{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T14:56:01Z","timestamp":1787237761179,"version":"build-2736575974"},"reference-count":35,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2019,6,13]],"date-time":"2019-06-13T00:00:00Z","timestamp":1560384000000},"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":["Psychiatry Clin Neurosci"],"published-print":{"date-parts":[[2019,9]]},"abstract":"<jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>Cognitive behavioral therapy (CBT) is known to be effective for patients with persistent somatoform pain disorder (PSPD). Improvement of negative emotions in interpersonal stressful situations has been reported to reduce PSPD\u2010related clinical pain. However, these associations in CBT remain unclear. Therefore, we examined the relation between changes in negative emotions and clinical pain symptoms after CBT by using a multiple regression analysis that included pain catastrophizing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We analyzed negative emotional intensity scores in stressful situations of 38 patients with PSPD who had completed CBT treatment and all the daily worksheets. Negative emotional intensity scores were recorded in daily worksheets during 12 weekly CBT sessions. Scores for the Pain Catastrophizing Scale (PCS), Visual Analogue Scale (VAS) as clinical pain intensity, Beck Depression Inventory \u2013 Second Edition (BDI\u2010II), and State\u2013Trait Anxiety Inventory (STAI) were also obtained at pre\u2010 and post\u2010treatment. A multiple regression analysis was conducted using changes in VAS scores after CBT as the dependent variable, and changes in negative emotional intensity, PCS, BDI\u2010II, and STAI scores after CBT, age, and sex as independent variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Negative emotional intensity scores decreased after CBT. In a multiple regression analysis, the emotional changes resulting from CBT depicted a modest positive relation with changes in VAS scores (\u03b2 = 0.37;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05); however, there was no relation between changes in PCS scores after CBT and changes in VAS scores after CBT (\u03b2 = 0.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The results show that negative emotions play an important role in the treatment effects of CBT for PSPD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/pcn.12866","type":"journal-article","created":{"date-parts":[[2019,5,18]],"date-time":"2019-05-18T04:15:11Z","timestamp":1558152911000},"page":"560-565","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":18,"title":["Role of coping with negative emotions in cognitive behavioral therapy for persistent somatoform pain disorder: Is it more important than pain catastrophizing?"],"prefix":"10.1111","volume":"73","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9081-0896","authenticated-orcid":false,"given":"Atsuo","family":"Yoshino","sequence":"first","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasumasa","family":"Okamoto","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ran","family":"Jinnin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Koki","family":"Takagaki","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Asako","family":"Mori","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shigeto","family":"Yamawaki","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurosciences, Division of Frontier Graduate School of Biomedical Sciences Hiroshima University  Hiroshima Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,6,13]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.145.11.1358"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.112.121830"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.12330"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291717002598"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1159\/000065990"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1037\/1040-3590.7.4.524"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0304-3959(99)00242-0"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.1080\/16506073.2013.769621"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-12033-1_2"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.nicl.2013.06.001"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1097\/PSY.0b013e3181d35e83"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/00002508-200201000-00009"},{"key":"e_1_2_8_14_1","volume-title":"Structured Clinical Interview for DSM\u2010IV Axis I Disorders (SCID\u2010I), Clinician Version, Administration Booklet","author":"First MB","year":"2012"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0304-3959(83)90126-4"},{"key":"e_1_2_8_16_1","first-page":"1022","article-title":"Reliability of pain scales in the assessment of literate and illiterate patients with rheumatoid arthritis","volume":"17","author":"Ferraz MB","year":"1990","journal-title":"J. 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