intensity and perceived stress (\n                    <jats:italic>b<\/jats:italic>\n                    \u00a0=\u00a00.06\u20130.13), and between perceived stress and alcohol use (\n                    <jats:italic>b<\/jats:italic>\n                    \u00a0=\u00a00.05\u20130.07). Pain intensity also predicted increased next\u2010day alcohol use (\n                    <jats:italic>b<\/jats:italic>\n                    \u00a0=\u00a00.04). Perceived stress appeared to act as a mechanism linking alcohol use to subsequent pain intensity (\n                    <jats:italic>b<\/jats:italic>\n                    \u00a0=\u00a00.01). For veterans with less severe pain, symptom associations differed markedly; higher perceived stress predicted lower next\u2010day pain intensity (\n                    <jats:italic>b<\/jats:italic>\n                    \u00a0=\u00a0\u22120.05). Among veterans with moderate\u2010severe chronic pain, day\u2010to\u2010day associations between pain intensity, perceived stress, and alcohol use appear more entangled. These veterans may experience heightened stress reactivity and poorer coping, requiring tailored interventions to monitor and address day\u2010to\u2010day symptom fluctuations.\n                  <\/jats:p>","DOI":"10.1002\/smi.70153","type":"journal-article","created":{"date-parts":[[2026,2,23]],"date-time":"2026-02-23T06:40:28Z","timestamp":1771828828000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Daily Associations Between Perceived Stress, Pain Intensity, and Alcohol Use Among Veterans With and Without Moderate\u2010to\u2010Severe Chronic Pain"],"prefix":"10.1002","volume":"42","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2711-1993","authenticated-orcid":false,"given":"Shaddy K.","family":"Saba","sequence":"first","affiliation":[{"name":"New York University Silver School of Social Work  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John J.","family":"Prindle","sequence":"additional","affiliation":[{"name":"University of Southern California Suzanne Dworak\u2010Peck School of Social Work  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aysha","family":"Allahverdiyeva","sequence":"additional","affiliation":[{"name":"New York University Silver School of Social Work  New York New York USA"},{"name":"New York University Center for Data Science  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9512-752X","authenticated-orcid":false,"given":"Daniel","family":"Leightley","sequence":"additional","affiliation":[{"name":"Department of Population Health Sciences King's College London School of Life Course and Population Sciences  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eric R.","family":"Pedersen","sequence":"additional","affiliation":[{"name":"University of Southern California Keck School of Medicine  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carl A.","family":"Castro","sequence":"additional","affiliation":[{"name":"University of Southern California Suzanne Dworak\u2010Peck School of Social Work  Los Angeles California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jordan P.","family":"Davis","sequence":"additional","affiliation":[{"name":"RAND  Santa Monica California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,22]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0036201"},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1080\/10705511.2017.1406803"},{"key":"e_1_2_11_4_1","unstructured":"Asparouhov T. andB.Muth\u00e9n.2010. \u201cMultiple Group Analysis Using Multivariate Format: A DSEM Example.\u201d"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/9781118993811.ch21"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.21061\/jvs.v8i1.291"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpain.2007.09.006"},{"key":"e_1_2_11_8_1","first-page":"167","volume-title":"Transactions of the American Clinical & Climatological Association","author":"Crofford L. 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