Evidence map›Paper›PMID 28932680›Full record

ArticleNeuroImage. Clinical2017

Brain responses to vestibular pain and its anticipation in women with Genito-Pelvic Pain/Penetration Disorder.

Els Pazmany, Huynh Giao Ly, Leen Aerts, Michiko Kano, Sophie Bergeron, Johan Verhaeghe, Ronald Peeters, Jan Tack, Patrick Dupont, Paul Enzlin and 1 more

Open access · goldAbstract read
In one paragraph

Article in NeuroImage. Clinical, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.3field-weighted citation impact, top 21% 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

8 citing papers in PubMed, 23 citations in OpenAlex.

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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

11 authors at 3 institutions in 3 countries.

Els PazmanyInstitute for Family and Sexuality Studies, Department of Neurosciences, KU Leuven, Leuven, Belgium.
Huynh Giao LyTranslational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
Leen AertsDepartment of Psychology, Université de Montréal, Montreal, Canada.
Michiko KanoThe Frontier Research Institute for Interdisciplinary Sciences, Tohoku University, Sendai, Japan.
Sophie BergeronDepartment of Psychology, Université de Montréal, Montreal, Canada.
Johan VerhaegheDepartment of Gynaecology, University Hospitals Leuven, Leuven, Belgium.
Ronald PeetersMedical Diagnostic Sciences, KU Leuven & Radiology University Hospitals Leuven, Leuven, Belgium.
Jan TackTranslational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
Patrick DupontLaboratory for Cognitive Neurology, Department of Neurosciences, KU Leuven & Medical Imaging Centre, University Hospitals Leuven, Leuven, Belgium.
Paul EnzlinInstitute for Family and Sexuality Studies, Department of Neurosciences, KU Leuven, Leuven, Belgium.
Lukas Van OudenhoveTranslational Research Center for Gastrointestinal Disorders (TARGID), Department of Clinical and Experimental Medicine, KU Leuven, Leuven, Belgium.
KU Leuven · BEUniversité de Montréal · CATohoku University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveIn DSM-5, pain-related fear during anticipation of vaginal penetration is a diagnostic criterion of Genito-Pelvic Pain/Penetration Disorder (GPPPD). We aimed to investigate subjective and brain responses during anticipatory fear and subsequent induction of vestibular pain in women with GPPPD.

methodsWomen with GPPPD (n = 18) and age-matched healthy controls (HC) (n = 15) underwent fMRI scanning during vestibular pain induction at individually titrated pain threshold after a cued anticipation period. (Pain-related) fear and anxiety traits were measured with questionnaires prior to scanning, and anticipatory fear and pain intensity were rated during scanning using visual analog scales.

resultsWomen with GPPPD reported significantly higher levels of anticipatory fear and pain intensity. During anticipation and pain induction they had stronger and more extensive brain responses in regions involved in cognitive and affective aspects of pain perception, but the group difference did not reach significance for the anticipation condition. Pain-related fear and anxiety traits as well as anticipatory fear ratings were positively associated with pain ratings in GPPPD, but not in HC. Further, in HC, a negative association was found between anticipatory fear ratings and brain responses in regions involved in cognitive and affective aspects of pain perception, but not in women with GPPPD.

conclusionsWomen with GPPPD are characterized by increased subjective and brain responses to vestibular pain and, to a lesser extent, its anticipation, with fear and anxiety associated with responses to pain, supporting the introduction of anticipatory fear as a criterion of GPPPD in DSM-5.

Indexed as

AdolescentAnticipation, PsychologicalAnxiety DisordersBrainFemaleHumansMagnetic Resonance ImagingPain PerceptionPelvic PainSexual Dysfunctions, PsychologicalVulvodyniaaMCC, anterior midcingulate cortexAnticipation of paindlPFC, dorsolateral prefrontal cortexDSM-5, Diagnostic Statistical Manual of Mental Disorders, fifth editionFM, fibromyalgiafMRIfMRI, functional magnetic resonance imagingFPQ, Fear of Pain QuestionnaireGenito-pelvic pain/penetration disorderGPPPD, Genito-Pelvic Pain/Penetration DisorderHC, healthy controlsIBS, irritable bowel syndromen, numberOFC, orbitofrontal cortexpACC, perigenual anterior cingulate cortexPain-related fear and anxietyPASS, Pain Anxiety Symptoms ScaleProvoked vestibulodyniaPVD, provoked vestibulodyniaQ1, Quartile 1Q3, Quartile 3SAS, statistical analysis softwareSD, standard deviationSII, secondary somatosensory cortexSMA, supplementary motor areaSPM8, Statistical Parametric Mapping, SPM8SPSS, Statistical Package for Social SciencesSTAI, State-Trait Anxiety InventoryTR/TE, repetition time/echo timeVAS, Visual Analogue ScaleVestibular painvlPFC, ventrolateral prefrontal cortexvmPFC, ventromedial prefrontal cortex

Identifiers

PMID28932680
PMCPMC5596304
OpenAlexW2739413725

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.