Evidence map›Paper›PMID 32019063›Full record

ArticleJournal of clinical medicine2020

The Bed Nucleus of the Stria Terminalis as a Brain Correlate of Psychological Inflexibility in Fibromyalgia.

Albert Feliu-Soler, Ignacio Martínez-Zalacaín, Adrián Pérez-Aranda, Xavier Borràs, Laura Andrés-Rodríguez, Juan P Sanabria-Mazo, Nicolás Fayed, Christian Stephan-Otto, Christian Núñez, Carles Soriano-Mas and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 32% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Mindfulness for heart and mind: Mindfulness-based blood pressure reduction randomized clinical trial for depression symptoms.Health psychology : official journal of the Division of Health Psychology, American Psychological Association · 2026
    Trial
  3. 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

11 authors at 4 institutions in 1 country.

Albert Feliu-SolerInstitut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Ignacio Martínez-ZalacaínDepartment of Psychiatry, Bellvitge University Hospital, Bellvitge Biomedical Research Institute-IDIBELL, 08907 Barcelona, Spain.
Adrián Pérez-ArandaInstitut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Xavier BorràsFaculty of Psychology, Universitat Autònoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, Spain.
Laura Andrés-RodríguezInstitut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Juan P Sanabria-MazoFaculty of Psychology, Universitat Autònoma de Barcelona, 08193 Bellaterra (Cerdanyola del Vallès), Barcelona, Spain.
Nicolás FayedDepartment of Radiology, Quirónsalud Hospital, 50012 Zaragoza, Spain.
Christian Stephan-OttoInstitut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Christian NúñezInstitut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Carles Soriano-MasDepartment of Psychiatry, Bellvitge University Hospital, Bellvitge Biomedical Research Institute-IDIBELL, 08907 Barcelona, Spain.
Juan V LucianoInstitut de Recerca Sant Joan de Déu, 08950 Esplugues de Llobregat, Spain.
Universitat Autònoma de Barcelona · ESBellvitge University Hospital · ESHospital Quirónsalud Barcelona · ESSant Joan de Déu Research Foundation · ES

Funding

Agència de Gestió d'Ajuts Universitaris i de Recerca FI_B00754Agència de Gestió d'Ajuts Universitaris i de Recerca FI_B00783Instituto de Salud Carlos III CD16/00147Instituto de Salud Carlos III CPII16/00048Instituto de Salud Carlos III CPII19/00003Instituto de Salud Carlos III FI17/00294Instituto de Salud Carlos III PI15/00383
6 · The paper itself

Abstract

This study explored the brain structural correlates of psychological flexibility (PF) as measured with the Psychological Inflexibility in Pain Scale (PIPS) in patients with fibromyalgia (FM). Structural magnetic resonance imaging data from 47 FM patients were used to identify Gray Matter Volume (GMV) alterations related to PIPS scores. Brain GMV clusters related to PIPS were then correlated with clinical and cognitive variables to further explore how emerged brain clusters were intertwined with FM symptomatology. Longitudinal changes in PIPS-related brain clusters values were assessed by studying pre-post data from 30 patients (15 allocated to a mindfulness-based stress reduction (MBSR) program and 15 to treatment-as-usual). Changes in PIPS-related brain clusters were also explored in participants showing greater/lower longitudinal changes in PIPS scores. PIPS scores were positively associated with GMV in a bilateral cluster in the ventral part of the bed nucleus of the stria terminalis (BNST). Significant associations between BNST cluster with functional impairment, depressive symptomatology, perceived stress and the nonjudging mindfulness facet were observed. Participants reporting greater pre-post increases in PIPS scores showed greater increases in BNST cluster values. These findings contribute to the understanding on the neurobiological bases of PF in FM and encourage further explorations of the role of the BNST in chronic pain.

Indexed as

bed nucleus of the stria terminalisfibromyalgiamindfulnessneuroimagingpsychological inflexibility

Identifiers

PMID32019063
PMCPMC7074535
OpenAlexW3003421047

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.