Publication Name	World Journal of Psychiatry
Manuscript ID	108009
Country	China

Category	Psychology, Multidisciplinary
Manuscript Type	Observational Study
Article Title	Neck pain and emotional state in cervical spondylosis: A dual trajectory model analysis
Manuscript Source	Unsolicited Manuscript
All Author List	Jia-Qi Yang, Jie Wu, Jian-En Guo, Zhi-Xin Yang, Jin-Ying Liu, Yu-Man Wang and Yin-Juan Zhang
Funding Agency and Grant Number	Funding Agency Grant Number 2022 Chinese Medicine Scientific Research Project of Hebei Administration of Traditional Chinese Medicine 2022157 2025 Annual Scientific Research Project of Higher Education Institutions in Hebei Province QN2025654
Corresponding Author	Yin-Juan Zhang, Lecturer, Department of Traditional Chinese Medicine, Chengde Medical University, Anyuan Road, Chengde 067000, Hebei Province, China. zhang_1986@cdmc.edu.cn
Key Words	Cervical spondylosis; Neck pain; Emotional state; Group-based trajectory model; Dual trajectory analysis
Core Tip	This study employed group-based dual trajectory modeling to analyze longitudinal correlations between neck pain (Neck Pain Questionnaire scores) and emotional state (Short-Form McGill Pain Questionnaire affective scores) in patients with cervical spondylosis. Key findings indicate that acupuncture significantly reduces high pain and emotional distress trajectories, whereas aging increases the risk. Dual trajectory analysis revealed bidirectional associations: 69.1% of patients with low pain had emotional distress, whereas 42.6% of patients with high distress had pain. Integrated pain-emotion management strategies are recommended.
Citation	Yang JQ, Wu J, Guo JE, Yang ZX, Liu JY, Wang YM, Zhang YJ. Neck pain and emotional state in cervical spondylosis: A dual trajectory model analysis. World J Psychiatry 2025; In press

Received	2025-05-14 08:41
Peer-Review Started	2025-05-14 08:41
To Make the First Decision
Return for Revision	2025-06-04 03:46
Revised	2025-06-17 09:30
Second Decision	2025-07-30 02:38
Accepted by Journal Editor-in-Chief
Accepted by Executive Editor-in-Chief	2025-07-30 07:52
Articles in Press	2025-07-30 07:52
Publication Fee Transferred	2025-06-18 08:35
Edit the Manuscript by Language Editor
Typeset the Manuscript

ISSN	2220-3206 (online)
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