Evidence map›Paper›PMID 20122805›Full record

ArticlePain2010

Hypoalgesia related to elevated resting blood pressure is absent in adolescents and young adults with a history of functional abdominal pain.

Stephen Bruehl, Christine M Dengler-Crish, Craig A Smith, Lynn S Walker

Registry-linked trialAbstract read
In one paragraph

Article in Pain, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02198677 (Randomized Trial of Cardiovascular Response to Two Manual Techniques Non-thrust Joint Manipulation of the Cervical Spine in Patients With Non-traumatic Mechanical Neck Pain.), which is not on this 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.

NCT02198677 naunknown statusnot on this mapstarted 2014, after this paper: background citation

Randomized Trial of Cardiovascular Response to Two Manual Techniques Non-thrust Joint Manipulation of the Cervical Spine in Patients With Non-traumatic Mechanical Neck Pain.

TypeinterventionalSponsorAzusa Pacific UniversityRan2014 to 2016Enrolled34ConditionsNeck PainArmsAnterior to posterior pressures, Lateral glide
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 35 citations in OpenAlex.

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  8. Article
  9. 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
  10. Expectancy Effects on Conditioned Pain Modulation Are Not Influenced by Naloxone or Morphine.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2016
    Article
  11. Article
  12. Article
  13. Functional abdominal pain.Current gastroenterology reports · 2010
    Article
  14. Article
  15. Article
  16. Review
  17. 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

4 authors at 1 institution in 1 country.

Stephen BruehlDepartment of Anesthesiology, Vanderbilt University School of Medicine, Nashville, TN, USA Department of Pediatrics, Vanderbilt University School of Medicine, The Monroe Carell Jr. Children's Hospital, Vanderbilt, Nashville, TN, USA Department of Psychology and Human Development, Vanderbilt University, Nashville, TN, USA.
Christine M Dengler-Crish
Craig A Smith
Lynn S Walker
Vanderbilt University · US

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
THREE-TIERED PREVENTION MODEL TO BETTER SERVE ALL STUDENP30HD015052 · NICHD · VANDERBILT UNIVERSITY · PI DYKENS, ELISABETH MAY · 1985 to 2014
$18.6M
ILLNESS BEHAVIOR AND SOMATIZATION IN CHILDRENR01HD023264 · NICHD · VANDERBILT UNIVERSITY · PI WALKER, LYNN D. · 1987 to 2011
$3.9M
Pain Regulatory Dysfunction in Chronic PainR01NS046694 · NINDS · VANDERBILT UNIVERSITY · PI BRUEHL, STEPHEN · 2004 to 2007
$1.4M
NCRR NIH HHS 1 UL1 RR024975NCRR NIH HHS UL1 RR024975NICHD NIH HHS P30 HD015052NICHD NIH HHS P30 HD15052NICHD NIH HHS R01 HD023264NICHD NIH HHS R01 HD23264NIDDK NIH HHS DK058404NIDDK NIH HHS P30 DK058404NINDS NIH HHS R01 NS046694NINDS NIH HHS R01-NS046694
6 · The paper itself

Abstract

Elevated resting blood pressure (BP) is hypoalgesic in healthy individuals, but this effect is absent in adults with chronic somatic pain. This study tested whether BP-related hypoalgesia is similarly altered in individuals with a history of chronic visceral pain in childhood. Resting BP was assessed in 94 adolescents and young adults with a known history of childhood functional abdominal pain (FAP) and 55 comparable healthy controls. Responses to an acute heat pain stimulus were then evaluated following exposure to two laboratory stressors. A significant participant type x systolic BP (SBP) interaction (p<.005) revealed that elevated resting SBP was associated with significantly higher heat pain threshold (p<.001) in healthy controls, but was unrelated to pain threshold in the FAP group. A similar pattern was observed for heat pain tolerance, with elevated SBP linked to significantly higher pain tolerance (p<.05) in healthy controls, but unrelated to tolerance in the FAP group. Dysfunction in BP-related hypoalgesia associated with FAP was evident regardless of whether childhood FAP had resolved or still persisted at the time of laboratory testing. Subgroup analyses indicated that BP-related hypoalgesia (in healthy controls) and FAP-linked absence of this hypoalgesia was observed only among females. Result suggest that childhood visceral chronic pain may be associated with relatively long-lasting dysfunction in overlapping systems modulating pain and BP that persists even after FAP resolves. Potential implications for later hypertension risk are discussed.

Indexed as

Abdominal PainAdolescentChildComorbidityFemaleHumansHypertensionIncidenceMaleRisk AssessmentRisk FactorsSomatosensory DisordersTennesseeYoung Adult

Identifiers

PMID20122805
PMCPMC2834818
OpenAlexW1996470617

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.