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Among study participants with substantial peritraumatic distress, hyperarousal symptoms had a lesser influence on mediating the relationship between axial pain at 6 weeks and axial pain at 1 year than among other participants (p=0.008), and avoidance symptoms had a greater influence on mediating the relationship between axial pain at 6 weeks and axial pain at 1 year (p < 0.001) than among other participants.
