Evidence map›Paper›PMID 23183264›Full record

Trial reportThe Clinical journal of pain2013

Anxiety but not social stressors predict 12-month depression and pain severity.

Matthew J Bair, Ellen L Poleshuck, Jingwei Wu, Erin K Krebs, Teresa M Damush, Wanzhu Tu, Kurt Kroenke

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in The Clinical journal of pain, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 6% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
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 5 institutions in 1 country.

Matthew J BairVA HSR&D Center on Implementing Evidence-Based Practice, Roudebush VA Medical Center, Indianapolis, IN 46202, USA. mbair@iupui.edu
Ellen L Poleshuck
Jingwei Wu
Erin K Krebs
Teresa M Damush
Wanzhu Tu
Kurt Kroenke
Regenstrief Institute · USIndiana University · USIndiana University School of MedicineRichard L. Roudebush VA Medical Center · USUniversity of Rochester Medical Center · US

Funding

Stepped Care for Depression and Musculoskeletal PainR01MH071268 · NIMH · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI KROENKE, KURT · 2004 to 2007
$2.7M
NIMH NIH HHS MH-071268NIMH NIH HHS R01 MH071268
6 · The paper itself

Abstract

objectivesTo determine whether baseline anxiety and social stressors as well their early change (first 3 months) predict 12-month depression and pain severity.

methodsWe analyzed data from the Stepped Care for Affective Disorders and Musculoskeletal Pain study, a randomized clinical trial of a combined medication-behavioral intervention for primary care patients with chronic musculoskeletal pain and depression. Using multivariable linear regression modeling, we examined the independent association of baseline anxiety and social stressors with depression and pain severity at 12 months. In addition, we modeled whether changes in anxiety and social stressors predicted 12-month depression and pain severity.

resultsOverall, the sample (N=250) was 52.8% women with a mean age of 55.5 years, and a racial distribution of 60.4% white, 36.4% black, and 3.2% other. Depression and pain were moderately severe at baseline (mean SCL-20 depression=1.9 and Brief Pain Inventory pain severity=6.15) and similar across intervention and usual care arms. Baseline anxiety symptoms predicted both depression (t score=2.13, P=0.034) and pain severity (t score=2.75, P=0.007) at 12 months. Also, early change in anxiety predicted 12-month depression (t score=-2.47, P=0.014), but not pain. Neither baseline nor early change in social stressors predicted depression or pain severity.

conclusionsAnxiety, but not social stressors predict 12-month depression and pain severity. The presence of comorbid anxiety should be considered in the assessment and treatment of patients with musculoskeletal pain and depression, particularly as a factor that may adversely affect treatment response.

Indexed as

DepressionMusculoskeletal PainAdultAgedAnxietyBehavior TherapyCombined Modality TherapyComorbidityFemaleFollow-Up StudiesHumansLinear ModelsMaleMiddle AgedOutcome Assessment, Health CarePain Management

Identifiers

PMID23183264
PMCPMC3529840
OpenAlexW2025012907

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.