Evidence map›Paper›PMID 29476771›Full record

ReviewNeuroscience and biobehavioral reviews2018

Subliminal (latent) processing of pain and its evolution to conscious awareness.

David Borsook, Andrew M Youssef, Nadia Barakat, Christine B Sieberg, Igor Elman

Abstract readReview
In one paragraph

Review in Neuroscience and biobehavioral reviews, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–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.

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

9 citing papers in PubMed.

  1. Article
  2. Consciousness Research Through Pain.Healthcare (Basel, Switzerland) · 2025
    Review
  3. Article
  4. Article
  5. Observational
  6. Article
  7. Article
  8. Review
  9. Review
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.

David BorsookCenter for Pain and the Brain, 9 Hope Avenue, Mailbox 26, Waltham, MA, 06524-9936, United States. Electronic address: david.borsook@childrens.harvard.edu.
Andrew M YoussefCenter for Pain and the Brain, 9 Hope Avenue, Mailbox 26, Waltham, MA, 06524-9936, United States.
Nadia BarakatCenter for Pain and the Brain, 9 Hope Avenue, Mailbox 26, Waltham, MA, 06524-9936, United States.
Christine B SiebergCenter for Pain and the Brain, 9 Hope Avenue, Mailbox 26, Waltham, MA, 06524-9936, United States.
Igor ElmanDayton Veterans Affairs Medical Center 4100 West Third Street Dayton, OH, 45428, United States.

Funding

Central and Peripheral Measures of Pain: Recovery and ResistanceR01HD083133 · NICHD · BOSTON CHILDREN'S HOSPITAL · PI KOHANE, DANIEL S · 2015 to 2021
$3.4M
Pediatric Persistent Post-surgical Pain: From Animals to Application (Supplement)K23GM123372 · NIGMS · BOSTON CHILDREN'S HOSPITAL · PI SIEBERG, CHRISTINE BARRETT · 2016 to 2020
$573k
NICHD NIH HHS R01 HD083133NIGMS NIH HHS K23 GM123372
6 · The paper itself

Abstract

By unconscious or covert processing of pain we refer to nascent interactions that affect the eventual deliverance of pain awareness. Thus, internal processes (viz., repeated nociceptive events, inflammatory kindling, reorganization of brain networks, genetic) or external processes (viz., environment, socioeconomic levels, modulation of epigenetic status) contribute to enhancing or inhibiting the presentation of pain awareness. Here we put forward the notion that for many patients, ongoing sub-conscious changes in brain function are significant players in the eventual manifestation of chronic pain. In this review, we provide clinical examples of nascent or what we term pre-pain processes and the neurobiological mechanisms of how these changes may contribute to pain, but also potential opportunities to define the process for early therapeutic interventions.

Indexed as

AnimalsAwarenessBrainConsciousnessHumansPainUnconsciousnessUnconscious, PsychologyAwarenessBrainChronic painCognitionIcebergNeural networksSubconscious

Identifiers

PMID29476771
PMCPMC5985199

What OpenQuestion holds

Textmetadata
LicenceTDM
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.