Factors influencing chronic pain intensity in older black women: Examining depression, locus of control, and physical health
Factors influencing chronic pain intensity in older black women: Examining depression, locus of control, and physical health
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DOI：
10.1089/jwh.2007.0452
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发表时间：
2008-06-01
影响因子：
3.5
通讯作者：
Corson, Nicole
中科院分区：
文献类型：
--
作者：
Baker, Tamara A.;Buchanan, Nicole T.;Corson, Nicole
背景：慢性疼痛在特定种族群体中可能具有独特的功能，这可能会影响他们的身体健康和心理健康。这对于来自不同种族人群的女性尤其重要。 方法：使用分层多元回归分析来检查疼痛强度及其与抑郁症状、健康控制点、生活满意度以及 181 名 50 岁以上黑人女性的横断面样本中的各种健康和人口特征的关系。结果：多变量模型的结果显示，年龄、抑郁、身体功能和控制点解释了疼痛强度的独特差异（44%），这表明年龄较小、报告更多的抑郁症状、有限的功能能力、相信自己可以控制自己的健康以及相信自己的健康不受他人控制是该样本中疼痛强度更大的重要预测因素。结论：这些发现强调了继续研究疾病过程以及报告慢性疼痛的老年黑人女性的身心健康结果的重要性。具体来说，该研究证明了关注影响单一人群的群体内因素的研究的价值，从而了解可以解释老年黑人女性独特疼痛经历的无数因素。
Background: Chronic pain may function uniquely within a given race group, which may affect their physical health and psychological well- being. This is particularly relevant among women from diverse race populations.Methods: Hierarchical multivariate regression analysis was used to examine pain intensity and its relationship to depressive symptoms, health locus of control, life satisfaction, and various health and demographic characteristics in a cross- sectional sample of 181 black women >= 50 years old.Results: Results from the multivariate model showed that age, depression, physical functioning, and locus of control explained unique variance in pain intensity (44%), suggesting that younger age, reporting more depressive symptoms, limited functional capacity, the belief that one has control over one's health, and the belief that one's health is not controlled by others were significant predictors of greater pain intensity among this sample.Conclusions: These findings underscore the importance of continued research on disease processes, as well as physical and mental health outcomes of older black women reporting chronic pain. Specifically, the study demonstrates the value of research focusing on within-group factors impacting a single population, thereby understanding the myriad of factors that may explain the unique pain experience of older black women.