Evidence map›Paper›PMID 25220783›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2014

Altered functional magnetic resonance imaging responses to nonpainful sensory stimulation in fibromyalgia patients.

Marina López-Solà, Jesus Pujol, Tor D Wager, Alba Garcia-Fontanals, Laura Blanco-Hinojo, Susana Garcia-Blanco, Violant Poca-Dias, Ben J Harrison, Oren Contreras-Rodríguez, Jordi Monfort and 2 more

Open access · greenAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 2 pooled it
7.2field-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

65 citing papers in PubMed, 2 syntheses or guidelines pooled it, 120 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Functional Magnetic Resonance Imaging Signal Variability Is Associated With Neuromodulation in Fibromyalgia.Neuromodulation : journal of the International Neuromodulation Society · 2023
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  8. Effects ofPain reports · 2026
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5 more citing papers are in PubMed but not listed here.

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

12 authors at 7 institutions in 4 countries.

Marina López-SolàUniversity of Colorado Boulder, and Hospital del Mar, Barcelona, Spain.
Jesus Pujol
Tor D Wager
Alba Garcia-Fontanals
Laura Blanco-Hinojo
Susana Garcia-Blanco
Violant Poca-Dias
Ben J Harrison
Oren Contreras-Rodríguez
Jordi Monfort
Ferran Garcia-Fructuoso
Joan Deus
Hospital Del Mar · ESHospital Sanitas CIMA · ESUniversitat Autònoma de Barcelona · ESCentro de Investigación Biomédica en Red de Salud Mental · ESChartered Institute of Management Accountants · GBThe University of Melbourne · AUUniversity of Colorado Boulder · US

Funding

fMRI-based Biomarkers for Multiple Components of PainR01DA035484 · NIDA · UNIVERSITY OF COLORADO · PI WAGER, TOR D. · 2013 to 2017
$3.1M
NIDA NIH HHS R01 DA035484NIDA NIH HHS R01-DA-035484
6 · The paper itself

Abstract

objectiveFibromyalgia (FM) is a disorder characterized by chronic pain and enhanced responses to acute noxious events. However, the sensory systems affected in FM may extend beyond pain itself, as FM patients show reduced tolerance to non-nociceptive sensory stimulation. Characterizing the neural substrates of multisensory hypersensitivity in FM may thus provide important clues about the underlying pathophysiology of the disorder. The aim of this study was to characterize brain responses to non-nociceptive sensory stimulation in FM patients and their relationship to subjective sensory sensitivity and clinical pain severity.

methodsFunctional magnetic resonance imaging (MRI) was used to assess brain response to auditory, visual, and tactile motor stimulation in 35 women with FM and 25 matched controls. Correlation and mediation analyses were performed to establish the relationship between brain responses and 3 types of outcomes: subjective hypersensitivity to daily sensory stimulation, spontaneous pain, and functional disability.

resultsPatients reported increased subjective sensitivity (increased unpleasantness) in response to multisensory stimulation in daily life. Functional MRI revealed that patients showed reduced task-evoked activation in primary/secondary visual and auditory areas and augmented responses in the insula and anterior lingual gyrus. Reduced responses in visual and auditory areas were correlated with subjective sensory hypersensitivity and clinical severity measures.

conclusionFM patients showed strong attenuation of brain responses to nonpainful events in early sensory cortices, accompanied by an amplified response at later stages of sensory integration in the insula. These abnormalities are associated with core FM symptoms, suggesting that they may be part of the pathophysiology of the disease.

Indexed as

Magnetic Resonance ImagingAcoustic StimulationActivities of Daily LivingAdultCase-Control StudiesCerebral CortexDisability EvaluationFemaleFibromyalgiaHumansMiddle AgedOccipital LobePainPhotic StimulationPhysical StimulationSensory Thresholds

Identifiers

PMID25220783
PMCPMC4410766
OpenAlexW2128954151

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.