Racial/ethnic differences in the experience of chronic pain
Racial/ethnic differences in the experience of chronic pain
复制标题
DOI：
10.1016/s0304-3959(02)00306-8
复制
发表时间：
2002-12-01
期刊：
影响因子：
7.4
通讯作者：
Price, DD
中科院分区：
文献类型：
--
作者：
Riley, JL;Wade, JB;Price, DD
本研究的目的是检查慢性疼痛处理的四阶段模型中与种族/民族相关的差异。研究对象是 1557 名慢性疼痛患者（白人 = 1084 名，非洲裔美国人 = 473 名），他们在东南大学大型医疗中心的疼痛管理诊所接受评估。通过控制疼痛持续时间和教育的协方差分析，非裔美国患者报告了明显更高水平的疼痛不愉快和对疼痛的情绪反应。和疼痛行为。但疼痛强度不及白人。不愉快和情绪测量方面的差异最大。特别是抑郁和恐惧，各组相差约 1.0 视觉模拟标度单位。其幅度可能具有临床意义。还使用结构方程模型和 LISREL-8 测试了阶段之间线性关系中的种族/民族差异。结果表明，非裔美国人疼痛测量之间的线性关联存在差异，表明情绪和疼痛行为之间的联系比白人更强，(C) 2002 年国际疼痛研究协会。由 Elsevier Science B.V. 出版。保留所有权利。
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, (C) 2002 International Association for the Study of Pain. Published by Elsevier Science B.V. All rights reserved.