Coping, pain severity, interference, and disability: The potential mediating and moderating roles of race and education
Coping, pain severity, interference, and disability: The potential mediating and moderating roles of race and education
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DOI：
10.1016/j.jpain.2006.01.445
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发表时间：
2006-07-01
期刊：
影响因子：
4
通讯作者：
Ventimiglia, Matthew
中科院分区：
文献类型：
--
作者：
Cano, Annmarie;Mayo, Ainoa;Ventimiglia, Matthew
研究人员已经证明，某些类型的疼痛应对与疼痛的严重程度和残疾程度较低相关，高加索人和非洲裔美国人疼痛患者在使用特定应对策略方面存在差异。然而，在何种程度上种族群体差异存在的疼痛应对策略和疼痛的严重程度，干扰和残疾之间的关联尚不清楚。此外，教育在这些协会中的作用也不确定。我们招募了一个不同的社区样本的个人慢性疼痛和他们的配偶来研究这个问题（N = 105）。参与者完成了应对策略问卷、多维疼痛量表和疾病影响概况。结果显示，非洲裔美国人参与者报告的疼痛严重程度，干扰和残疾显着增加，并报告使用转移注意力和祈祷，希望疼痛应对策略显着高于白人参与者;然而，只有种族群体差异祈祷和希望时，控制教育。我们还研究了种族和教育是否与疼痛和残疾相关的应对策略相互作用。显着的三种方式的相互作用，发现身体和心理残疾，这表明，教育水平应包括在分析探索种族群体差异。结果表明，需要疼痛的治疗，考虑到教育和文化背景的pain.Perspective：本文表明，人口统计学变量，如种族和教育，应考虑在一起评估的有效性时，应对疼痛。这些发现有可能加强不同群体的研究和临床实践。(C)2006年，美国疼痛协会。
Researchers have demonstrated that certain types of pain coping are correlated with less pain severity and disability and that there are differences between Caucasians and African-American pain patients in their use of specific coping strategies. However, the extent to which racial group differences exist in the associations between pain coping strategies and pain severity, interference, and disability is unclear. Furthermore, the role of education in these associations is uncertain. We recruited a diverse community sample of individuals with chronic pain and their spouses to examine this issue (N = 105). Participants completed the Coping Strategies Questionnaire, Multidimensional Pain Inventory, and Sickness Impact Profile. Results showed that African-American participants reported significantly more pain severity, interference, and disability and reported using diverting attention and prayer and hoping pain-coping strategies significantly more often than Caucasian participants; however, only the racial group difference in prayer and hoping remained when controlling for education. We also examined whether race and education interacted with coping strategies in relating to pain and disability. Significant three-way interactions were found for physical and psychosocial disability, suggesting that educational level should be included in analyses exploring racial group differences. The results suggest the need for pain treatments that take into account the educational and cultural context of pain.Perspective: This article demonstrates that demographic variables such as race and education should be considered together when evaluating the effectiveness of coping with pain. The findings have the potential to enhance research and clinical practice with diverse groups. (C) 2006 by the American Pain Society.