Evidence map›Paper›PMID 40590476›Full record

ArticleThe Clinical journal of pain2025

Pain Acceptance in Adolescent Chronic Pain: Do Body Mindsets Play a Role?

Emily J Dowling, Laura E Simons, Alia J Crum, Joshua Pate, Joseph Chilcot, Helen C Laycock, Whitney Scott, Lauren C Heathcote

Abstract read
In one paragraph

Article in The Clinical journal of pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Emily J DowlingDepartment of Psychology, Health Psychology Section, Institute of Psychiatry, Psychology, and Neuroscience, King's College London.
Laura E SimonsDepartment of Anesthesiology, Perioperative, and Pain Medicine, Stanford University School of Medicine.
Alia J CrumDepartment of Psychology, Stanford University, Stanford, CA.
Joshua PateGraduate School of Health, University of Technology Sydney, Sydney, NSW.
Joseph ChilcotDepartment of Psychology, Health Psychology Section, Institute of Psychiatry, Psychology, and Neuroscience, King's College London.
Helen C LaycockDepartment of Paediatric Anaesthesia and Pain Medicine, Great Ormond Street Hospital, London, United Kingdom.
Whitney ScottDepartment of Psychology, Health Psychology Section, Institute of Psychiatry, Psychology, and Neuroscience, King's College London.
Lauren C HeathcoteDepartment of Psychology, Health Psychology Section, Institute of Psychiatry, Psychology, and Neuroscience, King's College London.ORCID 0000-0003-2515-3102

Funding

Mentoring and Research in Biobehavioral Aspects of Pediatric PainK24AR078945 · NIAMS · STANFORD UNIVERSITY · PI LAURA E SIMONS · 2022 to 2026
$970k
NIAMS NIH HHS K24 AR078945
6 · The paper itself

Abstract

objectivePain acceptance predicts better quality of life, physical functioning, and treatment outcomes in youth with chronic pain. However, we know little about the factors that promote pain acceptance in youth. This study investigated body mindsets and their associations with facets of pain acceptance, specifically pain willingness and activity engagement, in adolescents with chronic pain.

methodsThe sample comprised 102 adolescents with chronic musculoskeletal pain (aged: 8 to 17; 72.3% female, 49.5% Caucasian/White) attending a tertiary pain clinic. Hierarchical linear regression analyses examined associations of body mindsets with pain acceptance, controlling for demographic factors, pain and mental health symptoms, and basic functioning.

resultsThere was significant variation in the mindsets that adolescents with chronic pain held about their bodies-some endorsed the mindset that their Body is an Adversary, others endorsed the mindsets that their Body is Responsive or Body is Capable. Hierarchical linear regression analyses indicated that endorsing the mindset that their Body is an Adversary was associated with lower willingness to experience pain, while endorsing the mindset that their Body is Capable was associated with greater engagement in valued activities despite pain, even after accounting for demographic factors, pain characteristics, and basic functioning. Together, all 3 mindsets explained 6.6% to 26.8% unique variance in pain acceptance. DISCUSSION: Body mindsets are significantly associated with pain acceptance in youth with chronic pain, even after controlling for pain characteristics and basic functioning. Experimental research should investigate whether body mindsets are modifiable in this population and whether they could represent interventional targets fostering pain acceptance.

Indexed as

Adaptation, PsychologicalBody ImageChronic PainAdolescentChildFemaleHumansLinear ModelsMalePain MeasurementQuality of Lifeadolescentsbody mindsetschronic painmindsetpaediatricspain acceptance

Identifiers

PMID40590476
PMCPMC12341747

What OpenQuestion holds

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LicenceCC BY
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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.