Evidence map›Paper›PMID 40891245›Full record

Observational studyEuropean journal of pain (London, England)2025

Pain, Stress and Mental Well-Being Over Three Generations.

Nikola Stanisic, Sonia Sharma, Simon Vallin, Peter M Nilsson, Per-Olof Östergren, Anna Lövgren, Thomas List, Birgitta Häggman-Henrikson

Abstract readComparative StudyObservational Study
In one paragraph

Observational study 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. 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. Pain, Stress and Mental Well-Being Over Three Generations.European journal of pain (London, England) · 2025
    Observational
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.

Nikola StanisicDepartment of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0003-1600-5490
Sonia SharmaDivision of Behavioral Medicine, Department of Medicine, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA.ORCID https://orcid.org/0000-0002-1887-7420
Simon VallinFaculty of Medicine, Department of Odontology, Orofacial Pain and Jaw Function, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0002-4779-3963
Peter M NilssonDepartment of Clinical Sciences Malmö, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0002-5652-8459
Per-Olof ÖstergrenSocial Medicine and Global Health, Department of Clinical Sciences in Malmö, Lund University, Lund, Sweden.ORCID https://orcid.org/0000-0002-7903-6668
Anna LövgrenFaculty of Medicine, Department of Odontology, Orofacial Pain and Jaw Function, Umeå University, Umeå, Sweden.ORCID https://orcid.org/0000-0003-2920-6654
Thomas ListDepartment of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0002-9638-4648
Birgitta Häggman-HenriksonDepartment of Orofacial Pain and Jaw Function, Malmö University, Malmö, Sweden.ORCID https://orcid.org/0000-0001-6088-3739

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe multifactorial nature of chronic pain should be reflected in pain assessment. The aim of this observational study comparing samples from three generations assessed at different times was to present differences in pain, stress and mental well-being.

methodsPain sites, widespread pain, stress (Perceived Stress Scale-4) and mental well-being (30-item General Health Questionnaire) were described across generations from the Malmö neck and shoulder study (parents, Generation 1, n = 12,607), Malmö offspring study, and Malmö Offspring pain study (children and grandchildren, Generation 2, n = 1572; Generation 3, n = 936).

resultsPain prevalence remained comparable across generations. In all generations, women reported more pain sites compared to men, mean difference 1.0 (95% CI 0.9-1.1) in Generation 1, mean difference 1.3 (95% CI 1.0-1.6) in Generation 2, and mean difference 0.9 (95% CI 0.5-1.3) in Generation 3. The frequency of widespread pain for women and men was 28% and 16% in Generation 1, 27% and 12% in Generation 2, and 22% and 15% in Generation 3, respectively. Perceived stress levels were consistently higher in Generation 2 and 3 compared to Generation 1 for both women and men. Among women, mental well-being remained stable between Generation 1 and 2 but declined significantly in Generation 3 (mean difference 3.2, 95% CI 2.4-4.3).

conclusionsThe results suggest significant gender disparities, with women consistently reporting more pain sites, higher stress levels, and reduced mental well-being compared to men. Furthermore, the findings suggest that generational differences in coping-or other factors-may mitigate the impact of psychosocial distress on pain prevalence, warranting further research. SIGNIFICANCE: This study highlights the comparability of pain prevalence across generations despite increasing stress and declining mental well-being, particularly in women. These findings emphasise the importance of integrating mental health support and gender-specific coping strategies into pain management, offering insights into biopsychosocial mechanisms underlying the interactions between pain and perceived stress.

Indexed as

Chronic PainMental HealthStress, PsychologicalAdultAgedFemaleHumansMaleMiddle AgedPain MeasurementPrevalenceSex FactorsSurveys and QuestionnairesSwedenbiopsychosocialgendergenerationalmental well‐beingpainstress

Identifiers

PMID40891245
PMCPMC12402865

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.