Evidence map›Paper›PMID 38547161›Full record

ArticlePLOS global public health2024

Treatments and interventions addressing chronic somatic pain in torture survivors: A systematic review.

Tanzilya Oren, Nihan Ercanli, Omri Maayan, Samantha Tham, Drew Wright, Gunisha Kaur

Abstract read
In one paragraph

Article in PLOS global public health, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. 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

6 authors.

Tanzilya OrenDepartment of Anesthesiology, Human Rights Impact Lab, Weill Cornell Medical College, New York, New York, United States of America.ORCID https://orcid.org/0000-0002-4625-399X
Nihan ErcanliCollege of Human Ecology, Cornell University, Ithaca, New York, United States of America.
Omri MaayanDepartment of Anesthesiology, Human Rights Impact Lab, Weill Cornell Medical College, New York, New York, United States of America.ORCID https://orcid.org/0000-0002-2581-5447
Samantha ThamDepartment of Anesthesiology, Human Rights Impact Lab, Weill Cornell Medical College, New York, New York, United States of America.ORCID https://orcid.org/0009-0008-6603-0399
Drew WrightSamuel J. Wood Library & C.V. Starr Biomedical Information Center, Weill Cornell Medical College, New York, New York, United States of America.ORCID https://orcid.org/0000-0002-1776-5427
Gunisha KaurDepartment of Anesthesiology, Human Rights Impact Lab, Weill Cornell Medical College, New York, New York, United States of America.ORCID https://orcid.org/0000-0001-9069-6918

Funding

Chronic Pain Diagnosis and Treatment in Torture SurvivorsK23NS116114 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KAUR, GUNISHA · 2020 to 2024
$975k
NINDS NIH HHS K23 NS116114
6 · The paper itself

Abstract

Torture survivors experience chronic, somatic pain that may be exacerbated by environmental, social, and structural factors that extend beyond immediate traumatic events and diagnoses. We conducted a systematic review of research describing the types and efficacy of treatments for chronic somatic pain in a global population of torture survivors. In this systematic review, we searched Ovid MEDLINE, Ovid EMBASE (1974 to present), and PubMed. We used all appropriate controlled vocabulary and keywords for interventions and treatments for chronic somatic pain in torture survivors. The population included survivors of torture of any age and in any country. Outcomes included pain relief, pain intensity, distress level, and quality of life. Four authors participated in screening, full-text review, and quality assessment, with each title and abstract being independently reviewed by two authors. This study is reported according to the PRISMA guidelines and registered in PROSPERO. We included six pre-post intervention studies and four pilot or modified randomized controlled trials (RCTs), for a total of ten studies included in the analysis. Different combinations of interventions targeted pain reduction in refugees, the majority of whom were torture survivors as the primary (n = 1) or secondary (n = 9) outcome. Sample sizes varied from eight to 470 participants. We identified three main types of interventions: multimodal combined, manual therapy, and specific types of talk therapy. Five studies demonstrated positive outcomes on pain and its intensity, three reported no effect, and two had mixed outcomes. Pain in torture survivors is often considered a symptom secondary to mental health illness and not targeted directly. Instead, combined interventions are mainly directed at posttraumatic stress disorder (PTSD), depression, and anxiety. Most studies noted promising preliminary results and plans to conduct RCTs to increase the reproducibility and quality of their pilot data.

Identifiers

PMID38547161
PMCPMC10977680

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Registered trials

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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.