Evidence map›Paper›PMID 38352025›Full record

ArticlePain reports2024

Cognitive flexibility training for chronic pain: a randomized clinical study.

Katherine J Holzer, Marko S Todorovic, Elizabeth A Wilson, Aaron Steinberg, Michael S Avidan, Simon Haroutounian

Open access · goldAbstract read
In one paragraph

Article in Pain reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.4field-weighted citation impact, top 12% 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, 7 citations in OpenAlex.

  1. Article
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  5. Adaptation and Vulnerability in Chronic Pain: A Study of Profiles Based on Clinical and Psychological Factors.European journal of investigation in health, psychology and education · 2025
    Article
  6. Review
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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

6 authors at 2 institutions in 2 countries.

Katherine J HolzerDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.ORCID https://orcid.org/0000-0003-4788-0351
Marko S TodorovicDepartment of Anesthesiology, Virginia Mason Medical Center, Seattle, WA, USA.
Elizabeth A WilsonDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Aaron SteinbergEmergency Department, SSM Health St. Mary's Hospital, St. Louis, MO, USA.
Michael S AvidanDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Simon HaroutounianDepartment of Anesthesiology, Washington University School of Medicine, St. Louis, MO, USA.
Apple (Israel) · ILWashington University in St. Louis · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Previous studies suggest an association between cognitive flexibility and development of chronic pain after surgery. It is not known whether cognitive flexibility can be improved in patients with chronic pain. Objectives: This study tested whether a neurocognitive training program results in improved cognitive flexibility and pain in patients with chronic pain. Methods: We conducted a single-center, prospective, randomized study investigating 5-week daily neurocognitive training in patients with chronic pain. Participants (n = 145) were randomized into neurocognitive training or care as usual, and they completed assessments at baseline, posttreatment, and 3 months. The treatment group was asked to spend 35 minutes daily completing a program with tasks on cognitive flexibility, memory, attention, and speed. The primary outcome was performance on the neurocognitive performance test (NCPT). Secondary outcomes included levels of pain interference and severity. Results: At 5 weeks, the treatment group showed greater improvements on NCPT compared with the control group ( Conclusions: Outcomes suggest that using neurocognitive training to modify cognitive flexibility in patients with chronic pain may improve pain severity. This study provided effect size estimates to inform sample size calculations for randomized controlled trials to test the effectiveness of neurocognitive interventions for the prevention and treatment of chronic pain.

Indexed as

Cognitive flexibilityNeurocognitive trainingPain interferencePain severity

Identifiers

PMID38352025
PMCPMC10863938
OpenAlexW4391746333

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.