Evidence map›Paper›PMID 40891220›Full record

Trial reportEuropean journal of pain (London, England)2025

Prevalence of Chronic Overlapping Pain Conditions in Participants With Chronic Low Back Pain Enrolled in a Pragmatic Trial of Mindfulness-Based Stress Reduction.

Vanessa Eve Miller, Jessica Barnhill, Carol M Greco, Gabriela Castro, Tra P Nguyen, Paula Gardiner, Keturah R Faurot, Susan Gaylord, Janice M Weinberg, Holly N Thomas and 2 more

Registry-linked trialAbstract readMulticenter StudyPragmatic Clinical TrialRandomized Controlled Trial
In one paragraph

Trial report in European journal of pain (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04129450 (Group-based Mindfulness for Patients With Chronic Low Back Pain in the Primary Care Setting), which is not on this 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.

NCT04129450 nacompletednot on this map

Group-based Mindfulness for Patients With Chronic Low Back Pain in the Primary Care Setting

TypeinterventionalSponsorBoston Medical CenterRan2021 to 2024Enrolled451ConditionsChronic Pain, Back PainArmsGroup medical visits with mindfulness-based stress reduction, Usual PCP care
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

12 authors.

Vanessa Eve MillerDepartment of Obstetrics and Gynecology, School of Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0003-3537-649X
Jessica BarnhillProgram on Integrative Medicine, Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0003-3360-4217
Carol M GrecoDepartment of Psychiatry and Physical Therapy, University of Pittsburgh School of Medicine and School of Health and Rehabilitation Sciences, Pittsburgh, Pennsylvania, USA.ORCID https://orcid.org/0000-0002-3078-2918
Gabriela CastroDepartment of Family Medicine, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Tra P NguyenDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.
Paula GardinerDepartment of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA.ORCID https://orcid.org/0000-0002-3663-000X
Keturah R FaurotProgram on Integrative Medicine, Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0001-6122-7821
Susan GaylordProgram on Integrative Medicine, Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.ORCID https://orcid.org/0000-0002-5119-9633
Janice M WeinbergDepartment of Biostatistics, Boston University School of Public Health, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-3503-0061
Holly N ThomasBoston University Chobanian & Avedisian School of Medicine and Boston Medical Center, Boston, Massachusetts, USA.
Karim SariahmedSection of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts, USA.ORCID https://orcid.org/0000-0002-1522-5267
Natalia E MoroneCenter for Mindfulness and Compassion, Cambridge Health Alliance, Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, USA.ORCID https://orcid.org/0000-0002-8405-5396

Funding

NIH Health Care Systems Research Collaboratory-Coordinating Center (U24)U24AT009676 · NCCIH · DUKE UNIVERSITY · PI LESLEY H CURTIS, Adrian Hernandez · 2017 to 2026
$21.5M
Group-Based Mindfulness for Patients with Chronic Low Back Pain in the Primary CareUH3AT010621 · NCCIH · BOSTON MEDICAL CENTER · PI MORONE, NATALIA E. · 2020 to 2023
$7.8M
HEAL Collaboratory Resource Coordinating Center (PRISM) (U24): Bioethics SupplementU24AT010961 · NCCIH · DUKE UNIVERSITY · PI CURTIS, LESLEY H, HERNANDEZ, ADRIAN · 2019 to 2021
$6.4M
Group-based mindfulness for patients with chronic low back pain in the primary care settingUG3AT010621 · NCCIH · BOSTON MEDICAL CENTER · PI MORONE, NATALIA E. · 2019 to 2019
$908k
Mentoring and Patient-Oriented Research in Mind and Body PracticesK24AT011561 · NCCIH · BOSTON MEDICAL CENTER · PI MORONE, NATALIA E. · 2021 to 2025
$607k
NCCIH NIH HHS K24 AT011561NCCIH NIH HHS U24 AT009676NCCIH NIH HHS U24 AT010961NCCIH NIH HHS UG3 AT010621NCCIH NIH HHS UH3 AT010621NIH HHS
6 · The paper itself

Abstract

backgroundChronic low back pain (cLBP) is extremely common and is one of the Chronic Overlapping Pain Conditions (COPCs), 10 conditions thought to have similar underlying pathophysiology. Little is known about the prevalence and co-occurrence of cLBP with other commonly accepted conditions referred to as COPCs.

methodsWe assessed participants enrolled in a pragmatic trial of mindfulness-based stress reduction for cLBP to determine the prevalence of co-occurring COPCs using a validated COPC screener. We compared psychosocial and physical functioning among participants with only cLBP and participants with cLBP and additional COPCs using Student's t-tests, chi-squared tests and multivariable linear regression.

resultsAmong 285 enrollees (age range: 18-88 years, mean age: 52.2 years, SD = 15.3), 272 (95%) reported pain outside the upper and lower back region. One hundred and twenty-nine people (45%) had one COPC, and 68 (24%) had two or more COPCs not including cLBP. The most common COPCs were irritable bowel syndrome (n = 56, 20%); myalgia encephalomyelitis/chronic fatigue syndrome (n = 54, 19%); and fibromyalgia (n = 42, 15%).

conclusionWe found strong differences when comparing people with cLBP alone to those with cLBP and COPCs. People with COPCs reported more pain symptoms, higher levels of anxiety, depression, fatigue and scored worse across measures of physical functioning and pain symptoms. An additional COPC was associated with a 7.6-point increase in fatigue scores (95% CI: 5.6, 9.7) on a T-score metric (mean = 50, SD = 10). SIGNIFICANCE STATEMENT: Compared to people with low back pain alone, individuals with additional chronic pain experienced more severe pain symptoms, more anxiety, depression and fatigue. In this sample of people with cLBP, overlapping pain conditions were common, affecting 45% of people. REGISTRATION NUMBER AND REGISTRY NAME: Clinicaltrials.gov identifier NCT04129450.

Indexed as

Chronic PainLow Back PainMindfulnessStress, PsychologicalAdolescentAdultAgedAged, 80 and overComorbidityFemaleFibromyalgiaHumansIrritable Bowel SyndromeMaleMiddle AgedPrevalence

Identifiers

PMID40891220
PMCPMC13011259

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Registered trials

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.