Evidence map›Paper›PMID 21199962›Full record

ReviewArchives of general psychiatry2011

The missing p in psychiatric training: why it is important to teach pain to psychiatrists.

Igor Elman, Jon-Kar Zubieta, David Borsook

Open access · bronzeAbstract readReview
In one paragraph

Review in Archives of general psychiatry, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 52 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
52citing papers in PubMed, 1 pooled it
8.0field-weighted citation impact, top 2% 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

52 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
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  6. The Role of fMRI in Drug Development: An Update.Advances in neurobiology · 2023
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  7. Neurogenetics and Epigenetics of Loneliness.Psychology research and behavior management · 2023
    Review
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Review
  15. Article
  16. Observational
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  19. 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

3 authors at 3 institutions in 1 country.

Igor ElmanMcLean Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Jon-Kar Zubieta
David Borsook
Massachusetts General Hospital · USMcLean Hospital · USUniversity of Michigan–Ann Arbor · US

Funding

Neurochemistry of Opiate Abuse Risk in Chronic PainR01DA022520 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZUBIETA, JON-KAR · 2006 to 2012
$2.2M
Imaging Pain and Analgesia: Mentoring in Basic and Applied ResearchK24NS064050 · NINDS · MCLEAN HOSPITAL · PI BORSOOK, DAVID · 2008 to 2017
$1.7M
PTSD and Drug Dependence: Neuroimaging of Reward CircuitryR01DA017959 · NIDA · MC LEAN HOSPITAL (BELMONT, MA) · PI ELMAN, IGOR · 2004 to 2007
$1.6M
Neurochemical Endophenotype Responses to Pain-StressR01DA016423 · NIDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZUBIETA, JON-KAR · 2004 to 2007
$1.4M
Predicting Placebo Responses Across Disease StatesR01MH086858 · NIMH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZUBIETA, JON-KAR · 2009 to 2012
$1.2M
Neurochemical mediation of placebo responses in humansR01AT001415 · NCCIH · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI ZUBIETA, JON-KAR · 2003 to 2006
$1.2M
NCCIH NIH HHS R01 AT 001415NCCIH NIH HHS R01 AT001415NIDA NIH HHS DA017959NIDA NIH HHS R01 DA016423NIDA NIH HHS R01DA016423NIDA NIH HHS R01 DA017959NIDA NIH HHS R01 DA022520NIDA NIH HHS R01DA022520NIMH NIH HHS R01 MH086858NINDS NIH HHS K24 NS064050NINDS NIH HHS K24NS064050
6 · The paper itself

Abstract

contextPain problems are exceedingly prevalent among psychiatric patients. Moreover, clinical impressions and neurobiological research suggest that physical and psychological aspects of pain are closely related entities. Nonetheless, remarkably few pain-related themes are currently included in psychiatric residency training.

objectivesTo provide clinical and scientific rationale for psychiatric-training enrichment with basic tenets of pain medicine and to raise the awareness and sensitivity of physicians, scientists, and educators to this important yet unmet clinical and public health need.

resultsWe present 3 lines of translational research evidence, extracted from a comprehensive literature review, in support of our objectives. First, the neuroanatomical and functional overlap between pain and emotion/reward/motivation brain circuitry suggests integration and mutual modulation of these systems. Second, psychiatric disorders are commonly associated with alterations in pain processing, whereas chronic pain may impair emotional and neurocognitive functioning. Third, given its stressful nature, pain may serve as a functional probe for unraveling pathophysiological mechanisms inherent in psychiatric morbidity.

conclusionsPain training in psychiatry will contribute to deeper and more sophisticated insight into both pain syndromes and general psychiatric morbidity regardless of patients' pain status. Furthermore, it will ease the artificial boundaries separating psychiatric and medical formulations of brain disorders, thus fostering cross-fertilizing interactions among specialists in various disciplines entrusted with the care of patients experiencing pain.

Indexed as

EmotionsMotivationBipolar DisorderBrainChronic DiseaseDiagnostic and Statistical Manual of Mental DisordersHumansMajor Depressive DisorderMental DisordersPainPsychiatryStress Disorders, Post-TraumaticSubstance-Related Disorders

Identifiers

PMID21199962
PMCPMC3085192
OpenAlexW1999825164

What OpenQuestion holds

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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.