Evidence map›Paper›PMID 24954165›Full record

ArticlePain2014

Differential changes in functional disability and pain intensity over the course of psychological treatment for children with chronic pain.

Anne M Lynch-Jordan, Soumitri Sil, James Peugh, Natoshia Cunningham, Susmita Kashikar-Zuck, Kenneth R Goldschneider

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Pain, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 51 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 4 pooled it
12.1field-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

51 citing papers in PubMed, 4 syntheses or guidelines pooled it, 105 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 3 institutions in 1 country.

Anne M Lynch-JordanDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, and Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA; Pain Management Center, Cincinnati Children's Hospital Medical Center, and Department of Anesthesiology, College of Medicine, University of Cincinnati, Cincinnati, OH, USA. Electronic address: anne.lynch-jordan@cchmc.org.
Soumitri SilDepartment of Pediatrics, Emory University School of Medicine, Aflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, Atlanta, GA, USA.
James PeughDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, and Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Natoshia CunninghamDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, and Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Susmita Kashikar-ZuckDivision of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, and Department of Pediatrics, College of Medicine, University of Cincinnati, Cincinnati, OH, USA; Pain Management Center, Cincinnati Children's Hospital Medical Center, and Department of Anesthesiology, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Kenneth R GoldschneiderPain Management Center, Cincinnati Children's Hospital Medical Center, and Department of Anesthesiology, College of Medicine, University of Cincinnati, Cincinnati, OH, USA.
Cincinnati Children's Hospital Medical Center · USChildren's Healthcare of Atlanta · USUniversity of Cincinnati · US

Funding

Behavioral Interventions and Long Term Outcomes in Juvenile Fibromyalgia SyndromeK24AR056687 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI KASHIKAR-ZUCK, SUSMITA · 2009 to 2018
$1.4M
NIAMS NIH HHS K24 AR056687
6 · The paper itself

Abstract

Patients presenting for treatment of chronic pain often believe that pain reduction must be achieved before returning to normal functioning. However, treatment programs for chronic pain typically take a rehabilitative approach, emphasizing decreasing pain-related disability first with the expectation that pain reduction will follow. This information is routinely provided to patients, yet no studies have systematically examined the actual trajectories of pain and disability in a clinical care setting. In this study of youth with chronic pain (N=94, 8 to 18 years), it was hypothesized that 1) functional disability and pain would decrease over the course of psychological treatment for chronic pain and 2) functional disability would decrease more quickly than pain intensity. Participants received cognitive behavioral therapy (CBT) for pain management (M=5.6 sessions) plus standard medical care. The Functional Disability Inventory and a Numeric Rating Scale of average pain intensity were completed by the child at every CBT session. Hierarchical linear modeling was conducted to examine the longitudinal trajectories of disability and pain. Standardized estimates of the slopes of change were obtained to test differences in rates of change between pain and disability. Results showed an overall significant decline in functional disability over time. Although pain scores reduced slightly from pretreatment to posttreatment, the longitudinal decline over treatment was not statistically significant. As expected, the rate of change of disability was significantly more rapid than pain. Evidence for variability in treatment response was noted, suggesting the need for additional research into individual trajectories of change in pediatric pain treatment.

Indexed as

Cognitive Behavioral TherapyDisability EvaluationAdolescentChildChronic PainFemaleHumansMalePain MeasurementSeverity of Illness IndexFunctional disabilityPain intensityPediatric chronic painSymptom trajectories

Identifiers

PMID24954165
PMCPMC4467550
OpenAlexW2114981452

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.