Evidence map›Paper›PMID 27584819›Full record

ArticleThe Clinical journal of pain2017

What Determines Whether a Pain is Rated as Mild, Moderate, or Severe? The Importance of Pain Beliefs and Pain Interference.

Mark P Jensen, Catarina Tomé-Pires, Rocío de la Vega, Santiago Galán, Ester Solé, Jordi Miró

Registry-linked trialAbstract read
In one paragraph

Article in The Clinical journal of pain, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03799471 (Somatosensory Profiles in Individuals With Persistent Musculoskeletal Pain and Inflammatory Bowel Disease), which is not on this map. Cited by 49 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 5 pooled it
4.9field-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.

NCT03799471 completednot on this mapstarted 2019, after this paper: background citation

Somatosensory Profiles in Individuals With Persistent Musculoskeletal Pain and Inflammatory Bowel Disease

TypeobservationalSponsorDartmouth-Hitchcock Medical CenterRan2019 to 2019Enrolled77ConditionsInflammatory Bowel Diseases, Chronic Pain, Central Sensitization
3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 5 syntheses or guidelines pooled it, 100 citations in OpenAlex.

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  12. Daily Associations Between Perceived Stress, Pain Intensity, and Alcohol Use Among Veterans With and Without Moderate-to-Severe Chronic Pain.Stress and health : journal of the International Society for the Investigation of Stress · 2026
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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

6 authors at 3 institutions in 2 countries.

Mark P Jensen*Department of Rehabilitation Medicine, University of Washington, Seattle, WA †Unit for the Study and Treatment of Pain-ALGOS ‡Department of Psychology, Research Center for Behavior Assessment (CRAMC) §Institut d'Investigació Sanitària Pere Virgili ∥Universitat Rovira i Virgili-Fundación Grünenthal, Catalonia, Spain.
Catarina Tomé-Pires
Rocío de la Vega
Santiago Galán
Ester Solé
Jordi Miró
Center for Assessment · USInstitut d'Investigació Sanitària Pere Virgili · ESUniversity of Washington · US

Funding

SURVEY AND LONGITUDINAL STUDIES OF SECONDARY PAINP01HD033988 · NICHD · UNIVERSITY OF WASHINGTON · PI JENSEN, MARK P · 1996 to 2006
$4.8M
NICHD NIH HHS P01 HD033988
6 · The paper itself

Abstract

Reliable and valid measures of pain intensity are needed to accurately evaluate the efficacy of pain treatments. Perhaps with the exception of faces pain intensity scales, which are thought to reflect both pain intensity and pain affect, the other most commonly used pain intensity scales-Numerical Rating Scales (NRSs), Visual Analog Scales, and Verbal Rating Scales (VRSs)-are all thought to reflect primarily pain intensity or the magnitude of felt pain. However, to our knowledge, this assumption has not been directly tested for VRSs.

methodsWe evaluated whether VRS pain severity ratings are influenced by pain beliefs, catastrophizing, or pain interference over and above any effects of pain intensity, as measured by a NRS, in 4 samples of individuals with physical disabilities and chronic pain.

resultsAs hypothesized, and while controlling for pain intensity as measured by a NRS, higher scores on factors representing pain interference with function, pain catastrophizing, and a number of pain-related beliefs were all associated with a tendency for the study participants to rate their pain as more severe on a VRS. DISCUSSION: These findings indicate VRSs of pain severity cannot necessarily be assumed to measure only pain intensity; they may also reflect patient perceptions about pain interference and beliefs about their pain. Clinicians and researchers should take these findings into account when selecting measures and when interpreting the results of studies using VRSs as outcome measures.

Indexed as

Pain PerceptionCatastrophizationChronic PainCultureFemaleHumansMaleMiddle AgedPain MeasurementSeverity of Illness Index

Identifiers

PMID27584819
PMCPMC5332521
OpenAlexW2508908484

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.