ArticleBehaviour research and therapy2015
Chronic pain acceptance incrementally predicts disability in polytrauma-exposed veterans at baseline and 1-year follow-up.
Article in Behaviour research and therapy, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- The Association Between Chronic Pain Acceptance and Pain-Related Disability: A Meta-Analysis.Journal of clinical psychology in medical settings · 2025Pooled it
- Longitudinal associations of physical and emotional distress tolerance with pain intensity and pain-related disability in United States combat veterans.Journal of behavioral medicine · 2026Article
- Gender, headache frequency, and headache intensity predict psychosocial functioning and quality of life in a sample of United States combat veterans.Journal of behavioral medicine · 2026Article
- Transtheoretical Model Technology-based Interventions to Improve Health Behaviors in Veterans.Motivation science · 2025Article
- Barriers to accessing pain management services among veterans with bipolar disorder.Health services research · 2023Article
- Experiential avoidance is associated with medical and mental health diagnoses in a national sample of deployed Gulf War veterans.Journal of psychiatric research · 2021Article
- Resilience facilitates adjustment through greater psychological flexibility among Iraq/Afghanistan war veterans with and without mild traumatic brain injury.Rehabilitation psychology · 2019Article
- Mitigating the Effect of Pain Severity on Activity and Disability in Patients with Chronic Pain: The Crucial Context of Acceptance.Pain medicine (Malden, Mass.) · 2019Article
- Factor Structure and Initial Validation of a Brief Measure of Perceived Emotional and Physical Distress Tolerance in Post-9/11 US Veterans.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2019Article
- The relationship between mindfulness, pain intensity, pain catastrophizing, depression, and quality of life among cancer survivors living with chronic neuropathic pain.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2016Article
- Acute Trauma Factor Associations With Suicidality Across the First 5 Years After Traumatic Brain Injury.Archives of physical medicine and rehabilitation · 2016Article
- The Relationship of Older Adults' Physical Pain to Depression and Post-Traumatic Stress Disorder (PTSD): A Review.Journal of geriatric medicine and gerontology · 2015Article
- Five-year Pain Intensity and Treatment Trajectories of Post-9/11 Veterans With Mild Traumatic Brain Injury.The journal of painArticle
Corrections and comments
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Authors and funding
8 authors at 5 institutions in 1 country.
Funding
Abstract
War veterans are at increased risk for chronic pain and co-occurring neurobehavioral problems, including posttraumatic stress disorder (PTSD), depression, alcohol-related problems, and mild traumatic brain injury (mTBI). Each condition is associated with disability, particularly when co-occurring. Pain acceptance is a strong predictor of lower levels of disability in chronic pain. This study examined whether acceptance of pain predicted current and future disability beyond the effects of these co-occurring conditions in war veterans. Eighty trauma-exposed veterans with chronic pain completed a PTSD diagnostic interview, clinician-administered mTBI screening, and self-report measures of disability, pain acceptance, depression, and alcohol use. Hierarchical regression models showed pain acceptance to be incrementally associated with disability after accounting for symptoms of PTSD, depression, alcohol-related problems, and mTBI (total adjusted R(2) = .57, p < .001, ΔR(2) = .03, p = .02). At 1-year follow-up, the total variance in disability accounted for by the model decreased (total adjusted R(2) = .29, p < .001), whereas the unique contribution of pain acceptance increased (ΔR(2) = .07, p = .008). Pain acceptance remained significantly associated with 1-year disability when pain severity was included in the model. Future research should evaluate treatments that address chronic pain acceptance and co-occurring conditions to promote functional recovery in the context of polytrauma in war veterans.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.