Racial/ethnic differences in the experience of chronic pain
The purpose of this study was to examine racial/ethnic-related differences in a four-stage model of the processing of chronic pain. The subjects were 1557 chronic pain patients (White=1084, African American=473) evaluated at a pain management clinic at a large southeastern university medical center....
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| Veröffentlicht in: | Pain (Amsterdam) 2002-12, Vol.100 (3), p.291-298 |
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| creator | Riley, Joseph L Wade, James B Myers, Cynthia D Sheffield, David Papas, Rebecca K Price, Donald D |
| description | The purpose of this study was to examine racial/ethnic-related differences in a four-stage model of the processing of chronic pain. The subjects were 1557 chronic pain patients (White=1084, African American=473) evaluated at a pain management clinic at a large southeastern university medical center. Using an analysis of covariance controlling for pain duration and education, African American patients reported significantly higher levels of pain unpleasantness, emotional response to pain, and pain behavior, but not pain intensity than Whites. Differences were largest for the unpleasantness and emotion measures, particularly depression and fear. The groups differed by approximately 1.0 visual analogue scale unit, a magnitude that may be clinically significant. Racial/ethnic differences in the linear relationship between stages were also tested using structural equation modeling and LISREL-8. The results indicate differences in linear associations between pain measures with African Americans showing a stronger link between emotions and pain behavior than Whites. |
| doi_str_mv | 10.1016/S0304-3959(02)00306-8 |
| format | Article |
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The subjects were 1557 chronic pain patients (White=1084, African American=473) evaluated at a pain management clinic at a large southeastern university medical center. Using an analysis of covariance controlling for pain duration and education, African American patients reported significantly higher levels of pain unpleasantness, emotional response to pain, and pain behavior, but not pain intensity than Whites. Differences were largest for the unpleasantness and emotion measures, particularly depression and fear. The groups differed by approximately 1.0 visual analogue scale unit, a magnitude that may be clinically significant. Racial/ethnic differences in the linear relationship between stages were also tested using structural equation modeling and LISREL-8. The results indicate differences in linear associations between pain measures with African Americans showing a stronger link between emotions and pain behavior than Whites.</description><subject>Adult</subject><subject>African Americans - psychology</subject><subject>Biological and medical sciences</subject><subject>Chronic Disease</subject><subject>Cohort Studies</subject><subject>Emotions</subject><subject>Ethnic differences</subject><subject>European Continental Ancestry Group - psychology</subject><subject>Female</subject><subject>Fundamental and applied biological sciences. Psychology</subject><subject>Humans</subject><subject>Male</subject><subject>Pain</subject><subject>Pain - classification</subject><subject>Pain - ethnology</subject><subject>Pain - psychology</subject><subject>Pain behavior</subject><subject>Pain Clinics</subject><subject>Pain Measurement - methods</subject><subject>Pain Measurement - psychology</subject><subject>Pain Threshold - ethnology</subject><subject>Pain Threshold - psychology</subject><subject>Perception</subject><subject>Proprioception. Interoception. Pain perception</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychology. Psychophysiology</subject><subject>Race</subject><subject>Virginia - epidemiology</subject><issn>0304-3959</issn><issn>1872-6623</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkU1P3DAQhi0EggX6E0C5tGoPYccfcWJxQBWigLRSJdqeLccZK4ZssrWzQP99nd0VHDnY1ljPOyM_JuSMwgUFKue_gIPIuSrUV2DfIFUyr_bIjFYly6VkfJ_M3pAjchzjIwAwxtQhOaJMyCqVM3L5YKw33RzHtvc2a7xzGLC3GDPfZ2OLGb6uMPjpKhtcZtswTODK-P6UHDjTRfy0O0_Inx83v6_v8sXP2_vr74vciqqCPM2k3CjJamtq6xTn0skC0GJpFFW8LlRZc-4aQy1zUDWgFOOibADrouYNPyFftn1XYfi7xjjqpY8Wu870OKyjLlkpBKUygcUWtGGIMaDTq-CXJvzTFPRkTW-s6UmJBqY31nSVcue7Aet6ic17aqcpAZ93gInWdC6Y3vr4zgleCFATJ7bcy9CNGOJTt37BoFs03dimcQCSK5mz9BE0bZCnRafY1TaGyeKzT4loN8YbH9COuhn8By_4D4rXlzY</recordid><startdate>20021201</startdate><enddate>20021201</enddate><creator>Riley, Joseph L</creator><creator>Wade, James B</creator><creator>Myers, Cynthia D</creator><creator>Sheffield, David</creator><creator>Papas, Rebecca K</creator><creator>Price, Donald D</creator><general>Elsevier B.V</general><general>Lippincott Williams & Wilkins, Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20021201</creationdate><title>Racial/ethnic differences in the experience of chronic pain</title><author>Riley, Joseph L ; Wade, James B ; Myers, Cynthia D ; Sheffield, David ; Papas, Rebecca K ; Price, Donald D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4880-22213a962bcabcf9336f650ece7a9193b597b33fda1c2f08d0992347d0eb5b3d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>African Americans - psychology</topic><topic>Biological and medical sciences</topic><topic>Chronic Disease</topic><topic>Cohort Studies</topic><topic>Emotions</topic><topic>Ethnic differences</topic><topic>European Continental Ancestry Group - psychology</topic><topic>Female</topic><topic>Fundamental and applied biological sciences. Psychology</topic><topic>Humans</topic><topic>Male</topic><topic>Pain</topic><topic>Pain - classification</topic><topic>Pain - ethnology</topic><topic>Pain - psychology</topic><topic>Pain behavior</topic><topic>Pain Clinics</topic><topic>Pain Measurement - methods</topic><topic>Pain Measurement - psychology</topic><topic>Pain Threshold - ethnology</topic><topic>Pain Threshold - psychology</topic><topic>Perception</topic><topic>Proprioception. Interoception. Pain perception</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychology. Psychophysiology</topic><topic>Race</topic><topic>Virginia - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Riley, Joseph L</creatorcontrib><creatorcontrib>Wade, James B</creatorcontrib><creatorcontrib>Myers, Cynthia D</creatorcontrib><creatorcontrib>Sheffield, David</creatorcontrib><creatorcontrib>Papas, Rebecca K</creatorcontrib><creatorcontrib>Price, Donald D</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Pain (Amsterdam)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Riley, Joseph L</au><au>Wade, James B</au><au>Myers, Cynthia D</au><au>Sheffield, David</au><au>Papas, Rebecca K</au><au>Price, Donald D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Racial/ethnic differences in the experience of chronic pain</atitle><jtitle>Pain (Amsterdam)</jtitle><addtitle>Pain</addtitle><date>2002-12-01</date><risdate>2002</risdate><volume>100</volume><issue>3</issue><spage>291</spage><epage>298</epage><pages>291-298</pages><issn>0304-3959</issn><eissn>1872-6623</eissn><coden>PAINDB</coden><abstract>The purpose of this study was to examine racial/ethnic-related differences in a four-stage model of the processing of chronic pain. The subjects were 1557 chronic pain patients (White=1084, African American=473) evaluated at a pain management clinic at a large southeastern university medical center. Using an analysis of covariance controlling for pain duration and education, African American patients reported significantly higher levels of pain unpleasantness, emotional response to pain, and pain behavior, but not pain intensity than Whites. Differences were largest for the unpleasantness and emotion measures, particularly depression and fear. The groups differed by approximately 1.0 visual analogue scale unit, a magnitude that may be clinically significant. Racial/ethnic differences in the linear relationship between stages were also tested using structural equation modeling and LISREL-8. 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| subjects | Adult African Americans - psychology Biological and medical sciences Chronic Disease Cohort Studies Emotions Ethnic differences European Continental Ancestry Group - psychology Female Fundamental and applied biological sciences. Psychology Humans Male Pain Pain - classification Pain - ethnology Pain - psychology Pain behavior Pain Clinics Pain Measurement - methods Pain Measurement - psychology Pain Threshold - ethnology Pain Threshold - psychology Perception Proprioception. Interoception. Pain perception Psychology. Psychoanalysis. Psychiatry Psychology. Psychophysiology Race Virginia - epidemiology |
| title | Racial/ethnic differences in the experience of chronic pain |
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