Evidence map›Paper›PMID 26247858›Full record

ReviewNeuron2015

Nociception, Pain, Negative Moods, and Behavior Selection.

Marwan N Baliki, A Vania Apkarian

2 registry-linked trialsAbstract readReview
In one paragraph

Review in Neuron, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 359 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
359citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT03634670 completednot on this mapstarted 2018, after this paper: background citation

The Influence of Interdisciplinary Multimodal Pain Therapy on Cerebral Connectivity in Chronic Pain Patients

TypeobservationalSponsorTechnical University of MunichRan2018 to 2020Enrolled41ConditionsChronic Pain, Interdisciplinary Multimodal Pain Therapy, Electroencephalography, Functional ConnectivityArmsInterdisciplinary multimodal pain therapy (IMPT)
NCT03858621 nacompletednot on this mapstarted 2019, after this paper: background citation

Comparison of Postoperative Nociception Outcomes Between NOL - Guided and Standard Intraoperative Analgesia Based on Fentanyl in Patients Undergoing Elective Surgery With General Anesthesia

TypeinterventionalSponsorVictor Contreras, MSNRan2019 to 2022Enrolled100ConditionsPain, Postoperative, Opioid Use, Nociceptive Pain, Postoperative PainArmsfentanyl NOL guided
3 · Its place in the literature

Who cites it

359 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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  20. A Tac1-Expressing Brainstem Pathway Underlies the Pathogenesis of Trigeminal Neuralgia.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article

299 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

2 authors.

Marwan N BalikiDepartment of Physiology, Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60610, USA. Electronic address: m-baliki@northwestern.edu.
A Vania ApkarianDepartment of Physiology, Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60610, USA; Department of Anesthesia, Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60610, USA; Department of Physical Medicine and Rehabilitation, Feinberg School of Medicine, 303 East Chicago Avenue, Chicago, IL 60610, USA. Electronic address: a-apkarian@northwestern.edu.

Funding

Tumor Environment and Metastasis (TEAM) Research ProgramP30CA060553 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Daniela E Matei · 1993 to 2026
$153.9M
CORTICAL PATHOPHYSIOLOGY OF PAINR01NS035115 · NINDS · UPSTATE MEDICAL UNIVERSITY · PI APKARIAN, APKAR VANIA · 1996 to 2013
$5.6M
Cortico-striatal plasticity in the transition to chronic painR01DE022746 · NIDCR · NORTHWESTERN UNIVERSITY AT CHICAGO · PI APKARIAN, APKAR VANIA · 2012 to 2016
$4.1M
Brain mechanisms for clinical placebo in chronic painR01AT007987 · NCCIH · NORTHWESTERN UNIVERSITY AT CHICAGO · PI APKARIAN, APKAR VANIA · 2013 to 2017
$3.4M
Chronic Pain and Emotional Learning and MemoryR01NS057704 · NINDS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI APKARIAN, APKAR VANIA · 2008 to 2012
$1.5M
Brain imaging based strategies for treating UCPPS painR01DK100924 · NIDDK · NORTHWESTERN UNIVERSITY AT CHICAGO · PI APKARIAN, APKAR VANIA · 2013 to 2013
$386k
NCCIH NIH HHS R01 AT007987NCI NIH HHS P30 CA060553NIDCR NIH HHS R01 DE022746NIDDK NIH HHS R01 DK100924NINDS NIH HHS R01 NS035115NINDS NIH HHS R01 NS057704
6 · The paper itself

Abstract

Recent neuroimaging studies suggest that the brain adapts with pain, as well as imparts risk for developing chronic pain. Within this context, we revisit the concepts for nociception, acute and chronic pain, and negative moods relative to behavior selection. We redefine nociception as the mechanism protecting the organism from injury, while acute pain as failure of avoidant behavior, and a mesolimbic threshold process that gates the transformation of nociceptive activity to conscious pain. Adaptations in this threshold process are envisioned to be critical for development of chronic pain. We deconstruct chronic pain into four distinct phases, each with specific mechanisms, and outline current state of knowledge regarding these mechanisms: the limbic brain imparting risk, and the mesolimbic learning processes reorganizing the neocortex into a chronic pain state. Moreover, pain and negative moods are envisioned as a continuum of aversive behavioral learning, which enhance survival by protecting against threats.

Indexed as

AffectAnimalsAvoidance LearningBrainHumansNociceptionPainPain Perception

Identifiers

PMID26247858
PMCPMC4529956

What OpenQuestion holds

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Registered trials

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.