Evidence map›Paper›PMID 34192714›Full record

Trial reportThe Clinical journal of pain2021

Does Quantitative Sensory Testing Improve Prediction of Chronic Pain Trajectories? A Longitudinal Study of Youth With Functional Abdominal Pain Participating in a Randomized Controlled Trial of Cognitive Behavioral Treatment.

Matthew C Morris, Stephen Bruehl, Amanda L Stone, Judy Garber, Craig Smith, Tonya M Palermo, Lynn S Walker

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in The Clinical journal of pain, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing 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

14 citing papers in PubMed.

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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.

Matthew C MorrisDepartment of Psychiatry and Human Behavior, University of Mississippi Medical Center, Jackson, MS.
Stephen BruehlDepartment of Anesthesiology, Vanderbilt University Medical Center.
Amanda L StoneDepartment of Anesthesiology, Vanderbilt University Medical Center.
Judy GarberDepartment of Psychology and Human Development, Vanderbilt University.
Craig SmithDepartment of Psychology and Human Development, Vanderbilt University.
Tonya M PalermoDepartment of Anesthesiology and Pain Medicine, University of Washington School of Medicine, Seattle, WA.
Lynn S WalkerDepartment of Pediatrics, Vanderbilt University School of Medicine, Nashville, TN.

Funding

VANDERBILT UNIVERSITY CTSA FOR PEDIATRIC RESEARCHUL1RR024975 · NCRR · VANDERBILT UNIVERSITY · PI BERNARD, GORDON RAPHAEL · 2007 to 2011
$45.7M
Translational Analysis CoreP30DK058404 · NIDDK · VANDERBILT UNIVERSITY MEDICAL CENTER · PI RICHARD M. PEEK · 2002 to 2026
$29.9M
THREE-TIERED PREVENTION MODEL TO BETTER SERVE ALL STUDENP30HD015052 · NICHD · VANDERBILT UNIVERSITY · PI DYKENS, ELISABETH MAY · 1985 to 2014
$18.6M
TIPS: Training in Perioperative ScienceT32GM108554 · NIGMS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI Eric J Delpire · 2014 to 2026
$3.7M
Predicting Treatment Response in Pediatric Functional Abdominal PainR01HD076983 · NICHD · VANDERBILT UNIVERSITY MEDICAL CENTER · PI WALKER, LYNN D. · 2014 to 2018
$2.9M
NCRR NIH HHS UL1 RR024975NICHD NIH HHS P30 HD015052NICHD NIH HHS R01 HD076983NIDDK NIH HHS P30 DK058404NIGMS NIH HHS T32 GM108554
6 · The paper itself

Abstract

objectivesYouth with functional abdominal pain (FAP) experience significant pain-related distress and functional impairment. Although quantitative sensory testing protocols have identified alterations in pain modulatory systems that distinguish youth with FAP from healthy controls, the extent to which evoked pain responses predict subsequent trajectories of pain symptoms and disability over and above established psychosocial risk factors is unclear.

methodsThe present study included 183 adolescents with FAP who were enrolled in a randomized controlled trial comparing an 8-week, internet-delivered program of cognitive behavior therapy (n=90) or pain education (n=93). Participants completed a quantitative sensory testing protocol before the intervention and were followed for 12-month posttreatment.

resultsWhereas adolescents with FAP who exhibited stronger baseline conditioned pain modulation (CPM) reported decreases in pain-related interference over follow-up (b=-0.858, SE=0.396, P=0.032), those with weaker CPM exhibited high, relatively stable levels of pain-related interference over time (b=-0.642, SE=0.400, P=0.110). CPM status predicted changes in pain-related interference after controlling for the effects of treatment condition and psychosocial risk factors. Static measures of pain sensitivity (ie, pain threshold, pain tolerance) and temporal summation of second pain were not associated with changes in measures of abdominal pain, gastrointestinal symptom severity, or pain-related interference over follow-up. DISCUSSION: The present findings contribute to a growing literature on the predictive utility of quantitative sensory testing indices and suggest that CPM may complement existing psychosocial risk measures in determining individualized pain-related risk profiles.

Indexed as

Chronic PainCognitive Behavioral TherapyAbdominal PainAdolescentCognitionHumansLongitudinal StudiesPain Measurement

Identifiers

PMID34192714
PMCPMC8373792

What OpenQuestion holds

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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.