Secondary analysis: heat and self-report pain sensitivity associate with biological sex and racialized sociocultural group but may not be mediated by anxiety or pain catastrophizing.
Secondary analysis: heat and self-report pain sensitivity associate with biological sex and racialized sociocultural group but may not be mediated by anxiety or pain catastrophizing.
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DOI：
10.1097/pr9.0000000000001133
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发表时间：
2024-01
期刊：
影响因子：
4.8
通讯作者：
中科院分区：
文献类型：
--
作者：
补充数字内容在文本中可用。我们评估了少数民族群体和女性与热和自我报告的疼痛敏感性的关联，并发现疼痛敏感性问卷有效性的问题。以往的研究表明，性别和种族群体对疼痛的敏感性和耐受性之间的关联。我们分析了热痛敏感性、痛阈上机械痛敏感性（STMP）和疼痛敏感性问卷（PSQ）与性别和种族的关系。我们假设，种族化的少数群体和妇女报告的焦虑和疼痛灾难化会介导疼痛敏感性的增强。我们的第二个目的是评估PSQ在不同人群中的有效性。使用定量感觉测试疼痛热，STMP（力：64，128，256和512 mN）和PSQ，我们评估了134名健康参与者的疼痛敏感性[34（18名女性）亚洲人，25（13名女性）黑人和75（41名女性）白色]。我们使用一般线性和线性混合模型来分析结果。我们评估了状态和特质焦虑以及疼痛灾难化对疼痛敏感性的调节作用。种族化的少数民族地位与更高的热痛敏感性（F = 7.63; P = 0.00074）和PSQ评分（F = 15.45; P = 9.84 × 10 − 7）相关，但与STMP无关（F = 1.50; P = 0.23）。女性与更高的热痛敏感性（F = 4.9; P = 0.029）和更低的PSQ（F = 9.50; P = 0.0025）相关，但与STMP无关（F = 0.0018; P = 0.97）。无论是焦虑还是疼痛灾难化介导的性别或种族化组与热痛阈值或PSQ之间的关联。个别项目的差异经验（F = 19.87; P = 3.28 × 10 − 8）限制了种族化少数群体的PSQ表面效度。与以前的研究一致，对疼痛的热的敏感性与种族化的少数民族地位和女性性别有关。相比之下，没有显着的影响，种族化的少数民族地位或女性性别的STMP。一些PSQ项目不适用于来自种族化少数群体的参与者。
Supplemental Digital Content is Available in the Text. We evaluate associations of minoritized racial group and female sex with heat and self-report pain sensitivity and find problems with pain sensitivity questionnaire validity. Previous studies have demonstrated associations between sex and racialized group on pain sensitivity and tolerance. We analyzed the association of sex and racialized group on heat pain sensitivity, sensibility to painful suprathreshold mechanical pain (STMP), and pain sensitivity questionnaire (PSQ). We hypothesized that anxiety and pain catastrophizing reported by racialized minority groups and women would mediate enhanced pain sensitivity. Our secondary aim was to evaluate validity of the PSQ in a diverse population. Using quantitative sensory testing for painful heat, STMP (forces: 64, 128, 256, and 512 mN), and PSQ, we evaluated pain sensitivity in 134 healthy participants [34 (18 women) Asian, 25 (13 women) Black, and 75 (41 women) White]. We used general linear and linear mixed models to analyze outcomes. We assessed mediation of state and trait anxiety and pain catastrophizing on pain sensitivity. Racialized minority status was associated with greater heat pain sensitivity (F = 7.63; P = 0.00074) and PSQ scores (F = 15.45; P = 9.84 × 10−7) but not associated with STMP (F = 1.50; P = 0.23). Female sex was associated with greater heat pain sensitivity (F = 4.9; P = 0.029) and lower PSQ (F = 9.50; P = 0.0025) but not associated with STMP (F = 0.0018; P = 0.97). Neither anxiety nor pain catastrophizing mediated associations between sex or racialized group with heat pain threshold or PSQ. Differential experience of individual items (F = 19.87; P = 3.28 × 10−8) limited PSQ face validity in racialized minorities. Consistent with previous research, sensitivity to painful heat was associated with racialized minority status and female sex. By contrast, there was no significant effect of racialized minority status or female sex on STMP. Some PSQ items are inapplicable to participants from racialized minority groups.
DOI：
10.1016/j.jpain.2017.05.007
发表时间：
2017-10
期刊：
The journal of pain
影响因子：
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作者：
Ahn H;Weaver M;Lyon D;Choi E;Fillingim RB
通讯作者：
Fillingim RB