Evidence map›Paper›PMID 26181216›Full record

ReviewPain2015

Experimental pain processing in individuals with cognitive impairment: current state of the science.

Ruth Defrin, Martina Amanzio, Marina de Tommaso, Violeta Dimova, Sasa Filipovic, David P Finn, Lydia Gimenez-Llort, Sara Invitto, Christina Jensen-Dahm, Stefan Lautenbacher and 6 more

Open access · greenAbstract readReview
PubMed Publisher
In one paragraph

Review in Pain, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
4.5field-weighted citation impact, top 5% 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

61 citing papers in PubMed, 1 synthesis or guideline pooled it, 104 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Beyond pain presence: the impact of multisite pain and pain interference on cognitive functioning among middle-aged and older adults.The journals of gerontology. Series B, Psychological sciences and social sciences · 2026
    Article
  5. Article
  6. Pain differences in cognitive impairment appear only during active motor tasks.Frontiers in pain research (Lausanne, Switzerland) · 2026
    Article
  7. Review
  8. Review
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. The impact of care-recipient relationship type on health-related quality of life in community-dwelling older adults with dementia and their informal caregivers.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2022
    Article
  19. Special consideration for pain management in the older person.Clinical medicine (London, England) · 2022
    Review
  20. Article

1 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 1 institution in 2 countries.

Ruth DefrinDepartment of Physical Therapy and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel Department of Psychology, University of Turin, Turin, Italy Department of Basic Medical Science, Neuroscience and Sense Organs, Bari University, Bari, Italy Institute of Clinical Pharmacology and Department of Anesthesiology, Intensive Care Medicine and Pain Therapy, University of Frankfurt, Frankfurt, Germany Institute for Medical Research, University of Belgrade, Belgrade, Serbia Department of Pharmacology and Therapeutics, School of Medicine, NCBES Centre for Pain Research and Galway Neuroscience Centre, National University of Ireland, Galway, Ireland Institute of Neuroscience and Department of Psychiatry and Forensic Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain Danish Dementia Research Centre and Department of Neurology, Rigshospitalet, University of Copenhagen, Copenhagen, Denmark Department of Physiological Psychology, University of Bamberg, Bamberg, Germany Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen, Nijmegen, the Netherlands Center for Sensory-Motor Interaction (SMI), Aalborg University, Aalborg, Denmark Department of Anatomy and Sagol School of Neuroscience, Tel Aviv University, Tel Aviv, Israel Department of Pharmacology, Faculty of Medicine, Clermont University, Clermont, France Department of Psychology and Behavioral Sciences, Aarhus University, Aarhus, Denmark.
Martina Amanzio
Marina de Tommaso
Violeta Dimova
Sasa Filipovic
David P Finn
Lydia Gimenez-Llort
Sara Invitto
Christina Jensen-Dahm
Stefan Lautenbacher
Joukje M Oosterman
Laura Petrini
Chaim G Pick
Gisele Pickering
Lene Vase
Miriam Kunz
Neuroscience Institute · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cognitive impairment (CI) can develop during the course of ageing and is a feature of many neurological and neurodegenerative diseases. Many individuals with CI have substantial, sustained, and complex health care needs, which frequently include pain. However, individuals with CI can have difficulty communicating the features of their pain to others, which in turn presents a significant challenge for effective diagnosis and treatment of their pain. Herein, we review the literature on responsivity of individuals with CI to experimental pain stimuli. We discuss pain responding across a large number of neurological and neurodegenerative disorders in which CI is typically present. Overall, the existing data suggest that pain processing is altered in most individuals with CI compared with cognitively intact matched controls. The precise nature of these alterations varies with the type of CI (or associated clinical condition) and may also depend on the type of pain stimulation used and the type of pain responses assessed. Nevertheless, it is clear that regardless of the etiology of CI, patients do feel noxious stimuli, with more evidence for hypersensitivity than hyposensitivity to these stimuli compared with cognitively unimpaired individuals. Our current understanding of the neurobiological mechanisms underpinning these alterations is limited but may be enhanced through the use of animal models of CI, which also exhibit alterations in nociceptive responding. Further research using additional behavioural indices of pain is warranted. Increased understanding of altered experimental pain processing in CI will facilitate the development of improved diagnostic and therapeutic approaches for pain in individuals with CI.

Indexed as

Pain PerceptionAgingAnimalsCognition DisordersHumansIndividualityNeurodegenerative DiseasesPainPain ManagementPain Measurement

Identifiers

PMID26181216
OpenAlexW1928602947

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.