ArticleStress and health : journal of the International Society for the Investigation of Stress2026
Daily Associations Between Perceived Stress, Pain Intensity, and Alcohol Use Among Veterans With and Without Moderate-to-Severe Chronic Pain.
Article in Stress and health : journal of the International Society for the Investigation of Stress, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors.
Funding
Abstract
Chronic pain is prevalent among military veterans and commonly presents with perceived stress and alcohol use. Allostatic load models suggest moderate-severe chronic pain may reflect a state of physiological dysregulation with heightened associations between pain and behavioural health symptoms. Yet little is known about daily associations between pain intensity, perceived stress, and alcohol use in veterans with and without moderate-severe chronic pain. This study examined day-to-day associations between pain intensity, perceived stress, and alcohol use among veterans, and whether associations differ between those with moderate-severe chronic pain and those with less severe pain. A sample of United States military veterans (n = 74) completed smartphone-based daily diary surveys for up to 3 months, providing 4307 days of data. Multi-group dynamic structural equation modelling examined within-person, day-to-day associations between symptoms, among veterans with moderate-severe chronic pain and those with less severe pain. Among veterans with moderate-severe chronic pain, bidirectional positive day-to-day associations emerged between pain intensity and perceived stress (b = 0.06-0.13), and between perceived stress and alcohol use (b = 0.05-0.07). Pain intensity also predicted increased next-day alcohol use (b = 0.04). Perceived stress appeared to act as a mechanism linking alcohol use to subsequent pain intensity (b = 0.01). For veterans with less severe pain, symptom associations differed markedly; higher perceived stress predicted lower next-day pain intensity (b = -0.05). Among veterans with moderate-severe chronic pain, day-to-day associations between pain intensity, perceived stress, and alcohol use appear more entangled. These veterans may experience heightened stress reactivity and poorer coping, requiring tailored interventions to monitor and address day-to-day symptom fluctuations.
Indexed as
Identifiers
What OpenQuestion holds
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.