Evidence map›Paper›PMID 42657219›Full record

ArticleFrontiers in pain research (Lausanne, Switzerland)2026

The Informational Blackout chronic pain and fatigue as rational outputs of a brain operating on degraded biological signals.

Carla Pandolfi-Cuadrado

Abstract read
In one paragraph

Article in Frontiers in pain research (Lausanne, Switzerland), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Article
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

1 author.

Carla Pandolfi-CuadradoMiguel Hernández University of Elche, Elche, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic pain and fatigue have resisted pharmacological resolution for two decades despite detailed mechanistic characterisation of nociceptive circuits. This perspective argues that the problem is not insufficient data but a mismatch between the level at which the dominant model operates and the level at which chronification is decided. Central sensitisation describes how nociceptive circuits amplify their gain. It does not, on its own, explain why that amplification becomes permanent, why it co-emerges systematically with fatigue and autonomic dysregulation, or why its epidemiology is stratified by sex in ways that differ qualitatively rather than quantitatively. The Informational Blackout framework proposes that chronic pain and fatigue are not malfunctions but appropriate responses from a self-maintaining system that has lost the biological infrastructure on which it was built to depend. The upstream driver is structural degradation of the signal architecture by the modern environment, mediated through SOCS3-driven multichannel transduction collapse and a convergent five-arm ionic setpoint failure that inscribes pain as a stable engram. The framework is offered as an upstream extension of central sensitisation; it grades its own evidence explicitly and generates falsifiable predictions that reorient therapeutic logic from nociceptive suppression toward signal architecture restoration.

Indexed as

chronic painchronodisruptioncircadianendocannabinoidfatiguefibromyalgiagut microbiotaInformational Blackout

Identifiers

PMID42657219
PMCPMC13508051

What Socratic holds

Textmetadata
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 Socratic graph.