Evidence map›Paper›PMID 40784540›Full record

ReviewThe journal of pain2025

Choosing well: A narrative review on chronic pain and decision-making.

Marilyn Horta, Kylie Wright, Nichole R Lighthall, Roger B Fillingim

Abstract readReview
In one paragraph

Review in The journal of pain, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Mechanisms Underlying Pain Avoidance in Complex Regional Pain Syndrome.European journal of pain (London, England) · 2026
    Observational
  2. Chronic Pain and Opioids in the Elderly: Treating the Brain, Not Just the Body.International journal of environmental research and public health · 2026
    Review
  3. 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

4 authors.

Marilyn HortaDepartment of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, FL, USA. Electronic address: Marilyn.horta@moffitt.org.
Kylie WrightDepartment of Psychology, University of Florida, Gainesville, FL, USA.
Nichole R LighthallDepartment of Psychology, University of Central Florida, Orlando, FL, USA.
Roger B FillingimDepartment of Community Dentistry and Behavioral Science, University of Florida, Gainesville, FL, USA; Pain Research and Intervention Center of Excellence, University of Florida, Gainesville, FL, USA.

Funding

UF Substance Abuse Training Center in Public HealthT32DA035167 · NIDA · UNIVERSITY OF FLORIDA · PI Linda B. Cottler · 2014 to 2026
$4.8M
Characterizing and Modulating Neurocognitive Processes of Learning to Trust and Distrust in Aging (Diversity Supplement)R01AG072658 · NIA · UNIVERSITY OF FLORIDA · PI Natalie C Ebner, Nichole Lighthall · 2022 to 2026
$3.6M
University of Florida Resource Center for Minority Aging ResearchP30AG059297 · NIA · UNIVERSITY OF FLORIDA · PI FILLINGIM, ROGER B · 2018 to 2022
$2.2M
Enhanced Interdisciplinary Research Training InstituteR25DA050687 · NIDA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI VALDEZ, AVELARDO · 2020 to 2024
$1.3M
NIA NIH HHS P30 AG059297NIA NIH HHS R01 AG072658NIDA NIH HHS R25 DA050687NIDA NIH HHS T32 DA035167
6 · The paper itself

Abstract

Chronic pain is one of the most prevalent and costly health conditions in the United States. Previous work has demonstrated that chronic pain impacts cognition and behavior. However, the impact of chronic pain on daily decisions is less well-known. This narrative review identified and synthesized findings from a literature search that yielded 18 peer-reviewed, experimental, cross-sectional studies on the effects of chronic pain on different decision-making outcomes. According to the literature, the effects of chronic pain on decision-making are evidenced by 1) reduced decision performance, 2) increased risk-taking and delay discounting, 3) altered sensitivity to outcomes, and 4) reduced cognitive flexibility and learning. Chronic pain effects on decision-making also vary by individual factors such as sex/gender, age, and affective and social factors. Guided by these findings, current limitations and future directions in the field are discussed. PERSPECTIVE: This narrative review highlights current evidence and identifies critical knowledge gaps, emphasizing a need to better understand the relationship between chronic pain and decision-making. Findings can guide future theory and shape interventions aimed at improving decision-making in chronic pain.

Indexed as

Chronic PainDecision MakingHumansAvoidanceCognitive impairmentDecisionsPainReward

Identifiers

PMID40784540
PMCPMC12464965

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.