Evidence map›Paper›PMID 35076177›Full record

ArticleArthritis & rheumatology (Hoboken, N.J.)2022

Brain Structural Changes During Juvenile Fibromyalgia: Relationships With Pain, Fatigue, and Functional Disability.

Maria Suñol, Michael F Payne, Han Tong, Thomas C Maloney, Tracy V Ting, Susmita Kashikar-Zuck, Robert C Coghill, Marina López-Solà

Open access · hybridAbstract read
In one paragraph

Article in Arthritis & rheumatology (Hoboken, N.J.), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
7.6field-weighted citation impact, top 3% 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

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Article
  6. Review
  7. Nociplastic pain: controversy of the concept.The Korean journal of pain · 2025
    Review
  8. Neurophysiology of Resilience in Juvenile Fibromyalgia.medRxiv : the preprint server for health sciences · 2024
    Article
  9. 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

8 authors at 3 institutions in 2 countries.

Maria SuñolUniversity of Barcelona, Barcelona, Spain.ORCID 0000-0002-4731-4811
Michael F PayneCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Han TongCincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Thomas C MaloneyUniversity of Cincinnati, Cincinnati, Ohio.
Tracy V TingCincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Susmita Kashikar-ZuckCincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.ORCID 0000-0002-8321-9723
Robert C CoghillCincinnati Children's Hospital Medical Center and University of Cincinnati, Cincinnati, Ohio.
Marina López-SolàUniversity of Barcelona, Barcelona, Spain.ORCID 0000-0002-5517-2665
Cincinnati Children's Hospital Medical Center · USUniversitat de Barcelona · ESUniversity of Cincinnati · US

Funding

Pediatric musculOskeletal & RheumaTology Innovation COre center (PORTICO)P30AR076316 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI DUMOULIN, CHARLES L. · 2019 to 2023
$3.4M
Identifying neural pathophysiology in juvenile fibromyalgiaR01AR074795 · NIAMS · CINCINNATI CHILDRENS HOSP MED CTR · PI COGHILL, ROBERT C · 2019 to 2022
$1.6M
NIAMS NIH HHS P30 AR076316NIAMS NIH HHS R01 AR074795
6 · The paper itself

Abstract

objectiveJuvenile fibromyalgia (FM) is a prevalent chronic pain condition affecting children and adolescents worldwide during a critical period of brain development. To date, no published studies have addressed the pathophysiology of juvenile FM. This study was undertaken to characterize gray matter volume (GMV) alterations in juvenile FM patients for the first time, and to investigate their functional and clinical relevance.

methodsThirty-four female adolescents with juvenile FM and 38 healthy adolescents underwent a structural magnetic resonance imaging examination and completed questionnaires assessing core juvenile FM symptoms. Using voxel-based morphometry, we assessed between-group GMV differences and associations between GMV and functional disability, fatigue, and pain interference in juvenile FM. We also studied whether validated brain patterns predicting pain, cognitive control, or negative emotion were amplified/attenuated in juvenile FM patients and whether structural alterations reported in adult FM were replicated in adolescents with juvenile FM.

resultsCompared to controls, juvenile FM patients showed GMV reductions in the anterior midcingulate cortex (aMCC) region (family-wise error corrected P [P

conclusionPain-related aMCC reductions may be a structural hallmark of juvenile FM, whereas alterations in regions involved in emotional, self-referential, and language-related processes may predict disease impact on patients' well-being. The partial overlap between juvenile and adult FM findings strengthens the importance of early symptom identification and intervention to prevent the transition to adult forms of the disease.

Indexed as

BrainChronic PainFibromyalgiaAdolescentChildFatigueFemaleGray MatterHumansMagnetic Resonance Imaging

Identifiers

PMID35076177
PMCPMC9247027
OpenAlexW4210731169

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.