CLINICAL JOURNAL OF PAIN临床疼痛杂志
CLINICAL JOURNAL OF PAIN(英文缩写 CLIN J PAIN),ISSN 0749-8047,eISSN 1536-5409,中文译名:临床疼痛杂志 是一本学术期刊。本页汇总该期刊的最新影响因子、分区信息以及最新收录于 PubMed 的文献,帮助您快速了解期刊全貌。
发文量统计区间：2025-10-01 至 2026-09-30，按本站收录文献的发表日期统计。
期刊介绍
历年影响因子趋势
| JCR 数据年份 | 影响因子 | JCR 分区 |
|---|---|---|
| 2021 | 3.423 | Q2 |
| 2022 | 2.900 | Q2 |
| 2023 | 2.600 | Q2 |
| 2024 | 3.100 | Q1 |
| 2025 | 3.200 | Q2 |
CLINICAL JOURNAL OF PAIN 最新收录文献
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1. Pain-related and General Distress Among Adults Seeking Pain Psychology Treatment: A Latent Profile Analysis.
PMID:日期:2026-10-01People with chronic pain often experience symptoms of pain-related distress (eg, kinesiophobia, catastrophizing) and general distress (eg, depression, anxiety). Identifying distinct profiles of distress among patients seeking pain psychology treatment can inform personalized pain psychology interventions. Among adults seeking pain psychology treatment, the current study applied latent profile analysis (LPA) to (1) identify distinct patient symptom profiles (based on kinesiophobia, catastrophizing, depression, and anxiety) and (2) characterize pain-related symptoms and demographics of each profile. Adults scheduled for a pain psychology evaluation who completed a clinical battery of patient-reported outcome measures were included. LPA was applied to identify distinct subgroups of patients based on psychological symptoms. The resulting groups were compared on pain-related and demographic factors. Participants were 548 adults (mean age=51.1; predominantly white [66.6%] and female [67.5%]). Two profiles were identified: "global distress" (67.2%, elevated clinical symptoms in all domains) and "localized and mild kinesiophobia" (32.8%, subclinical symptoms in all domains, except mild kinesiophobia). The "global distress" group was younger ( d =0.23) and had higher levels of area deprivation ( d =0.23). They had higher pain intensity ( d =0.76), functional disability ( d =0.72), and opioid misuse risk ( d =1.21). Among adults seeking pain psychology treatment, most experienced elevated distress across pain-specific and general domains. A minority experienced subclinical symptoms, with focal and mild kinesiophobia. The findings highlight a wide range of pain psychology needs among adults with chronic pain seeking psychology treatment, and highlight the value in treatment options that span intensity and breadth.
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2. Parent Pain Catastrophizing Mediates the Relationship Between Child Pain Catastrophizing and School-Related Functioning.
PMID:日期:2026-10-01We examined whether child and parent pain catastrophizing were associated with school functioning in youth with chronic pain. Relationships between catastrophizing and school absences, school tardiness, and academic performance were evaluated, and parent catastrophizing was tested as a potential mediator between child catastrophizing and school outcomes. Youth with chronic pain and their caregivers completed measures of pain catastrophizing and school functioning (school absences, school tardiness, grade point average [GPA]). Correlations, linear regressions, and PROCESS model 4 mediation analyses were conducted. School functioning was also compared between youth attending in-person and those in homeschool or online school. Participants were 559 ( Mage =15.2), predominantly female (76.9%) and White (90.7%) youth with chronic pain. Youth enrolled in homeschool or online school had significantly higher child and parent catastrophizing than those attending in-person school. Parent pain catastrophizing was significantly associated with more absences, more tardiness, and lower GPA. Child catastrophizing was only correlated with increased absences. When both were entered into the same models, parent catastrophizing remained a significant predictor of absences and tardiness, whereas the association between child catastrophizing and absences was no longer significant. Mediation analyses demonstrated that parent catastrophizing fully mediated the association between child catastrophizing and school absences; no mediation effects were observed for tardiness or GPA. Parent pain catastrophizing appears to play a critical role in school attendance for youth with chronic pain and mediates the association between child catastrophizing and school absences. These findings highlight the importance of addressing parent cognitions in interventions targeting school engagement for youth with chronic pain.
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3. Clinical Phenotypes in Frozen Shoulder Based on Psychological and Sensory Phenotypes: Associations With Pain and Disability Over Time.
PMID:日期:2026-10-01This study aimed to identify phenotypes of people with frozen shoulder (FS) based on baseline measures, including pain intensity, disability, pain-related psychological factors, and measures of central pain processing. A secondary objective was to evaluate whether these baseline phenotypes were associated with distinct longitudinal trajectories of pain intensity and disability over 9 months. People with FS were assessed at baseline for clinical (pain intensity and disability) and psychophysical variables (pain catastrophizing and hypervigilance, self-reported symptoms related to central sensitization, primary and secondary allodynia and hyperalgesia, and pain modulation). A latent profile analysis was conducted using baseline clinical and psychophysical variables. Linear mixed models were then used to examine longitudinal trajectories of pain intensity and disability across phenotypes over 3, 6, and 9 months. A total of 149 people with FS were recruited. Two distinct phenotypes were identified, of which phenotype 2 (n=70) presented higher intensity of pain, greater disability, and higher scores for pain catastrophizing, hypervigilance, and central sensitization-related symptoms at baseline compared with phenotype 1 (n=79). Over 9 months, trajectories differed by phenotype. Phenotype 2 exhibited a greater absolute reduction in both pain and disability, yet phenotype 1 remained lower at all time points, including 9 months, for both outcomes. This study highlights 2 distinct phenotypes in people with FS based on baseline clinical and psychophysical variables. These phenotypes showed distinct trajectories of pain and disability over 9 months, supporting the relevance of baseline phenotyping for understanding clinical heterogeneity in FS.
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4. Medically Unexplained Symptoms: A Systematic Umbrella Review of Current Terminology and Reported Rationales.
PMID:日期:2026-10-01Toaddress current naming conventions for Medically Unexplained Symptoms (MUS) through a systematic umbrella review. The terminology used and the provided rationales were considered. Registered with PROSPERO (CRD42024526020), this review searched 8 key databases, last on January 28, 2025. Reviews including medically unexplained symptoms (or synonym or subtype) in their systematic search terms were included (N=422). A total of 577 references to 111 terms were made across the reviews, with numerous reviews using the same overarching terms, including "functional" (n=233), "somatic" (or variants thereof, n=51), and "medically unexplained" (n=28). Thirty percent of terms (n=179) were to specific syndromes or terms that did not group together under an overarching term, suggesting substantial variability in terms, even though over 60% of authors were primarily associated with just 3 disciplines: medicine, allied health, and psychology. A subset of 23 reviews provided rationales, which were subjected to content analysis and a ROBIS (Risk of Bias in Systematic Reviews) risk-of-bias assessment. This analysis showed that rationales tended to (1) highlight differences between psychological, psychiatric, and other medical fields (n=7); (2) focus on the patient perspective and patient-practitioner therapeutic relationship (n=10); or (3) follow broad and/or commonly used terms (n=7). The current landscape of terminology used for MUS remains varied, nuanced, and inconsistent between disciplines. Moving forward to a more universal language accepted and used by both patients and practitioners would aid in the diagnosis, management, and treatment of MUS.
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5. Beyond Pain Intensity: Development and Validation of the Multidimensional Chronic Pain Self-Efficacy Scale (M-CPSES).
PMID:日期:2026-10-01To develop a new Multidimensional Chronic Pain Self-Efficacy Scale (M-CPSES) , a brief multidimensional measure of self-efficacy in chronic pain, and to examine its psychometric properties in adults with chronic pain. Participants (n=152) completed an initial item pool developed in Mandarin Chinese on the basis of Bandura self-efficacy theory, Corbin and Strauss self-management framework, clinician consultation, patient-informed refinement, and expert review. Exploratory factor analysis was conducted on the first 100 participants, and confirmatory factor analysis (CFA) was conducted in the full sample, which included the EFA subsample. CFA supported a second-order, 4-factor, 9-item model representing medical, daily life, emotional, and cognitive domains, with good model fit. Reliability for the total score was good (Cronbach α=0.84; test-retest intraclass correlation coefficient=0.73). Correlations were consistent with theoretical expectations, with positive associations with general self-efficacy, self-esteem, and physical functioning and negative associations with depression, anxiety, and pain intensity. Known-groups validity was supported by lower scores in individuals with severe pain than in those with mild to moderate pain. The M-CPSES provides a concise multidimensional assessment that includes the often-overlooked cognitive aspect of chronic pain self-management. The findings support its potential utility for screening, individualized care planning, and outcome monitoring in Mandarin-speaking adults with chronic pain receiving specialty care.
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6. Continuous Ultrasound-guided Erector Spinae Plane Block Versus Thoracic Paravertebral Block for Postoperative Analgesia in Patients Undergoing Thoracotomy.
PMID:日期:2026-10-01To compare postoperative analgesia using continuous ultrasound-guided erector spinae plane block (ESPB) versus thoracic paravertebral block (TPVB), with dynamic visual analog scale (VAS) during coughing as the primary outcome. Secondary outcomes included static VAS (at rest), hemodynamic changes, side effects, total opioid consumption, time of first rescue analgesia, length of hospitalization, anesthesia recovery time, postanesthesia care unit stay, time to first ambulation, and patient satisfaction. The study included 40 cases scheduled for elective thoracotomy admitted to the cardiothoracic surgery unit of Menoufia University Hospital. Patients were equally randomized into 2 groups, 20 patients each receiving either ultrasound-guided ESPB or TPVB (control group). Both groups received 20 mL of 0.25% bupivacaine as a loading dose followed by continuous infusion of 0.125% bupivacaine at 5 mL/h, with patient-controlled boluses of 20 mL on demand. Dynamic visual analogue pain scale scores were significantly lower in the ESPB group at 6, 9, 12, and 24 hours ( P =0.008, 0.035, 0.001, 0.006). Morphine consumption was significantly reduced in the ESPB group ( P < 0.001). Hypotension was more frequent in TPVB (40% vs. 10%, P =0.028). No significant differences were observed in hospital stay or patient satisfaction. The utilization of continuous ultrasound-guided ESPB demonstrated better postoperative visual analogue pain scale scores and a significant decrease in opioid consumption, with fewer side effects than TPVB.
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7. The Efficacy of Erector Spinae Plane Block Versus Subcostal Transversus Abdominis Plane Block in Laparoscopic Nephrectomy: A Randomized Clinical Trial.
PMID:日期:2026-10-01This study compared the efficacy and safety of erector spinae plane block (ESPB) versus subcostal transversus abdominis plane (TAP) block in reducing postoperative pain among patients undergoing laparoscopic nephrectomy. This randomized clinical trial enrolled 70 adult patients, ASA physical status I or II, who underwent total (radical) laparoscopic nephrectomy under general anesthesia. Patients were randomly assigned to 2 groups. Group ESPB received an ultrasound-guided ESPB at the T7 transverse process level, while group TAP received an ultrasound-guided subcostal TAP block. The primary outcome was the total amount of morphine consumed at 6 and 24 hours postoperatively. Secondary outcomes included the incidence of patients requiring opioid analgesia, time to rescue analgesia, visual analog scale of pain intensity, time to postoperative ambulation, intraoperative and postoperative hemodynamics, arterial partial pressure of oxygen to fraction of inspired oxygen (PaO 2 /FiO 2 or P /F) ratio, and incidence of complications. Compared with the TAP group, the ESPB group exhibited significantly lower median morphine consumption at 24 hours ( P =0.032), prolonged time to first analgesic rescue ( P =0.049), and lower incidence of rescue morphine requirement (OR=0.23; 95% CI=0.06-0.94; P =0.031), with lower visual analog scale pain scores at 12, 18, and 24 hours postoperatively ( P <0.001). The mean arterial blood pressure and heart rates were comparable between groups. No significant adverse effects from either approach. In laparoscopic nephrectomy, ultrasound-guided ESPB may safely and effectively be used to improve pain management and reduce pain intensity, with stable hemodynamics and a comparable risk of postoperative complications to the ultrasound-guided subcostal TAP block.
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8. Is Exercise Effective at Reducing Pain Catastrophizing in People with Chronic Non-Specific Spinal Pain? A Systematic Review and Meta-analysis.
PMID:日期:2026-09-25This review assessed the effectiveness of exercise in reducing pain catastrophizing for people with chronic non-specific spinal pain. Seven databases were searched from inception until May 2025. Randomized controlled trials and secondary analyses assessing exercise interventions for chronic non-specific spinal pain with pain catastrophizing were included. Methodological quality was assessed with the Cochrane Risk of Bias V2 and the Grading of Recommendations Assessment, Development and Evaluation tools. Eight studies (1271 participants) were included. All studies had 'some concerns' or 'high risk' of bias. Seven studies involved people with chronic low back pain and one involved chronic neck pain. For neck pain, there was low certainty of evidence supporting neck and scapular muscle strengthening for reducing pain catastrophizing. For low back pain, primary meta-analyses showed no significant superior effects of exercise compared with control in the short-term (<3 mo, four studies, 536 participants) and intermediate-term (3-6 mo, three studies, 258 participants) (SMD=-0.4 to -0.32; I2=82.8% to 84.5%). Exploratory post-hoc sensitivity analysis, excluding one study on motor control exercise because of the heterogeneity with the other forms of exercise interventions, demonstrated better effectiveness at both short- (SMD=-0.49, 95%CI: -0.80; -0.18; I2=59.2%) and intermediate-term follow-ups (SMD=-0.67, 95%CI: -1.05; -0.30; I2=16.9%). The findings suggest that exercise interventions may potentially be effective for reducing pain catastrophizing. Nevertheless, the overall certainty of evidence was rated very low to low such that higher quality studies are needed.
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9. Factors Protecting Against Co-Occurring Pain, Psychological, and Somatic Symptom Trajectories in Adolescence.
PMID:日期:2026-09-16To determine the relative impact of multilevel protective factors on co-occurring pain, psychological, and somatic symptom (co-PPSS) trajectories from late childhood through early adolescence. We conducted secondary analyses of longitudinal Adolescent Brain Cognitive Development (ABCD) Study data collected from 2016 to 2023. Youth were classified into asymptomatic, low/stable, moderate/persistent, and high/worsening co-PPSS trajectories derived from annual parent-reported symptom data. Child (coping skills), family (parental wellbeing, parental acceptance, family harmony), and peer-level (peer acceptance, prosocial behavior) protective factors were assessed across years using youth- and parent-reported surveys. Multinomial logistic regression examined the association of these factors with risk of higher co-PPSS trajectories. We report standardized adjusted relative risk ratios (adj.RRR) with 95% confidence intervals ([CIs]). We included data from 8,817 youth (aged 9.92±0.63 yrs. at baseline, 14.08±0.68 at year five), 2,270 (25.8%) and 677 (7.7%) of whom were classified with moderate/persistent or high/worsening co-PPSS trajectories. Apart from parental wellbeing and prosocial behavior, each protective factor was associated with a reduced relative risk for a high/worsening and moderate/persistent trajectory. Higher parental acceptance was associated with a 28% (RRR 0.72 [CI 0.66, 0.79]) and 15% (RRR 0.85 [CI 0.80, 0.92]) reduced relative risk for a high/worsening and moderate/persistent co-PPSS trajectory, respectively. High (vs. low) peer acceptance was also associated with reduced relative risk for the high/worsening (RRR 0.34 [0.27, 0.42]) and moderate/persistent (RRR 0.48 [0.40, 0.56]) trajectories. Findings underscore the potential importance of enhancing youths' family support, coping, and positive peer relationships to co-PPSS resilience.
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10. Moderators of the Effects of Telehealth Mindfulness-based Interventions for Chronic Pain: A Secondary Responder Analysis of the LAMP Randomized Controlled Trial.
PMID:日期:2026-09-10Little is known about who benefits most from Mindfulness-Based Interventions (MBIs), and whether certain groups differentially benefit from different types of MBI formats (group-based versus non-group based). The present study uses data from a three-arm randomized controlled trial (ClinicalTials.gov ID: NCT04526158) of two MBIs (self-paced and group) to test moderating effects by gender and diagnoses of three mental health conditions (depression, anxiety, and post-traumatic stress disorder). The sample consisted of 811 veterans with moderate to severe chronic pain, recruited from three Veterans Affairs sites from 2020 to 2022. Survey data were collected at baseline and three follow-up timepoints (10 weeks, 6 months, and 12 months). A responder analysis approach was used to measure clinically important changes. Outcomes were improvement from baseline in pain interference, pain intensity, anxiety, depression, PTSD, fatigue, sleep disturbance, physical function, and social functioning. The group MBI and self-paced MBI arms had higher rates of improvement in all outcomes compared to usual care. In the group MBI, women had greater improvement in pain severity and depression than men, and those with anxiety diagnoses had less improvement in PTSD than those without anxiety. Overall, both MBIs benefitted participants across subgroups, with limited evidence for differential effects by gender or mental health diagnoses. Further research is needed to more systematically determine whether MBIs can be optimized for key subgroups.