Evidence map›Paper›PMID 20039197›Full record

Trial reportJournal of behavioral medicine2010

Hypoalgesia associated with elevated resting blood pressure: evidence for endogenous opioid involvement.

Stephen Bruehl, John W Burns, Ok Y Chung, Edward Magid, Melissa Chont, Wesley Gilliam, Justin Matsuura, Kristin Somar, James K Goodlad, Kevin Stone and 1 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of behavioral medicine, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
1.2field-weighted citation impact, top 21% 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

16 citing papers in PubMed, 35 citations in OpenAlex.

  1. Stress and pain: modality-specific opioid mediation of stress-induced analgesia.Journal of neural transmission (Vienna, Austria : 1996) · 2021
    Trial
  2. Trial
  3. Trial
  4. Trial
  5. Article
  6. Review
  7. Article
  8. Is Resolution of Chronic Pain Associated With Changes in Blood Pressure-related Hypoalgesia?Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2018
    Article
  9. Article
  10. Article
  11. Article
  12. The relationship between blood pressure and pain.Journal of clinical hypertension (Greenwich, Conn.) · 2013
    Review
  13. Article
  14. Article
  15. Article
  16. Review
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

11 authors at 3 institutions in 1 country.

Stephen BruehlDepartment of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TN, USA. Stephen.Bruehl@vanderbilt.edu
John W Burns
Ok Y Chung
Edward Magid
Melissa Chont
Wesley Gilliam
Justin Matsuura
Kristin Somar
James K Goodlad
Kevin Stone
Heather Cairl
Rosalind Franklin University of Medicine and Science · USVanderbilt University · USVanderbilt University Medical Center · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Pain Regulatory Dysfunction in Chronic PainR01NS046694 · NINDS · VANDERBILT UNIVERSITY · PI BRUEHL, STEPHEN · 2004 to 2007
$1.4M
Anger Expression, Endogenous Opioids and Acute PainR01MH071260 · NIMH · ROSALIND FRANKLIN UNIV OF MEDICINE &SCI · PI BURNS, JOHN W. · 2005 to 2008
$1.0M
NCRR NIH HHS 1 UL1 RR024975NCRR NIH HHS UL1 RR024975NIMH NIH HHS R01 MH071260NIMH NIH HHS R01-MH071260NINDS NIH HHS R01 NS046694NINDS NIH HHS R01-NS046694
6 · The paper itself

Abstract

This study used a placebo-controlled, between-subjects opioid blockade design to evaluate endogenous opioid involvement in the hypoalgesia associated with elevated resting blood pressure (BP) in 163 healthy individuals. Participants were randomly assigned to Drug condition (placebo, naltrexone) and Task Order (computerized maze task with harassment followed by an ischemic pain task or vice versa). Resting BP was assessed, followed by drug administration, and then the pain and maze tasks. A significant Drug x Systolic BP (SBP) interaction was observed on McGill Pain Questionnaire-Affective pain ratings (P < .01), indicating that BP-related hypoalgesia observed under placebo was absent under opioid blockade. A significant Gender x Drug x SBP x Task Order interaction was observed for VAS pain intensity (P < .02). Examination of simple effects comprising this interaction suggested that BP-related hypoalgesia occurred only in male participants who experienced the pain task in the absence of emotional arousal, and indicated that this hypoalgesia occurred under placebo but not under opioid-blockade. Results suggest that under some circumstance, BP-related hypoalgesia may have an endogenous opioid-mediated component in healthy individuals, particularly men.

Indexed as

Blood PressureAdultAngerAttentionFemaleHumansHypertensionIschemiaLinear ModelsMaleMaze LearningNaltrexoneNarcotic AntagonistsOpioid PeptidesPainPain ThresholdNaltrexoneNarcotic AntagonistsOpioid PeptidesAcute painBlood pressureEmotional arousalEndogenous opioidGenderOpioid blockade

Identifiers

PMID20039197
PMCPMC2844461
OpenAlexW2126873707

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.