{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,2]],"date-time":"2026-10-02T02:44:13Z","timestamp":1790909053127,"version":"4.1.0"},"reference-count":0,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2000,1,1]],"date-time":"2000-01-01T00:00:00Z","timestamp":946684800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pain Research and Management"],"published-print":{"date-parts":[[2011,1]]},"abstract":"<jats:p>BACKGROUND: The present article addresses two related developments in the psychology of pain, and integrates them into a coherent framework to better understand the relationship between pain and trauma. The first is an emerging conceptualization regarding the nature of the hierarchical organization of major pain\u2010related anxiety constructs. The second is the theoretical rationale and empirical evidence linking pain and symptoms of post\u2010traumatic stress disorder.<\/jats:p><jats:p>OBJECTIVES: To explore the underlying hierarchical factor structure of commonly used pain\u2010related anxiety measures including the Pain Anxiety Symptoms Scale (PASS\u201020), the Pain Catastrophizing Scale (PCS), and the Anxiety Sensitivity Index (ASI); and to relate this structure to post\u2010traumatic stress disorder in patients scheduled for major surgery.<\/jats:p><jats:p>METHODS: Measures were completed by 444 patients scheduled to undergo major surgery. Exploratory factor analysis and subsequent higher\u2010order analysis using the Schmid\u2010Leiman transformation were conducted to investigate the underlying factor structure of the ASI, the PCS and the PASS\u201020.<\/jats:p><jats:p>RESULTS: Twenty items from the ASI, the PASS\u201020 and the PCS loaded exclusively on one higher\u2010order factor. The authors suggest the term \u2018sensitivity to pain traumatization\u2019 (SPT) for the underlying construct based in part on the strong, significant positive correlation between SPT scores and scores on the Post\u2010traumatic Stress Disorder Checklist \u2013 Civilian Version. Finally, the total SPT score was significantly higher for patients with a history of pain than for those without a history of pain, both before surgery and one year after surgery. SPT describes the propensity to develop anxiety\u2010related somatic, cognitive, emotional and behavioural responses to pain that resemble features of a traumatic stress reaction. Together, the results of the present study provide preliminary evidence for the construct validity of SPT.<\/jats:p>","DOI":"10.1155\/2011\/932590","type":"journal-article","created":{"date-parts":[[2016,3,15]],"date-time":"2016-03-15T08:08:20Z","timestamp":1458029300000},"page":"169-177","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":65,"title":["Sensitivity to Pain Traumatization: A Higher\u2010Order Factor Underlying Pain\u2010Related Anxiety, Pain Catastrophizing and Anxiety Sensitivity among Patients Scheduled for Major Surgery"],"prefix":"10.1155","volume":"16","author":[{"given":"Valery","family":"Kleiman","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hance","family":"Clarke","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joel","family":"Katz","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2011,1]]},"container-title":["Pain Research and Management"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/prm\/2011\/932590.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/2011\/932590","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,8]],"date-time":"2024-08-08T11:36:15Z","timestamp":1723116975000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/2011\/932590"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,1]]},"references-count":0,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2011,1]]}},"alternative-id":["10.1155\/2011\/932590"],"URL":"https:\/\/doi.org\/10.1155\/2011\/932590","archive":["Portico"],"relation":{},"ISSN":["1203-6765","1918-1523"],"issn-type":[{"value":"1203-6765","type":"print"},{"value":"1918-1523","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,1]]},"assertion":[{"value":"2011-01-01","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}