Evidence map›Paper›PMID 19133701›Full record

Trial reportDepression and anxiety2009

Pain interference impacts response to treatment for anxiety disorders.

Carrie Farmer Teh, Natalia E Morone, Jordan F Karp, Bea Herbeck Belnap, Fang Zhu, Debra K Weiner, Bruce L Rollman

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Depression and anxiety, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.2field-weighted citation impact, top 7% of its field
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 51 citations in OpenAlex.

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  14. Quality of life in panic disorder: looking beyond symptom remission.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2012
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 1 institution in 1 country.

Carrie Farmer TehDepartment of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania, USA. tehc@upmc.edu
Natalia E Morone
Jordan F Karp
Bea Herbeck Belnap
Fang Zhu
Debra K Weiner
Bruce L Rollman
University of Pittsburgh · US

Funding

University of Pittsburgh Clinical and Translational Science InstitutionKL2RR024154 · NCRR · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2006 to 2011
$22.2M
University of Pittsburgh Clinical and Translational Science InstitutionKL2TR000146 · NCATS · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI REIS, STEVEN E · 2012 to 2015
$8.7M
CLINICAL RESEARCH TRAINING IN LATE-LIFE MOOD DISORDERST32MH019986 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI HOWARD J AIZENSTEIN, Carmen Andreescu · 1997 to 2026
$6.9M
IMPROVING QUALITY OF PRIMARY CARE FOR ANXIETY DISORDERSR01MH059395 · NIMH · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI ROLLMAN, BRUCE LAWRENCE · 1999 to 2008
$4.3M
NCATS NIH HHS KL2 TR000146NCRR NIH HHS 1KL2RR024154-01NCRR NIH HHS KL2 RR024154NIMH NIH HHS R01 MH059395NIMH NIH HHS R01 MH09421NIMH NIH HHS T32 MH019986NIMH NIH HHS T32 MH19986
6 · The paper itself

Abstract

backgroundAnxiety disorders and pain are commonly comorbid, though little is known about the effect of pain on the course and treatment of anxiety.

methodsThis is a secondary analysis of a randomized controlled trial for anxiety treatment in primary care. Participants with panic disorder (PD) and/or generalized anxiety disorder (GAD) (N=191; 81% female, mean age 44) were randomized to either their primary-care physician's usual care or a 12-month course of telephone-based collaborative care. Anxiety severity, pain interference, health-related quality of life, health services use, and employment status were assessed at baseline, and at 2-, 4-, 8-, and 12-month follow-up. We defined response to anxiety treatment as a 40% or greater improvement from baseline on anxiety severity scales at 12-month follow-up.

resultsThe 39% who reported high pain interference at baseline had more severe anxiety (mean SIGH-A score: 21.8 versus 18.0, P<.001), greater limitations in activities of daily living, and more work days missed in the previous month (5.8 versus 4.0 days, P=.01) than those with low pain interference. At 12-month follow-up, high pain interference was associated with a lower likelihood of responding to anxiety treatment (OR=.28; 95% CI=.12-.63) and higher health services use (26.1% with >/=1 hospitalization versus 12.0%, P<.001).

conclusionsPain that interferes with daily activities is prevalent among primary care patients with PD/GAD and associated with more severe anxiety, worse daily functioning, higher health services use, and a lower likelihood of responding to treatment for PD/GAD.

Indexed as

Activities of Daily LivingAdolescentAdultAnalgesics, OpioidAntidepressive AgentsAnti-Inflammatory AgentsAnxiety DisordersDiagnostic and Statistical Manual of Mental DisordersFemaleFollow-Up StudiesHealth StatusHumansMaleMental Health ServicesMiddle AgedPainAnalgesics, OpioidAntidepressive AgentsAnti-Inflammatory Agents

Identifiers

PMID19133701
PMCPMC2836014
OpenAlexW2005854812

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.