The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population.
The relationship of demographic and psychosocial variables to pain-related outcomes in a rural chronic pain population.
复制标题
DOI：
10.1016/j.pain.2010.08.015
复制
发表时间：
2010-11
期刊：
影响因子：
7.4
通讯作者：
Thorn BE
中科院分区：
文献类型：
--
作者：
Day MA;Thorn BE
农村居民和低社会经济地位（SES）与慢性疼痛的可能性增加有关。其他人口统计数据也与疼痛体验有差异。本研究探讨人口统计学和疼痛相关变量之间的关系，在一个几乎未研究的人口亚拉巴马农村慢性疼痛患者。115名患者完成了疼痛灾难化、抑郁、疼痛强度、疼痛干扰、感知残疾和生活满意度的有效测量。研究参与者的平均年龄为52岁，79%为女性，74%为非洲裔美国人，72%的年收入在00，000 - 12，999之间，61%失业。虽然报告的平均受教育年限为12.26年，但阅读水平百分位数（初级识字指数）为17.33。进行横断面多变量和单变量分析，以检查人口统计学和心理社会变量与各种治疗前疼痛相关变量之间的关联。研究了疼痛灾难化和抑郁的中介作用。结果表明，种族与疼痛强度和疼痛干扰显着相关，因此非裔美国人的得分高于白人美国人。疼痛灾难化与疼痛强度、疼痛干扰和感知残疾唯一相关;抑郁症与疼痛干扰和生活满意度唯一相关。疼痛灾难化介导小学识字和疼痛强度之间的关系，年龄效应差异介导的疼痛灾难化或抑郁症。这些分析提供了深入了解特定的人口和社会心理因素与慢性疼痛在低识字率，低社会经济地位的农村人口。
Rural residency and low socioeconomic status (SES) are associated with increased likelihood of chronic pain. Other demographics are also differentially associated with the experience of pain. This study examines the relations between demographic and pain-related variables in a virtually unstudied population of rural Alabama chronic pain patients. One-hundred-and-fifteen patients completed validated measures of pain catastrophizing, depression, pain intensity, pain interference, perceived disability, and life satisfaction. Average age of study participants was 52-years, 79% were female, 74% were African-American, 72% reported annual income between 00,000-12,999, and 61% were unemployed. Although average years of reported education was 12.26, reading level percentile (primary literacy indicant) was 17.33. Cross-sectional multivariate and univariate analyses were conducted to examine associations among demographic and psychosocial variables in relation to various pre-treatment pain-related variables. The mediating role of pain catastrophizing and depression was investigated. Results indicate that race was significantly associated with pain intensity and pain interference, such that African-Americans reported higher scores than White-Americans. Pain catastrophizing was uniquely associated with pain intensity, pain interference, and perceived disability; depression was uniquely associated with pain interference, and life satisfaction. Pain catastrophizing mediated the relation between primary literacy and pain intensity; age effects were differentially mediated by either pain catastrophizing or depression. These analyses provide insight into the specific demographic and psychosocial factors associated with chronic pain in a low-literacy, low-SES rural population.
登录
查看更多内容
影响因子：
7.6
作者：
BARON, RM;KENNY, DA
通讯作者：
KENNY, DA
影响因子：
254.7
作者：
Davis, TC;Williams, MV;Glass, J
通讯作者：
Glass, J
影响因子：
3.3
作者：
Drossman, DA;Leserman, J;Toomey, TC
通讯作者：
Toomey, TC
影响因子：
7.4
作者：
Dixon, KE;Thorn, BE;Ward, LC
通讯作者：
Ward, LC
影响因子：
4
作者：
Cano, Annmarie;Mayo, Ainoa;Ventimiglia, Matthew
通讯作者：
Ventimiglia, Matthew