Evidence map›Paper›PMID 31429944›Full record

Trial reportPsychophysiology2019

Influence of pain anticipation on brain activity and pain perception in Gulf War Veterans with chronic musculoskeletal pain.

Jacob B Lindheimer, Aaron J Stegner, Laura D Ellingson-Sayen, Stephanie M Van Riper, Ryan J Dougherty, Michael J Falvo, Dane B Cook

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Psychophysiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

12 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Sensory processing in medically unexplained pain syndrome. A systematic review.Frontiers in pain research (Lausanne, Switzerland) · 2025
    Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Post-exertional malaise in veterans with gulf war illness.International journal of psychophysiology : official journal of the International Organization of Psychophysiology · 2020
    Article
  12. Article
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.

Jacob B LindheimerWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.ORCID 0000-0002-1581-3210
Aaron J StegnerWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.
Laura D Ellingson-SayenDepartment of Kinesiology, Iowa State University, Ames, Iowa.
Stephanie M Van RiperWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.
Ryan J DoughertyWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.
Michael J FalvoDepartment of Veterans Affairs, NJ Health Care System, War Related Illness and Injury Study Center, East Orange, New Jersey.
Dane B CookWilliam S. Middleton Memorial Veterans Hospital, Madison, Wisconsin.
University of Wisconsin–Madison · USIowa State University · USRutgers, The State University of New Jersey · US

Funding

Imaging the Cognitive Modulation of Pain in FibromyalgiaR01AR050969 · NIAMS · UNIVERSITY OF WISCONSIN-MADISON · PI COOK, DANE B. · 2005 to 2009
$1.4M
Longitudinal Assessment of Physical Activity, Cerebral Glucose Metabolism, and Cognitive Function in an At-risk CohortF31AG062009 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI DOUGHERTY, RYAN JAMES · 2018 to 2019
$63k
Impact of exercise training on pain and brain function in Gulf War VeteransI01CX000383 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI COOK, DANE B. · 2011 to 2019
–
Acute exercise tolerance among Veterans with Gulf War IllnessIK2CX001679 · VA · WM S. MIDDLETON MEMORIAL VETERANS HOSP · PI LINDHEIMER, JACOB · 2018 to 2023
–
CSRD VA I01 CX000383CSRD VA IK2 CX001679NIAMS NIH HHS AR50969NIAMS NIH HHS R01 AR050969NIA NIH HHS F31 AG062009NIA NIH HHS F31AG062009VA 561-00436
6 · The paper itself

Abstract

Anticipation of a painful experience can influence brain activity and increase sensitivity to experimental somatosensory stimuli in healthy adults, but this response is poorly understood among individuals with chronic musculoskeletal pain (CMP). Studies of brain and perceptual responses to somatosensory stimuli are used to make inferences about central nervous system dysfunction as a potential mechanism of symptoms. As such, we sought to (a) determine the influence of pain anticipation on pain-relevant brain regions and pain perception, and (b) characterize potential differences in these responses between Gulf War Veterans with CMP and matched healthy control (CO) Veterans. CMP (N = 30) and CO Veterans (N = 31) were randomized to conditions designed to generate expectations that either painful (pain) or nonpainful (no pain) stimuli would be administered. Brain responses to five nonpainful thermal stimuli were measured during fMRI, and each stimulus was rated for pain intensity and unpleasantness. In the pain condition, an incremental linear decrease in activity across stimuli was observed in the posterior cingulate cortex, cingulate cortex, and middle temporal gyrus. Further, in the pain condition, differential responses were observed between CMP and CO Veterans in the middle temporal gyrus. These findings indicate that brain responses to nonpainful thermal stimuli in Veterans with CMP are sensitive to pain anticipation, and we recommend accounting for the influence of pain anticipation in future investigations of central nervous system dysfunction in CMP.

Indexed as

AdultAnticipation, PsychologicalCerebral CortexChronic PainGulf WarHumansMagnetic Resonance ImagingMaleMiddle AgedMusculoskeletal PainPain PerceptionThermosensingTouch PerceptionVeteransBOLDcentral nervous systemchronic painfibromyalgiaMRInocebo

Identifiers

PMID31429944
PMCPMC6803046
OpenAlexW2969850106

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.