Evidence map›Paper›PMID 30252113›Full record

Trial reportPain medicine (Malden, Mass.)2019

The Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial.

Jennifer N Carty, Maisa S Ziadni, Hannah J Holmes, Janice Tomakowsky, Kenneth Peters, Howard Schubiner, Mark A Lumley

Registry-linked trialOpen access · bronzeAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Pain medicine (Malden, Mass.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05014126 (Online "Pain, Stress & Emotions" Class in Chronic Pain), which is not on this map. Cited by 28 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed, 2 pooled it
2.7field-weighted citation impact, top 10% 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.

NCT05014126 early_phase1completednot on this mapstarted 2021, after this paper: background citation

Online "Pain, Stress & Emotions" Class in Chronic Pain: Single-arm Efficacy Test

TypeinterventionalSponsorStanford UniversityRan2021 to 2022Enrolled74ConditionsChronic PainArmsPain, Stress and Emotions
3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 2 syntheses or guidelines pooled it, 47 citations in OpenAlex.

  1. Pooled it
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  7. Review
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  12. Interstitial cystitis-an imbalance of risk and protective factors?Frontiers in pain research (Lausanne, Switzerland) · 2024
    Review
  13. Article
  14. Review
  15. Article
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  19. Psychological Treatment for Chronic Pain: Improving Access and Integration.Psychological science in the public interest : a journal of the American Psychological Society · 2021
    Article
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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

7 authors at 3 institutions in 1 country.

Jennifer N CartyDepartment of Psychology, Wayne State University, Detroit, Michigan.
Maisa S ZiadniDepartment of Psychology, Wayne State University, Detroit, Michigan.
Hannah J HolmesDepartment of Psychology, Wayne State University, Detroit, Michigan.
Janice TomakowskyWomen's Urology, Beaumont Health System, Royal Oak, Michigan.
Kenneth PetersWomen's Urology, Beaumont Health System, Royal Oak, Michigan.
Howard SchubinerDepartment of Internal Medicine, Ascension Health / Providence-Providence Park Hospital, Michigan State University College of Human Medicine, Southfield, Michigan.
Mark A LumleyDepartment of Psychology, Wayne State University, Detroit, Michigan.
Wayne State University · USBeaumont Health · USMichigan State University · US

Funding

Interdisciplinary Research Training in Pain and Substance Use DisordersT32DA035165 · NIDA · STANFORD UNIVERSITY · PI SEAN C MACKEY · 2013 to 2026
$7.2M
Emotional Exposure and Cognitive Behavioral Therapies for FibromyalgiaR01AR057808 · NIAMS · WAYNE STATE UNIVERSITY · PI LUMLEY, MARK A · 2010 to 2014
$3.2M
Anger Suppression and Expression among Chronic Pain PatientsR01AR057047 · NIAMS · RUSH UNIVERSITY MEDICAL CENTER · PI BURNS, JOHN W. · 2010 to 2013
$1.9M
NIAMS NIH HHS R01 AR057047NIAMS NIH HHS R01 AR057808NIDA NIH HHS T32 DA035165
6 · The paper itself

Abstract

objectiveWomen with chronic urogenital pain (CUP) conditions have elevated rates of lifetime trauma, relational stress, and emotional conflicts, but directly assessing and treating psychological stress is rarely done in women's health care settings. We developed and tested the effects on patients' somatic and psychological symptoms of a life stress interview that encourages disclosure about stressors and uses experiential techniques to increase awareness of links between stress, emotions, and symptoms.

methodsIn this randomized trial, women with CUP recruited at a multidisciplinary women's urology center received either a single 90-minute life stress interview (N = 37) or no interview (treatment-as-usual control; N = 25). Self-report measures of pain severity (primary outcome), pain interference, pelvic floor symptoms, and psychological symptoms (anxiety and depression) were completed at baseline and six-week follow-up.

resultsDifferences between the life stress interview and control conditions at follow-up were tested with analyses of covariance, controlling for baseline level of the outcome and baseline depression. Compared with the control condition, the interview resulted in significantly lower pain severity and pelvic floor symptoms, but the interview had no effect on pain interference or psychological symptoms.

conclusionsAn intensive life stress emotional awareness expression interview improved physical but not psychological symptoms among women with CUP seen in a tertiary care clinic. This study suggests that targeting stress and avoided emotions and linking them to symptoms may be beneficial for this complex group of patients.

Indexed as

Psychological DistressAdultChronic PainDepressionFemaleFemale Urogenital DiseasesHumansInterviews as TopicMiddle AgedPain ManagementPsychotherapyChronic Urogenital PainClinical TrialEmotional Awareness and ExpressionEmotional DisclosureInterviewStressWomen’s Health

Identifiers

PMID30252113
PMCPMC6611525
OpenAlexW2894027051

What OpenQuestion holds

Textmetadata
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.