Evidence map›Paper›PMID 42605031›Full record

ArticleEuropean journal of pain (London, England)2026

Psychosocial Profiles in Adults With Chronic Musculoskeletal Pain Attending Self-Funded Manual Bodywork Therapy in Japan: A Cross-Sectional Latent Profile Analysis.

Ryota Imai, Shohei Kata, Naoyuki Okada, Takuya Kishiro

Abstract read
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Article in European journal of pain (London, England), 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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1 · What the graph read from it

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ryota ImaiGraduate School of Rehabilitation, Izumi University, Kaizuka, Osaka, Japan.ORCID https://orcid.org/0000-0002-0276-6419
Shohei KataRigaku Body Inc., Tokyo, Japan.
Naoyuki OkadaRigaku Body Inc., Tokyo, Japan.
Takuya KishiroRIGAKUBODY PTE. Ltd., Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMusculoskeletal pain presentations are heterogeneous, but routine intake assessment often relies on individual symptom scores rather than multidimensional psychosocial patterns. In this study, we aimed to identify self-reported psychosocial profiles among adults with chronic musculoskeletal pain attending a self-funded manual bodywork therapy service in Japan.

methodsWe analysed baseline data from consecutive adult attendees. Of 21,498 eligible participants, 20,341 had complete profiling data, and 12,235 with pain duration ≥ 3 months formed the primary analytic sample. Latent profile analysis used four standardized total-score indicators: pain intensity, Central Sensitization Inventory-9 (CSI-9), Pain Catastrophizing Scale (PCS) and Tampa Scale for Kinesiophobia-11 (TSK-11). Solutions with two to 10 profiles were evaluated using fit, classification precision, profile size, stability, parsimony and interpretability.

resultsA six-profile solution was retained: high pain/lower fear (1028; 8.4%), globally low burden (645; 5.3%), low-to-moderate burden (2686; 22.0%), intermediate burden (4113; 33.6%), globally elevated burden (575; 4.7%) and psychosocially elevated burden (3188; 26.1%). Catastrophizing and kinesiophobia more strongly differentiated profiles than pain intensity alone. High pain/lower fear showed high pain intensity with comparatively lower kinesiophobia, whereas psychosocially elevated burden showed prominent catastrophizing and kinesiophobia despite less extreme pain intensity and CSI-9 scores than globally elevated burden.

conclusionsSix self-reported psychosocial profiles were identified in this self-funded chronic musculoskeletal pain cohort. The findings are descriptive and hypothesis-generating and require longitudinal and external validation before prognostic or treatment-stratification use. SIGNIFICANCE STATEMENT: Using routine intake data from 12,235 adults with chronic musculoskeletal pain, this study identified six self-reported psychosocial profiles that were not reducible to pain intensity alone. The findings support future validation of brief multidimensional intake assessment for profile-informed stratified care.

Indexed as

Chronic PainMusculoskeletal ManipulationsMusculoskeletal PainAdultAgedCatastrophizationCross-Sectional StudiesFemaleHumansJapanKinesiophobiaMaleMiddle AgedPain Measurementcentral sensitizationkinesiophobialatent profile analysismusculoskeletal painpain catastrophizingstratified assessment

Identifiers

PMID42605031
PMCPMC13478538

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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.