Evidence map›Paper›PMID 38866885›Full record

ArticleScientific reports2024

Associations between pain intensity, psychosocial factors, and pain-related disability in 4285 patients with chronic pain.

Live Landmark, Hans Fredrik Sunde, Egil A Fors, Leif Edward Ottesen Kennair, Annahita Sayadian, Caroline Backelin, Silje Endresen Reme

Abstract read
In one paragraph

Article in Scientific reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 46 papers.

0numbers the graph read from it
0cells of the map it votes in
46citing 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

46 citing papers in PubMed.

  1. Trial
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  3. Review
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  6. Physiotherapy informed by acceptance and commitment therapy for chronic low back pain: A randomized trial.Hong Kong physiotherapy journal : official publication of the Hong Kong Physiotherapy Association Limited = Wu li chih liao · 2026
    Article
  7. Article
  8. Article
  9. Article
  10. Article
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  12. BACK-on-LINEEuropean journal of pain (London, England) · 2026
    Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
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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.

Live LandmarkDepartment of Psychology, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology, Trondheim, Norway. Livelan@stud.ntnu.no.ORCID 0009-0004-8531-3539
Hans Fredrik SundeCentre for Fertility and Health, Norwegian Institute of Public Health, Oslo, Norway.ORCID 0000-0001-8797-5422
Egil A ForsDepartment of Public Health and Nursing, Faculty of Medicine and Health Sciences, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0002-0980-8247
Leif Edward Ottesen KennairDepartment of Psychology, Faculty of Social and Educational Sciences, Norwegian University of Science and Technology, Trondheim, Norway.ORCID 0000-0002-2713-7096
Annahita SayadianDepartment of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.
Caroline BackelinDepartment of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.
Silje Endresen RemeDepartment of Psychology, Faculty of Social Sciences, University of Oslo, Oslo, Norway.ORCID 0000-0001-5870-4906

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pain, a widespread challenge affecting daily life, is closely linked with psychological and social factors. While pain clearly influences daily function in those affected, the complete extent of its impact is not fully understood. Given the close connection between pain and psychosocial factors, a deeper exploration of these aspects is needed. In this study, we aim to examine the associations between psychosocial factors, pain intensity, and pain-related disability among patients with chronic pain. We used data on 4285 patients from the Oslo University Hospital Pain Registry, and investigated pain-related disability, pain intensity, pain catastrophizing, psychological distress, perceived injustice, insomnia, fatigue, and self-efficacy. We found significant associations between all psychosocial variables and pain-related disability, even after adjusting for demographic factors. In the multiple regression model, sleep problems and pain intensity were identified as primary contributors, alongside psychological distress, and fatigue. Combined, these factors accounted for 26.5% of the variability in pain-related disability, with insomnia and pain intensity exhibiting the strongest associations. While the direction of causation remains unclear, our findings emphasize the potential of interventions aimed at targeting psychosocial factors. Considering the strong link between psychosocial factors and pain-related disability, interventions targeting these factors-particularly insomnia-could reduce disability and enhance quality of life in those who suffer.

Indexed as

Chronic PainPersons with DisabilitiesQuality of LifeAdultAgedCatastrophizationFatigueFemaleHumansMaleMiddle AgedPain MeasurementPsychological DistressSelf EfficacySleep Initiation and Maintenance Disorders

Identifiers

PMID38866885
PMCPMC11169509

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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.