Evidence map›Paper›PMID 24463504›Full record

ArticleBiological research for nursing2014

Conditioned pain modulation in women with irritable bowel syndrome.

Monica E Jarrett, Robert J Shulman, Kevin C Cain, Wimon Deechakawan, Lynne T Smith, Philippe Richebé, Margaret Eugenio, Margaret M Heitkemper

Open access · greenAbstract read
In one paragraph

Article in Biological research for nursing, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.6field-weighted citation impact, top 18% 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

13 citing papers in PubMed, 35 citations in OpenAlex.

  1. Article
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  10. Descending pain modulation and chronification of pain.Current opinion in supportive and palliative care · 2014
    Review
  11. Relationships Between Abdominal Pain and Fatigue With Psychological Distress as a Mediator in Women With Irritable Bowel Syndrome.Gastroenterology nursing : the official journal of the Society of Gastroenterology Nurses and Associates
    Article
  12. Article
  13. 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

8 authors at 4 institutions in 1 country.

Monica E JarrettDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA jarrett@uw.edu.
Robert J ShulmanDepartment of Pediatrics, Children's Nutrition Research Center, Houston, TX, USA Baylor College of Medicine, Texas Children's Hospital, Houston, TX, USA.
Kevin C CainDepartment of Biostatistics and Office of Nursing Research, University of Washington, Seattle, WA, USA.
Wimon DeechakawanDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA.
Lynne T SmithDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA.
Philippe RichebéDepartment of Anesthesiology and Pain Medicine, University of Washington, Seattle, WA, USA.
Margaret EugenioPacific Medical Center, Seattle, WA, USA.
Margaret M HeitkemperDepartment of Biobehavioral Nursing and Health Systems, University of Washington, Seattle, WA, USA.
University of Washington · USNeurobehavioral Systems · USChildren's Nutrition Research Center at Baylor College of Medicine · USPacific Tower · US

Funding

Abdominal Symptom Phenotypes: Pathways to New BiomarkersRC2NR011959 · NINR · UNIVERSITY OF WASHINGTON · PI HEITKEMPER, MARGARET MCLEAN, SHULMAN, ROBERT J · 2009 to 2010
$1.9M
NINR NIH HHS 1RC2NR011959NINR NIH HHS RC2 NR011959
6 · The paper itself

Abstract

Evidence suggests that patients with irritable bowel syndrome (IBS) are more vigilant to pain-associated stimuli. The aims of this study were to compare women with IBS (n = 20) to healthy control (HC, n = 20) women on pain sensitivity, conditioned pain modulation (CPM) efficiency, and salivary cortisol levels before and after the CPM test and to examine the relationship of CPM efficiency with gastrointestinal pain, somatic pain, psychological distress symptoms, and salivary cortisol levels in each group. Women, aged 20-42 years, gave consent, completed questionnaires, and kept a symptom diary for 2 weeks. CPM efficiency was tested with a heat test stimulus and cold water condition stimulus in a laboratory between 8 and 10 a.m. on a follicular phase day. Salivary cortisol samples were collected just before and after the experimental testing. Compared to the HC group, women with IBS reported more days with gastrointestinal and somatic pain/discomfort, psychological distress, fatigue, and feeling stressed. During the CPM baseline testing, women with IBS reported greater pain sensitivity compared to the HC group. There was no significant group difference in salivary cortisol levels nor in CPM efficiency, though a post-hoc analysis showed a higher prevalence of impaired CPM efficiency among IBS subjects with more severe lower-GI symptoms. In the IBS group, reduced CPM efficiency was associated with daily abdominal pain/discomfort and psychological distress. Overall, women with IBS exhibited an increased sensitivity to thermal stimuli. Impaired CPM was present in a subset of women with IBS.

Indexed as

AdolescentAdultCase-Control StudiesCross-Sectional StudiesFemaleHumansIrritable Bowel SyndromeMiddle AgedPainPain ManagementPain ThresholdYoung Adultconditioned pain modulationcortisolfemaleirritable bowel syndrome

Identifiers

PMID24463504
PMCPMC4422381
OpenAlexW2088668863

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.