Evidence map›Paper›PMID 42199153›Full record

ArticlePain research & management2026

Chronic Overlapping Pain and Central Sensitization in Chronic Pelvic Pain: Do Positive and Negative Affect Play a Role?

Shreela Palit, Meryl J Alappattu, Jenna M Wilson, Jessica S Heft, Emily J Bartley

Abstract read
In one paragraph

Article in Pain research & management, 2026. 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. Review
  2. Article
  3. 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

5 authors.

Shreela PalitCenter for Healthcare Delivery Science, Nemours Children's Health, Jacksonville, Florida, USA, nemours.org.ORCID https://orcid.org/0000-0001-5125-1879
Meryl J AlappattuCollege of Public Health and Health Professions, University of Florida, Gainesville, Florida, USA, ufl.edu.ORCID https://orcid.org/0000-0002-6861-7432
Jenna M WilsonAnesthesiology Perioperative and Pain Medicine, Brigham and Women's Hospital, Boston, Massachusetts, USA, brighamandwomens.org.ORCID https://orcid.org/0000-0003-3154-0467
Jessica S HeftCollege of Medicine, University of Florida, Gainesville, Florida, USA, ufl.edu.ORCID https://orcid.org/0000-0002-4126-5895
Emily J BartleyCollege of Dentistry, University of Florida, Gainesville, Florida, USA, ufl.edu.ORCID https://orcid.org/0000-0002-8238-9165

Funding

A Multisystem Resilience Approach in the Assessment of Postsurgical Pain TrajectoriesR01AR081835 · NIAMS · UNIVERSITY OF FLORIDA · PI Emily J. Bartley · 2023 to 2026
$2.4M
Study of Healthy Adaptation and Resilience to Pain in Emerging Adulthood (SHARPE)K23HD104931 · NICHD · NEMOURS CHILDREN'S CLINIC · PI Shreela Palit · 2022 to 2026
$835k
Phenotyping Responses to Optimize the Management of Pain Treatment in EndometriosisR21HD104957 · NICHD · UNIVERSITY OF FLORIDA · PI ALAPPATTU, MERYL JOSEPH, BARTLEY, EMILY J. · 2022 to 2023
$419k
Eunice Kennedy Shriver National Institute of Child Health and Human Development R21HD104957National Institute of Child Health and Human Development K23HD104931NIAMS NIH HHS R01 AR081835NIAMS NIH HHS R01AR081835NICHD NIH HHS K23 HD104931NICHD NIH HHS R21 HD104957
6 · The paper itself

Abstract

Chronic pelvic pain (CPP) has a complex etiology and a high degree of coprevalence with other chronic overlapping pain conditions (COPCs). Evidence suggests that central sensitization contributes to these conditions; however, the psychological risk and resilience factors influencing the relationship between COPCs and central sensitization have received limited attention. Therefore, the aim of this study was to examine whether positive and negative affect moderate the relationship between COPCs and central sensitization in individuals with CPP. Participants (N = 197) completed the Central Sensitization Inventory and Positive and Negative Affect Schedule and self-reported the presence of diagnosed COPCs. Results indicated that greater symptoms of central sensitization were associated with a greater number of COPCs (p < 0.01). Higher levels of positive affect were related to lower central sensitization (p < 0.01) and fewer COPCs (p < 0.05), while higher negative affect was associated with greater central sensitization (p < 0.01). After controlling for pelvic pain duration, a greater number of COPCs were associated with greater central sensitization, but only among individuals with lower positive affect (p = 0.01). No significant moderation effects were observed for negative affect (p = 0.13). The findings from this cross-sectional study suggest that lower positive affect may have an adverse effect on central sensitization in those with a greater number of COPCs. Individuals with CPP, especially those experiencing multiple chronic pain conditions, may benefit from interventions aimed at increasing positive affect.

Indexed as

AffectCentral Nervous System SensitizationChronic PainPelvic PainAdultFemaleHumansMaleMiddle AgedPain MeasurementYoung Adultcentral sensitizationchronic overlapping pain conditionsCOPCspelvic painpositive affectresilience

Identifiers

PMID42199153
PMCPMC13213334

What Socratic holds

Textmetadata
LicenceCC BY
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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 Socratic graph.