Trial reportAnnals of behavioral medicine : a publication of the Society of Behavioral Medicine2022
Transdiagnostic Cognitive Processes in Chronic Pain and Comorbid PTSD and Depression in Veterans.
Trial report in Annals of behavioral medicine : a publication of the Society of Behavioral Medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.
- Colors of the mind: a meta-analysis of creative arts therapy as an approach for post-traumatic stress disorder intervention.BMC psychology · 2025Pooled it
- The mediating role of posttraumatic stress disorder symptoms in pain cognitions among Veterans with chronic pain.Military psychology : the official journal of the Division of Military Psychology, American Psychological Association · 2025Trial
- Application of unmanned aerial vehicles in modern battlefields and their impact on post-traumatic stress disorder in military personnel: A review.General psychiatry · 2026Review
- Efficacy of Cognitively-based compassion training for Veterans with chronic pain with psychological Comorbidity: Protocol for a randomized clinical trial.Contemporary clinical trials communications · 2026Article
- Linking Neurobehavioral Symptoms to Productive Activities in Post-9/11 Veterans: A Correlational Analysis Using TVMI Data.Military medicine · 2026Article
- The COMPASS framework for chronic pain and posttraumatic stress disorder: navigating the transition from threat to safety through yoga.Frontiers in public health · 2026Article
- Understanding the structure of coping strategies in context: a psychometric validation of the Brief-COPE among Colombian adults.Psicologia, reflexao e critica : revista semestral do Departamento de Psicologia da UFRGS · 2025Article
- Reaching Veterans with Cooccurring Mental Health Conditions Through the VA Whole Health System of Care.Journal of integrative and complementary medicine · 2025Article
- Belief in living a meaningful life and adjustment to chronic pain.Pain medicine (Malden, Mass.) · 2025Article
- Intermediary roles of prospective memory and retrospective memory in the comorbidity of depression and pain.General psychiatry · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 2 institutions in 2 countries.
Funding
Abstract
backgroundChronic pain in Veterans is a major problem compounded by comorbid posttraumatic stress disorder (PTSD) and depression. Adopting a transdiagnostic framework to understanding "shared territory" among these diagnoses has the potential to inform our understanding of the underlying cognitive processes and mechanisms that transverse diagnostic boundaries. PURPOSE: To examine the associations between pain-related cognitive processes (diversion, distancing, absorption, and openness), pain intensity, PTSD and depressive symptoms, and the extent to which Veterans with chronic pain with and without comorbid PTSD and depression engage in different/similar pain-related cognitive processes.
methodsSecondary analysis of pretreatment data with a subsample (n = 147) of Veterans with chronic pain from a larger clinical trial. Pretreatment PCL-5 and PROMIS Depression scales were used to categorize participants into three groups: (a) Pain-only; (b) Pain-PTSD; and (c) Pain-PTSD-DEP.
resultsCompared to the Pain-only group, the Pain-PTSD and Pain-PTSD-DEP groups reported significantly greater pain intensity, PTSD and depressive symptoms, and ruminative pain absorption. The Pain-PTSD-DEP group had significantly lower pain diversion and pain openness scores. When diversion and openness were used within the Pain-PTSD-DEP group, however, they were both associated with lower pain intensity and openness was additionally associated with lower PTSD scores. However, in the Pain-PTSD group, pain openness was associated with higher depression scores.
conclusionsAcross increasing complexity of comorbidity profiles (i.e., one vs. two comorbid conditions), ruminative absorption with pain emerged as a cognitive process that transverses diagnoses and contributes to worse outcomes. Nonjudgmental acceptance may not be universally beneficial, potentially depending upon the nature of comorbidity profiles.
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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.