Evidence map›Paper›PMID 27918444›Full record

ReviewChildren (Basel, Switzerland)2016

Mental Health Comorbidities in Pediatric Chronic Pain: A Narrative Review of Epidemiology, Models, Neurobiological Mechanisms and Treatment.

Jillian Vinall, Maria Pavlova, Gordon J G Asmundson, Nivez Rasic, Melanie Noel

Registry-linked trialAbstract readReview
In one paragraph

Review in Children (Basel, Switzerland), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04561401 (Can Brain Stimulation Enhance Outcomes Associated With Intensive Rehabilitation for Youth With Chronic Pain?), which is not on this map. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 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.

NCT04561401 naactive not recruitingnot on this mapstarted 2020, after this paper: background citation

Can Brain Stimulation Enhance Outcomes Associated With Intensive Rehabilitation for Youth With Chronic Pain?

TypeinterventionalSponsorUniversity of CalgaryRan2020 to 2028Enrolled25ConditionsChronic PainArmsRepeated Transcranial Magnetic Stimulation (rTMS), Intensive Pain Rehabilitation Program (IPRP)
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
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  7. Co-occurring pediatric chronic pain and mental health: A genetically informed study.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
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  16. Review
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  18. Parent Psychological Flexibility in Pediatric Chronic Pain.Child psychiatry and human development · 2025
    Article
  19. Article
  20. Article

25 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

5 authors.

Jillian VinallDepartment of Anesthesia, University of Calgary, Calgary, AB T3B 6A8, Canada. jillian.vinall@ahs.ca.
Maria PavlovaDepartment of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada. mpavlova@ucalgary.ca.
Gordon J G AsmundsonDepartment of Psychology, University of Regina, Regina, SK S4S 0A2, Canada. Gordon.Asmundson@uregina.ca.
Nivez RasicDepartment of Anesthesia, University of Calgary, Calgary, AB T3B 6A8, Canada. nivez.rasic@ahs.ca.
Melanie NoelDepartment of Psychology, University of Calgary, Calgary, AB T2N 1N4, Canada. melanie.noel@ucalgary.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain during childhood and adolescence can lead to persistent pain problems and mental health disorders into adulthood. Posttraumatic stress disorders and depressive and anxiety disorders are mental health conditions that co-occur at high rates in both adolescent and adult samples, and are linked to heightened impairment and disability. Comorbid chronic pain and psychopathology has been explained by the presence of shared neurobiology and mutually maintaining cognitive-affective and behavioral factors that lead to the development and/or maintenance of both conditions. Particularly within the pediatric chronic pain population, these factors are embedded within the broader context of the parent-child relationship. In this review, we will explore the epidemiology of, and current working models explaining, these comorbidities. Particular emphasis will be made on shared neurobiological mechanisms, given that the majority of previous research to date has centered on cognitive, affective, and behavioral mechanisms. Parental contributions to co-occurring chronic pain and psychopathology in childhood and adolescence will be discussed. Moreover, we will review current treatment recommendations and future directions for both research and practice. We argue that the integration of biological and behavioral approaches will be critical to sufficiently address why these comorbidities exist and how they can best be targeted in treatment.

Indexed as

anxietybrainchronic paincomorbiditydepressioninterventionneurobiologyparentposttraumatic stress disorderstress

Identifiers

PMID27918444
PMCPMC5184815

What OpenQuestion holds

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LicenceCC BY
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.