Evidence map›Paper›PMID 39942458›Full record

ArticleHealthcare (Basel, Switzerland)2025

Pain Neuroscience Education Reduces Pain and Improves Psychological Variables but Does Not Induce Plastic Changes Measured by Brain-Derived Neurotrophic Factor (BDNF): A Randomized Double-Blind Clinical Trial.

Silvia Di-Bonaventura, Aser Donado-Bermejo, Federico Montero-Cuadrado, Laura Barrero-Santiago, Lucía Pérez-Pérez, José Vicente León-Hernández, Josué Fernández-Carnero, Raúl Ferrer-Peña

Abstract read
In one paragraph

Article in Healthcare (Basel, Switzerland), 2025. 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

8 authors.

Silvia Di-BonaventuraDepartment of Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, Rey Juan Carlos University (URJC), 28933 Alcorcón, Spain.ORCID 0000-0003-0564-9557
Aser Donado-BermejoInternational Doctoral School, Faculty of Health Sciences, URJC, 28933 Alcorcón, Spain.ORCID 0009-0008-5386-1580
Federico Montero-CuadradoUnit for Active Coping Strategies for Pain in Primary Care, East-Valladolid Primary Care Management, Castilla and Leon Public Health System (SACYL), 47007 Valladolid, Spain.
Laura Barrero-SantiagoDepartment of Cell Biology, Genetics, Histology, and Pharmacology, Faculty of Medicine, University of Valladolid (UVa), 47002 Valladolid, Spain.ORCID 0000-0002-6591-0369
Lucía Pérez-PérezNursing Department, Faculty of Nursing, UVa, 47005 Valladolid, Spain.ORCID 0000-0002-6031-6619
José Vicente León-HernándezCentro Superior de Estudios Universitarios La Salle (CSEU La Salle), Autonomous University of Madrid (UAM), 28049 Madrid, Spain.ORCID 0000-0001-9387-9963
Josué Fernández-CarneroDepartment of Physical Therapy, Occupational Therapy, Rehabilitation, and Physical Medicine, Rey Juan Carlos University (URJC), 28933 Alcorcón, Spain.ORCID 0000-0002-1314-624X
Raúl Ferrer-PeñaCognitive Neuroscience, Pain, and Rehabilitation Research Group (NECODOR), Faculty of Health Sciences, URJC, 28933 Madrid, Spain.ORCID 0000-0001-5495-8458

Funding

CSEU La Salle UAM 2022A36005
6 · The paper itself

Abstract

introductionPNE, focusing on cognitive aspects, aims to change patients' beliefs about pain. However, it is unclear if these cognitive changes are sufficient to influence other components such as neuroplastic changes.

objectiveTo assess whether 3-h pain neuroscience education (PNE) can induce changes in brain-derived neurotrophic factor (BDNF) levels and pain intensity in chronic pain patients.

methodsA double-blind randomized clinical trial was conducted with 66 participants aged 18-65 years old (50.86 ± 8.61) with chronic primary musculoskeletal pain divided into two groups: an intervention group receiving 3-h PNE lecture and a control group that received an educational booklet. Primary outcomes included plasma BDNF levels and perceived pain intensity (VAS). Secondary outcomes included anxiety (HADS-A), depression (HADS-D), catastrophizing (PCS), kinesiophobia (TSK), stress (PSS), and knowledge about pain. Measurements were taken in both groups before and after a three-hour intervention. Data were analyzed using paired

resultsThe results showed no significant changes in BDNF levels for the PNE lecture group (

conclusionsPNE did not significantly change BDNF levels but effectively improved pain intensity, pain-related knowledge, and other clinical variables. These findings suggest that while PNE has cognitive benefits, it may not be sufficient to induce immediate neurobiological changes. Further research is needed to explore long-term effects and incorporate additional therapeutic domains.

Indexed as

BDNFbrain plasticitychronic painpain neuroscience education

Identifiers

PMID39942458
PMCPMC11817230

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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.