ETHNOCULTURAL INFLUENCES ON VARIATION IN CHRONIC PAIN PERCEPTION
ETHNOCULTURAL INFLUENCES ON VARIATION IN CHRONIC PAIN PERCEPTION
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DOI：
10.1016/0304-3959(93)90120-e
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发表时间：
1993-01-01
期刊：
影响因子：
7.4
通讯作者：
ANDERSON, KO
中科院分区：
文献类型：
--
作者：
BATES, MS;EDWARDS, WT;ANDERSON, KO
在多项研究中发现，文化归属感对实验性和急性疼痛的感知和反应有重要影响。尽管有这些证据，但很少有工作是针对理解慢性疼痛经历的文化层面。我们提出了一项定量研究的结果，报告慢性疼痛感知的372例慢性疼痛患者在6个种族，谁正在接受治疗的多学科疼痛管理中心。种族和文化经验的作用，在复杂的阵列的物理，文化，心理和社会因素，影响慢性疼痛的经验被确定。民族文化的归属是重要的慢性疼痛的感知和反应的变化。在本研究人群中，疼痛强度变化的最佳预测因子是种族归属和控制点（locus of control，NSW）风格（种族认同也是NSW风格的预测因子）。似乎疼痛强度变化可能受到与不同种族群体相关的态度、信仰以及情绪和心理状态差异的影响。这项研究表明，一个生物文化模型可能是有用的概念化的复杂的相互作用的生物，文化和心理社会因素在人类疼痛感知的过程。虽然剧烈疼痛可能会影响态度和情绪，但态度和情绪也很可能影响对疼痛强度的感知。本研究人群中的疼痛强度变化与诊断、当前药物类型或既往疼痛治疗或手术类型无显著相关性。
In multiple studies cultural affiliation has been found to have an important influence on perception of and response to experimental and acute pain. Despite that evidence little work has been directed to understanding the cultural dimensions of the chronic pain experience. We present the results of a quantitative study of reported chronic pain perception in 372 chronic pain patients in six ethnic groups, who were under treatment at a multidisciplinary pain-management center. The role of ethnic and cultural experiences in the complex array of physical, cultural, psychological and social factors which influence the chronic pain experience is identified. Ethnocultural affiliation is important to chronic pain perception and response variation. In this study population the best predictors of pain intensity variation are ethnic group affiliation and locus of control (LOC) style (ethnic group identity is also a predictor of LOC style). It appears that pain intensity variation may be affected by differences in attitudes, beliefs and emotional and psychological states associated with the different ethnic groups. This study suggests a biocultural model may be useful in conceptualizing the complex interaction of biological, cultural and psychosocial factors in the process of human pain perception. Although it is likely that intense pain affects attitudes and emotions, it is also very likely that attitudes and emotions influence reported perceptions of pain intensity. Pain intensity variation in this study population is not significantly associated with diagnosis, present medication types, or types of past treatments or surgeries for pain.