{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T16:05:54Z","timestamp":1779293154390,"version":"3.51.4"},"reference-count":58,"publisher":"Walter de Gruyter GmbH","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,23]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec id=\"j_sjpain-2026-0003_abs_001\">\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>Improving treatment outcomes for comorbid chronic pain and posttraumatic stress disorder (PTSD) requires a better understanding of how these conditions interact.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2026-0003_abs_002\">\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study examined the co-occurrence and interrelations of PTSD symptoms and chronic pain in a trauma-exposed sample recruited from the Pain Rehabilitation Unit at Sk\u00e5ne University Hospital, Sweden. Using a network analysis approach, data from 136 adults with chronic pain and traumatic exposure were analyzed. All DSM-5 PTSD symptoms were assessed at both item and cluster levels, alongside a comprehensive evaluation of chronic pain\u2014covering severity, interference, and extent\u2014as well as common comorbidities, including depression and insomnia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2026-0003_abs_003\">\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The findings revealed significant interconnections between specific PTSD symptoms, particularly those related to arousal and reactivity, and pain severity. Negative trauma-related emotions and detachment emerged as central nodes in the PTSD-pain network, suggesting that these symptoms may represent important targets for integrated treatment approaches. In contrast, pain extent showed weak or non-significant associations with PTSD symptoms and other pain-related variables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec id=\"j_sjpain-2026-0003_abs_004\">\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Overall, these findings underscore the need to address both PTSD and chronic pain concurrently in clinical interventions to improve outcomes for individuals with these comorbid conditions. Targeting arousal and reactivity symptoms, identified as potential bridges between the two disorders, could be a promising strategy for enhancing treatment effectiveness. Further research is needed to clarify the mechanisms linking PTSD and chronic pain and to inform the development of integrated, tailored interventions for this patient population with complex symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1515\/sjpain-2026-0003","type":"journal-article","created":{"date-parts":[[2026,5,20]],"date-time":"2026-05-20T15:05:29Z","timestamp":1779289529000},"source":"Crossref","is-referenced-by-count":0,"title":["Coexistence of PTSD symptoms and pain: a network analysis in a trauma-exposed sample with mixed chronic pain complaints"],"prefix":"10.1515","volume":"26","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9220-3176","authenticated-orcid":false,"given":"Sophia","family":"\u00c5kerblom","sequence":"first","affiliation":[{"name":"Department of Pain Rehabilitation , Sk\u00e5ne University Hospital , Lund , Sweden"},{"name":"Department of Health Sciences , Lund University , Lund , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8533-520X","authenticated-orcid":false,"given":"Linda","family":"Nordin","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation , DIGNITY- Danish Institute Against Torture , Copenhagen , Denmark"},{"name":"Department of Psychology , Lund University , Lund , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1054-9462","authenticated-orcid":false,"given":"Xiang","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Government and Society, College of Humanities and Social Sciences , United Arab Emirates University , Al Ain , United Arab Emirates"},{"name":"School of Behavioural, Social and Legal Sciences , \u00d6rebro University , \u00d6rebro , Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"374","published-online":{"date-parts":[[2026,5,21]]},"reference":[{"key":"2026052015052017461_j_sjpain-2026-0003_ref_001","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association. 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