Evidence map›Paper›PMID 40082267›Full record

ReviewCurrent HIV/AIDS reports2025

Non-Pharmacological Interventions Addressing Chronic Pain in People Living with HIV.

Yumei O Chen, Steven A Safren

Abstract readReview
In one paragraph

Review in Current HIV/AIDS reports, 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

2 authors.

Yumei O ChenDepartment of Psychology, University of Miami, 5665 Ponce De Leon Blvd, Coral Gables, Miami, Florida, 33146-2510, USA.
Steven A SafrenDepartment of Psychology, University of Miami, 5665 Ponce De Leon Blvd, Coral Gables, Miami, Florida, 33146-2510, USA. ssafren@miami.edu.

Funding

Implementing depression and adherence treatment in S. Africa HIV careR01MH136972 · NIMH · UNIVERSITY OF MIAMI CORAL GABLES · PI John Anton Joska, Conall Michael O'Cleirigh · 2024 to 2026
$2.9M
NIH HHS 1R01MH136972NIMH NIH HHS R01 MH136972
6 · The paper itself

Abstract

purpose of reviewChronic pain affects 25-85% of people living with HIV (PLWH), negatively impacting health behaviors and HIV health outcomes. While opioids are frequently prescribed for pain, there are concerns about side effects and addiction potential, and the current consensus guideline advises against their use as a first-line pain management for this population. Therefore, there is an increasing need for non-pharmacological alternatives and adjunctive interventions. This review aims to examine the characteristics, efficacy, and limitations of existing non-pharmacological approaches to chronic pain management in PLWH to inform clinical practices and future research. RECENT

findingsA comprehensive literature search identified 13 clinical trials employing cognitive-behavioral techniques, stress management, positive affect enhancement, and complementary medicine approaches (e.g., yoga, acupuncture, hypnosis). These interventions generally showed significant effects with respect to reducing pain intensity and interference in PLWH, with some also addressing and improving depression, substance use, or antiretroviral medication adherence. However, some were pilot trials and others lacked robust methodologies or sufficient follow-up regarding the ability to definitively determine the durability of these benefits. Existing non-pharmacological interventions have potential in addressing pain and related functional impairment in PLWH, such as substance use and emotional well-being. Future research should explore the underlying mechanisms of these interventions and better understand strategies to optimize and establish durability. Incorporating adherence counseling into these interventions could further enhance HIV outcomes by addressing the interconnected challenges of chronic pain and adherence to antiretroviral therapy (ART), thereby supporting both pain management and overall HIV care.

Indexed as

Chronic PainHIV InfectionsPain ManagementCognitive Behavioral TherapyComplementary TherapiesHumansCBTChronic painHIVInterventionNonpharmacological treatment

Identifiers

PMID40082267
PMCPMC11906562

What OpenQuestion holds

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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.