Evidence map›Paper›PMID 22518362›Full record

Trial reportPain research & management

Pain catastrophizing predicts poor response to topical analgesics in patients with neuropathic pain.

Tsipora Mankovsky, Mary Lynch, Aj Clark, Jana Sawynok, Michael Jl Sullivan

Open access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Pain research & management. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
3.5field-weighted citation impact, top 8% 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

31 citing papers in PubMed, 70 citations in OpenAlex.

  1. Article
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  13. Ethnic Differences in Experimental Pain Responses Following a Paired Verbal Suggestion With Saline Infusion: A Quasiexperimental Study.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2021
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  14. Review
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  18. Evaluating psychosocial contributions to chronic pain outcomes.Progress in neuro-psychopharmacology & biological psychiatry · 2018
    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

5 authors at 3 institutions in 1 country.

Tsipora MankovskyDepartment of Psychology, McGill University, Montreal, Quebec.
Mary Lynch
Aj Clark
Jana Sawynok
Michael Jl Sullivan
Dalhousie University · CAMcGill University · CAAlberta Health Services · CA

Funding

Canadian Institutes of Health Research
6 · The paper itself

Abstract

backgroundPrevious research suggests that high levels of pain catastrophizing might predict poorer response to pharmacological interventions for neuropathic pain.

objectiveThe present study sought to examine the clinical relevance of the relation between catastrophizing and analgesic response in individuals with neuropathic pain. Clinically meaningful reductions were defined in terms of the magnitude of reductions in pain through the course of treatment, and in terms of the number of patients whose end-of-treatment pain ratings were below 4⁄10.

methodsPatients (n=82) with neuropathic pain conditions completed a measure of pain catastrophizing at the beginning of a three-week trial examining the efficacy of topical analgesics for neuropathic pain.

resultsConsistent with previous research, high scores on the measure of pain catastrophizing prospectively predicted poorer response to treatment. Fewer catastrophizers than noncatastrophizers showed moderate (≥ 2 points) or substantial reductions in pain ratings through the course of treatment. Fewer catastrophizers than noncatastrophizers achieved end-of-treatment pain ratings below 4⁄10.

conclusionsThe results of the present study suggest that the development of brief interventions specifically targeting catastrophic thinking might be useful for enhancing the effects of pharmacological interventions for neuropathic pain. Furthermore, failure to account for the level of catastrophizing might contribute to null findings in clinical trials of analgesic medication.

Indexed as

Administration, TopicalAdultAgedAged, 80 and overAnalgesicsCatastrophizationDouble-Blind MethodFemaleHumansLogistic ModelsMaleMiddle AgedNeuralgiaPain MeasurementPsychiatric Status Rating ScalesYoung AdultAnalgesics

Identifiers

PMID22518362
PMCPMC3299037
OpenAlexW5793289

What OpenQuestion holds

Textmetadata
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.