Evidence map›Paper›PMID 34417805›Full record

ArticleMilitary medicine2023

Longitudinal Associations of PROMIS-29 Anxiety and Depression Symptoms With Low Back Pain Impact in a Sample of U.S. Military Service Members.

Michael S Dunbar, Anthony Rodriguez, Maria O Edelen, Ron D Hays, Ian D Coulter, Daniel Siconolfi, Patricia M Herman

Registry-linked trialOpen access · bronzeAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Military medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04426812 (Measuring Chronic Pain Impact), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.5field-weighted citation impact, top 33% 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.

NCT04426812 completednot on this map

Measuring Chronic Pain Impact

TypeobservationalSponsorRANDRan2021 to 2024Enrolled11,146ConditionsChronic PainArmsNo intervention, just data collection
3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 3 citations in OpenAlex.

  1. Temporal relationships between distress and pain in people living with HIV.medRxiv : the preprint server for health sciences · 2026
    Article
  2. 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 2 institutions in 1 country.

Michael S DunbarRAND Corporation, Pittsburgh, PA 15213, USA.ORCID 0000-0002-2644-0413
Anthony RodriguezRAND Corporation, Boston, MA 02116, USA.ORCID 0000-0001-9485-0003
Maria O EdelenRAND Corporation, Boston, MA 02116, USA.
Ron D HaysRAND Corporation, Santa Monica, CA 90401, USA.
Ian D CoulterRAND Corporation, Santa Monica, CA 90401, USA.
Daniel SiconolfiRAND Corporation, Pittsburgh, PA 15213, USA.
Patricia M HermanRAND Corporation, Santa Monica, CA 90401, USA.
RAND Corporation · USBrigham and Women's Hospital · US

Funding

Measuring Chronic Pain ImpactR01AT010402 · NCCIH · RAND CORPORATION · PI HAYS, RONALD DALE, HERMAN, PATRICIA M · 2020 to 2023
$2.5M
NCCIH NIH HHS R01 AT010402
6 · The paper itself

Abstract

introductionThe Impact Stratification Score (ISS) is a measure of the impact of chronic low back pain (LBP) consisting of nine Patient-Reported Outcomes Measurement Information System (PROMIS-29) items, but no studies have examined the ISS or its association with psychological symptoms in military samples. This study examines longitudinal associations between psychological symptoms and the ISS among military service members. MATERIAL AND

methodsThe study involved secondary data analysis of a sample of active duty U.S. military service members aged 18-50 years with LBP (n = 733). Participants completed the PROMIS-29 at three time points during treatment: baseline (time 1, T1), week 6 of treatment (time 2, T2), and week 12 of treatment (time 3, T3). The impact of LBP was quantified using the ISS (ranging from 8 = least impact to 50 = greatest impact). Psychological symptoms were assessed as PROMIS-29 anxiety and depression scores. Separate autoregressive cross-lagged models examined reciprocal associations of ISSs with anxiety, depression, and emotional distress scores from T1 to T3.

resultsWithin each time point, the ISS was significantly and positively correlated with anxiety and depression. In autoregressive cross-lagged models, anxiety and depression predicted the ISS at the next time point and associations were similar in magnitude (e.g., anxiety T2 to ISS T3: β = 0.12, P < .001; depression T2 to ISS T3: β = 0.12, P <.001). The ISS did not predict future depression or emotional distress scores at any time point, but the ISS at T2 was significantly, positively associated with anxiety scores at T3 (β = 0.07, P = .04).

conclusionPsychological symptoms consistently and prospectively predict the impact of LBP as measured by the ISS among service members undergoing pain treatment. The ISS may also be associated with future anxiety but not depression. PROMIS-29 anxiety and depression items may be useful adjunctive measures to consider when using the ISS to support LBP treatment planning and monitoring with service members.

Indexed as

Low Back PainMilitary PersonnelAnxietyAnxiety DisordersHumans

Identifiers

PMID34417805
PMCPMC10226420
OpenAlexW3195503039

What OpenQuestion holds

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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.