Depression and Pain in Asian and White Americans With Knee Osteoarthritis.
Depression and Pain in Asian and White Americans With Knee Osteoarthritis.
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DOI：
10.1016/j.jpain.2017.05.007
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发表时间：
2017-10
期刊：
影响因子：
--
通讯作者：
Fillingim RB
中科院分区：
文献类型：
--
作者：
Ahn H;Weaver M;Lyon D;Choi E;Fillingim RB
很少有研究调查亚裔美国人疼痛的潜在社会心理机制。使用生物心理社会模型，我们试图确定抑郁症的变化是否导致亚裔美国人和非西班牙裔白人在症状性膝骨关节炎疼痛方面的种族差异。样本由100名参与者组成，包括50名亚裔美国人（28名韩裔美国人，9名华裔美国人，7名日裔美国人，5名菲律宾裔美国人，1名印度裔美国人）和50名年龄和性别匹配的非西班牙裔白人，有症状的膝关节骨关节炎疼痛。流行病学研究中心抑郁量表用于评估抑郁症状，西安大略和麦克马斯特大学骨关节炎指数和分级慢性疼痛量表用于测量临床疼痛。此外，定量感官测试用于测量实验对热和机械引起的疼痛的敏感性。结果表明，亚裔美国人较高的抑郁水平可能会导致更大的临床疼痛和实验疼痛敏感性。这些发现增加了越来越多的关于种族和种族在疼痛及其相关心理状况方面的差异的文献，并且需要进一步的研究来加强这些发现。这篇文章展示了抑郁症对美国亚裔膝关节骨关节炎患者的临床疼痛和实验疼痛敏感性的影响。我们的研究结果表明，亚裔美国人有更高水平的抑郁症状，抑郁在亚裔美国人更大的临床疼痛和实验疼痛敏感性中起着相关的作用。
Few studies have examined the underlying psychosocial mechanisms of pain in Asian Americans. Using the biopsychosocial model, we sought to determine whether variations in depression contribute to racial group differences in symptomatic knee osteoarthritis pain between Asian Americans and non-Hispanic whites. The sample consisted of 100 participants, including 50 Asian Americans (28 Korean Americans, 9 Chinese Americans, 7 Japanese Americans, 5 Filipino Americans, and 1 Indian American) and 50 age- and sex-matched non-Hispanic whites with symptomatic knee osteoarthritis pain. The Centers for Epidemiologic Studies Depression Scale was used to assess symptoms of depression, and the Western Ontario and McMaster Universities Osteoarthritis Index and the Graded Chronic Pain Scale were used to measure clinical pain. In addition, quantitative sensory testing was used to measure experimental sensitivity to heat- and mechanically-induced pain. The results indicated that higher levels of depression in Asian Americans may contribute to greater clinical pain and experimental pain sensitivity. These findings add to the growing literature regarding ethnic and racial differences in pain and its associated psychological conditions, and additional research is warranted to strengthen these findings. This article demonstrates the contribution of depression to clinical pain and experimental pain sensitivity in Asian Americans with knee osteoarthritis. Our results suggest that Asian Americans have higher levels of depressive symptoms and that depression plays a relevant role in greater clinical pain and experimental pain sensitivity in Asian Americans.
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DOI：
10.1093/ijnp/pyv095
发表时间：
2015-09-05
期刊：
The international journal of neuropsychopharmacology
影响因子：
--
作者：
Fitzgibbon M;Finn DP;Roche M
通讯作者：
Roche M
影响因子：
5.8
作者：
Dhingra, Lara;Lam, Kin;Portenoy, Russell
通讯作者：
Portenoy, Russell
影响因子：
4
作者：
Hsieh, Annie Y.;Tripp, Dean A.;Sullivan, Michael J. L.
通讯作者：
Sullivan, Michael J. L.
影响因子：
5
作者：
Fillingim, Roger B
通讯作者：
Fillingim, Roger B
影响因子：
6.6
作者：
Euteneuer, Frank;Schwarz, Markus J.;Rief, Winfried
通讯作者：
Rief, Winfried