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Getting to Know Pain Effect Sizes-Guidelines for Effect Size and Sample Size in Global Pain Research
1Department of Sports Medicine, Medical University of Lublin, Lublin, Poland.
Archives of Physical Medicine and Rehabilitation
|January 19, 2026
Summary
This study establishes effect size thresholds for pain research, offering guidelines for interpreting individual and group differences. Findings reveal regional variations, suggesting tailored sample size planning for diverse populations.
Area of Science:
- Pain research
- Psychology
- Biostatistics
Background:
- Interpreting effect sizes in pain research is crucial for understanding individual and group differences.
- Variability in effect sizes across geographical regions necessitates region-specific considerations.
- Standardized thresholds aid in consistent and meaningful interpretation of research findings.
Purpose of the Study:
- To establish reference thresholds for individual and group differences in pain research.
- To investigate geographical variations in these effect size thresholds.
- To provide sample size estimates for achieving desired statistical power.
Main Methods:
- Analysis of 5,294 effect sizes from 130 meta-analyses published in top pain journals.
- Data extracted from studies involving over 1 million participants.
- Calculation of effect size thresholds based on percentiles and regional analysis.
Main Results:
- Established thresholds: small (0.10), medium (0.30), large (0.40 for correlations; 0.70 for group differences).
- Significant regional variations observed, with Asia showing strongest large effects and North America the weakest.
- Exploratory thresholds provided for different continents.
Conclusions:
- Recommended reference values for small, medium, and large effects in pain research (Pearson's r: 0.10, 0.30, 0.40; Cohen's d/Hedges' g: 0.10, 0.30, 0.70).
- Emphasized the importance of considering regional variability and planning sample sizes accordingly.
- Proposed continent-specific exploratory thresholds to enhance interpretability.
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