ArticleThe Clinical journal of pain2016
Affect and Low Back Pain: More to Consider Than the Influence of Negative Affect Alone.
Article in The Clinical journal of pain, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
What it found
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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.
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.
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Who cites it
9 citing papers in PubMed, 16 citations in OpenAlex.
- Auditory Hyperresponsivity in Chronic Back Pain: A Randomized Controlled Trial of Pain Reprocessing Therapy.Annals of neurology · 2026Trial
- Protection from Chronic Musculoskeletal Pain: A Scoping Review.European journal of pain (London, England) · 2026Article
- Chronic Overlapping Pain and Central Sensitization in Chronic Pelvic Pain: Do Positive and Negative Affect Play a Role?Pain research & management · 2026Article
- Article
- Dispositional traits help explain individual differences in relationships between a radiographic knee osteoarthritis measure, pain, and physical function.Therapeutic advances in musculoskeletal disease · 2024Article
- Vulnerable Dispositional Traits and Chronic Pain: Predisposing but not Predetermining.The journal of pain · 2022Article
- Medial Prefrontal Transcranial Direct Current Stimulation Aimed to Improve Affective and Attentional Modulation of Pain in Chronic Low Back Pain Patients.Journal of clinical medicine · 2021Article
- Associations of Psychologic Factors with Multiple Chronic Overlapping Pain Conditions.Journal of oral & facial pain and headache · 2020Article
- Goal Preferences, Affect, Activity Patterns and Health Outcomes in Women With Fibromyalgia.Frontiers in psychology · 2019Article
Corrections and comments
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Authors and funding
6 authors at 3 institutions in 1 country.
Funding
Abstract
objectivesAffect balance style, a measure of trait positive affect (PA) and negative affect (NA), is predictive of pain and functioning in fibromyalgia and healthy individuals. The purpose of this study was to evaluate the distribution of affect balance styles and the relationship between these styles and clinical factors in low back pain.
methodsIn this cross-sectional study, patients with low back pain (N=443) completed questionnaires and were categorized as having 1 of 4 distinct affect balance styles: Healthy (high levels of PA and low levels of NA), Low (low PA/low NA), Reactive (high PA/high NA), and Depressive (low PA/high NA). Comparisons between groups were made in regard to pain, functioning, and psychiatric comorbidity.
resultsHigh NA was observed in 63% (n=281), whereas low PA was present in 81% (n=359). We found that having a Depressive style was associated with greater pain severity, increased odds for comorbid fibromyalgia, and worse functioning compared with having a Healthy or Low style. Yet, those with a Low style were at increased risk for depression compared with a Healthy style, whereas patients with a Reactive style had similar levels of pain, functioning, and depression as those with a Healthy affective style.
conclusionsOur study revealed that there are important differences between trait affect balance styles in regard to pain, mood, and functioning in low back pain. Findings related to Reactive and Low affective styles suggest that relationships between affect, pain, and disability in low back pain extend beyond considering NA alone.
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