Abstract:
:The purpose of this study was to examine racial/ethnic-related differences in a four-stage model of the processing of chronic pain. The subjects were 1557 chronic pain patients (White=1084, African American=473) evaluated at a pain management clinic at a large southeastern university medical center. Using an analysis of covariance controlling for pain duration and education, African American patients reported significantly higher levels of pain unpleasantness, emotional response to pain, and pain behavior, but not pain intensity than Whites. Differences were largest for the unpleasantness and emotion measures, particularly depression and fear. The groups differed by approximately 1.0 visual analogue scale unit, a magnitude that may be clinically significant. Racial/ethnic differences in the linear relationship between stages were also tested using structural equation modeling and LISREL-8. The results indicate differences in linear associations between pain measures with African Americans showing a stronger link between emotions and pain behavior than Whites.
journal_name
Painjournal_title
Painauthors
Riley JL 3rd,Wade JB,Myers CD,Sheffield D,Papas RK,Price DDdoi
10.1016/S0304-3959(02)00306-8keywords:
subject
Has Abstractpub_date
2002-12-01 00:00:00pages
291-298issue
3eissn
0304-3959issn
1872-6623pii
00006396-200212000-00010journal_volume
100pub_type
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