SynthesisEuropean journal of pain (London, England)2020
Crying out in pain-A systematic review into the validity of vocalization as an indicator for pain.
Synthesis in European journal of pain (London, England), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 2 of them syntheses that pooled it.
What it found
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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.
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.
Who cites it
18 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.
- Pooled it
- Crying out in pain-A systematic review into the validity of vocalization as an indicator for pain.European journal of pain (London, England) · 2020Pooled it
- Effect of Intranasal Ketamine on Pain Intensity after Cesarean Section: A Single-Center, Double Blind, Randomized Controlled Trial.Ethiopian journal of health sciences · 2023Trial
- Understanding and engaging with vocalisations during labour and birth: A qualitative interview study of midwives' experiences and approaches.International journal of nursing studies advances · 2026Article
- Facial Expressions as a Nexus for Health Assessment.Bioengineering (Basel, Switzerland) · 2026Review
- Pain processing and pain assessment in Huntington's disease: Study protocol of the Huntington's disease - PAIN study.PloS one · 2026Article
- Impolite Birth: Provider Perspectives on Vocalization During Childbirth.Birth (Berkeley, Calif.) · 2025Article
- Do we assess all relevant behaviours in children with cognitive impairments using the revised Face, Leg, Cry, Consolability (r-FLACC) Scale? - A Qualitative Study.European journal of pediatrics · 2025Article
- What can speech tell us about pain?Pain reports · 2025Article
- Characteristic Behaviors of Pain During Movement in the Older Individuals with Dementia.Journal of pain research · 2024Article
- Pain in non-communicative older adults beyond dementia: a narrative review.Frontiers in medicine · 2024Review
- Auditory category learning is robust across training regimes.Cognition · 2023Article
- Top Ten Tips Palliative Care Clinicians Should Know About Behavioral Pain Management for Persistent Pain.Journal of palliative medicine · 2023Review
- A systematic review of neurophysiological sensing for the assessment of acute pain.NPJ digital medicine · 2023Review
- A Review of Voice-Based Pain Detection in Adults Using Artificial Intelligence.Bioengineering (Basel, Switzerland) · 2023Review
- Vocal pain expression augmentation for a robopatient.Frontiers in robotics and AI · 2023Article
- Fear Extinction-Based Inter-Individual and Sex Differences in Pain-Related Vocalizations and Anxiety-like Behaviors but Not Nocifensive Reflexes.Brain sciences · 2021Article
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
7 authors at 5 institutions in 3 countries.
Funding
Abstract
backgroundVocalization is often used to assess pain, sometimes combined with other behaviours such as facial expressions. Contrary to facial expressions, however, for vocalization, there is little evidence available on the association with pain. The aim of this systematic review was to critically analyse the association between vocalization and pain, to explore if vocalizations can be used as a "stand-alone" indicator for pain.
methodsThe search was performed according to the Prisma Guidelines for systematic reviews and meta-analysis. The following terms were used: "Pain Measurement," "Vocalization" and "Verbalization." The study population included verbal and non-verbal individuals, including older people and children. The search was performed in three different databases: PubMed, Embase and CINAHL. A total of 35 studies were selected for detailed investigation. Quality assessments were made using two grading systems: Grading of Recommendations Assessment Development and Evaluation system and the Newcastle-Ottawa scale.
resultsAn association between vocalization and pain was found in most studies, particularly when different types of vocalizations were included in the investigation. Different types of vocalization, but also different types of pain, shape this association. The association is observed within all groups of individuals, although age, amongst others, may have an influence on preferred type of vocalization.
conclusionsThere is an association between vocalization and pain. However, vocalization as a "stand-alone" indicator for pain indicates only a limited aspect of this multifactorial phenomenon. Using vocalization as an indicator for pain may be more reliable if other pain indicators are also taken into account. SIGNIFICANCE: Vocalizations are frequently used in pain scales, although not yet thoroughly investigated as a "single indicator" for pain, like, e.g. facial expression. This review confirms the role of vocalizations in pain scales, and stresses that vocalizations might be more reliable if used in combination with other pain indicators.
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What OpenQuestion holds
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.