Evidence map›Paper›PMID 41242530›Full record

ArticleThe journal of pain2026

Adding insult to injury: Examining the influence of peer pain-related stigma on daily functioning in youth with chronic musculoskeletal pain.

Felicitas A Huber, Kathryn A Thompson-Phillips, Emily O Wakefield, Parker A Kell, Tolulope Adetayo, Pavithra A Thomas, Burel R Goodin

Abstract read
In one paragraph

Article in The journal of pain, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Felicitas A HuberWashington University Pain Center, Washington University, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, United States. Electronic address: fhuber@wustl.edu.
Kathryn A Thompson-PhillipsChildren's of Alabama, 1600 7th Ave S, Birmingham, AL 35233, United States.
Emily O WakefieldConnecticut Children's, 100 Retreat Avenue, Hartford, CT 06106, United States; University of Connecticut School of Medicine, Farmington, CT, United States.
Parker A KellWashington University Pain Center, Washington University, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, United States; University of Tulsa, 800 S Tucker Drive, Tulsa, OK 74104, United States.
Tolulope AdetayoUniversity of Alabama at Birmingham, 1720 University Blvd, Birmingham, AL 35294, United States.
Pavithra A ThomasUniversity of Alabama at Birmingham, 1720 University Blvd, Birmingham, AL 35294, United States.
Burel R GoodinWashington University Pain Center, Washington University, Washington University School of Medicine, 660 South Euclid Avenue, St. Louis, MO 63110, United States.

Funding

PRomoting Excellence through Pain and Addiction Research Enhancement (PREPARE)T90NR021683 · NINR · WASHINGTON UNIVERSITY · PI Burel R. Goodin · 2024 to 2026
$854k
The Impact of Social Rejection: Investigating Pain-related Stigma in Adolescents with Chronic Widespread Musculoskeletal PainK23AR073934 · NIAMS · CONNECTICUT CHILDREN'S MEDICAL CENTER · PI WAKEFIELD, EMILY O · 2020 to 2024
$792k
NIAMS NIH HHS K23 AR073934NINR NIH HHS T90 NR021683
6 · The paper itself

Abstract

Our research, in line with previous literature, has indicated that pain-related stigma plays a role in pain outcomes for children and adolescents with chronic musculoskeletal pain conditions. However, the influence of pain-related stigma on functioning and internalizing symptoms is less clear, as is whether stigma may differently influence youth dependent on gender and chronic pain type. The current study was a secondary analysis of cross-sectional data from 32 youth with Juvenile Idiopathic Arthritis (JIA), 31 youth with Juvenile Primary Fibromyalgia Syndrome (JFM), and 25 youth with non-specific chronic pain (NSCP) from a study examining group differences and biopsychosocial correlates of chronic musculoskeletal pain conditions. Participants self-reported their pain-related stigma, pain, physical, school, emotional and social functioning, and symptoms of anxiety and depression. Multiple regression analyses assessed associations between pain-related stigma and functioning, and pain-related stigma and internalizing symptoms, as well as interactions between stigma and gender as well as stigma and chronic pain type. Results showed that pain-related stigma significantly influenced physical and social functioning across groups. Stigma was associated with worse emotional functioning for girls, who also reported worse overall emotional functioning and greater anxiety and depression symptoms. Youth with JFM and NSCP demonstrated lower functioning compared to children and adolescents with JIA. These findings indicate that stigma substantially influences functioning and wellbeing of children and adolescents with chronic pain, especially for girls. Regardless of stigma experienced, those with chronic pain diagnoses lacking a known pathophysiology reported lower functioning in several domains. PERSPECTIVE: Youth with chronic musculoskeletal pain experience stigma about their pain which contributes not only to pain outcomes, but also physical and social functioning. Girls and youth with chronic pain conditions with unclear pathophysiology are especially at risk for adverse outcomes.

Indexed as

Arthritis, JuvenileChronic PainFibromyalgiaMusculoskeletal PainPeer GroupSocial StigmaAdolescentAnxietyChildCross-Sectional StudiesDepressionFemaleHumansMalePsychosocial FunctioningFunctioningMusculoskeletal PainPediatricQuality of LifeStigma

Identifiers

PMID41242530
PMCPMC13007799

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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.