Discrimination hurts: The effect of discrimination on the development of chronic pain

Brown, Timothy A.; Partanen, Juulia; Chuong, Linh; Villaverde, V.; Griffin, Ann Chantal; Mendelson, Aaron

doi:10.1016/j.socscimed.2018.03.015

Cited by 93 publications

(70 citation statements)

References 72 publications

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“…In a sample of patients with chronic pain, scale scores were positively associated with pain intensity, pain catastrophizing, and pain-related fear [50]. In a sample of MIDUS participants, the scale has been shown to have excellent internal consistency (Cronbach's a ¼ 0.95) [51]. Cronbach's a was 0.92 in the present study.…”

Section: Pain Interferencesupporting

confidence: 52%

Men, Chronic Pain, and Prescription Pain Medication Use: The Role of Gender Role Beliefs in a Longitudinal Moderated Mediation Model

et al. 2019

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Objective Although past research has established that men with chronic pain are more likely to misuse prescription pain medications in a myriad of ways compared with women, little is known about men’s medication use in the context of their gender role beliefs. The aim of the present study was to examine the role of men’s domestic gender role beliefs on their use of prescription pain medication for chronic pain. Methods Using a nationally representative data set with 304 men with chronic pain, this study examined a longitudinal moderated mediation model in which pain interference mediates the longitudinal relationship between somatic amplification and prescription pain medication use, with domestic gender role beliefs as a moderator of the aforementioned mediated relationship. Results Results indicated a significant moderated mediation model in which pain interference fully mediated the relationship between somatic amplification and prescription pain medication use, with men’s domestic gender role beliefs moderating this mediated relationship. Specifically, domestic gender role beliefs moderated the relationship between pain interference and prescription pain medication use. Men with higher levels of traditional domestic gender role beliefs strengthened the mediated relationship, contributing to increased prescription pain medication use. Conclusions These findings suggest that although men’s perceptions of somatic stimuli through its perceived interference contribute to their medication use, the extent to which they consume prescription pain medication depends on their beliefs in domestic gender roles during chronic pain.

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Section: Pain Interferencesupporting

confidence: 52%

Men, Chronic Pain, and Prescription Pain Medication Use: The Role of Gender Role Beliefs in a Longitudinal Moderated Mediation Model

et al. 2019

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“…This loss might be caused by some of the complex interactions mentioned above. Chronic pain can be initiated and increased by psychological distress caused by perceived discrimination (39). One possible interpretation is that the special needs of patients with a migration background may partially be met within an inpatient IPMP held in their native tongue, but are not generally met at home after discharge.…”

Section: Discussionmentioning

confidence: 99%

Comparison of short- and mid-term outcomes of Italian- and German-speaking patients after an interdisciplinary pain management programme in Switzerland: A prospective cohort study

Benz¹,

Lehmann²,

Brioschi³

et al. 2019

J Rehabil Med

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This study examined the health of patients with chronic pain who participated in a specific rehabilitation programme for chronic pain. Patients' health was measured before participating in the programme, at the end of the programme, and after the programme. German-speaking patients were compared with Italianspeaking patients. Both groups participated in the same pain management programme with the same therapies, held either in German or in Italian. Italian-speaking and German-speaking patients improved immediately after the programme, but Italian-speaking patient reported lower improvements. The measurements after the programme showed that German-speaking patients could maintain the improvements, whereas the Italian-speaking patients lost the positive effects of the programme over time. In conclusion, Italian-speaking patients may have special needs in pain management and the level of acculturation may influence the results. Objective: To quantify and compare the course of health-related quality of life of immigrant native Italian-speaking and German-speaking patients before and after an interdisciplinary pain programme. Design: Prospective cohort study with 1-12 month follow-up. Subjects: Fibromyalgia, generalized widespread pain, and chronic non-specific back pain patients (Italian-speaking n = 96, German-speaking n = 199). Methods: Score changes measured with the Short Form 36 (SF-36) were compared with multivariate analysis using standardized mean differences (SMD), adjusted for sex, education and the baseline score. Results: At baseline, health of the Italian-speaking patients was worse than for the German-speaking patients. Adjusted SMDs showed significantly better improvements in the German group compared with the Italian group: SF-36 Physical functioning SMD = 0.54 (at discharge) and 0.49 (at 12 months), General health SMD = 0.71 and 0.44, Vitality SMD = 0.43 and 0.48 in one sample. In the other sample, the corresponding SMDs were 0.06 (discharge), 0.50 (3 months) and 0.47 (6 months) for Bodily pain. Conclusion: State of health was better and health improvements were greater in German-speaking patients compared with Italian-speaking patients. Patients with a migration background may have special needs in therapeutic management, and addressing these might enhance the positive outcome in the short-and mid-term.

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“…Scholars have provided compelling evidence of perceived discrimination as one of the most consequential life events affecting one's health (Brown et al, ; Kessler et al, ; Pavalko et al, ). Discrimination due to one's status (race and gender) is associated with a host of negative mental and physical health outcomes, including anxiety, increased distress, depressive symptoms, a range of cardiovascular consequences, mental disorders, lower self‐reported health, chronic pain, and very low birth weight (VLBW) in infants of mothers who have perceived discrimination (Brown et al, ; Collins, David, Handler, Wall, & Andes, ; Hammond, Gillen, & Yen, ; Kessler et al, ; Pavalko et al, ; Williams, Neighbors, & Jackson, ; Williams, Yu, & Jackson, ).…”

Section: Discrimination and Health Inequalitiesmentioning

confidence: 99%

“…Perceived discrimination is one of the most significant life events affecting health and well‐being (Kessler, Mickelson, & Williams, ); scholars have since supported this claim (Brown et al, ; Pavalko, Mossakowski, & Hamilton, ). Discrimination is generally defined as unfair treatment based on one's social status and may occur from institutional structures and policies or individual behaviors (Thoits, ; Williams & Mohammed, ).…”

Section: Introductionmentioning

confidence: 99%

Perceived discrimination and health: Paradigms and prospects

Allen

2019

Sociology Compass

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This article reviews recent research on the effects of perceived discrimination on subsequent mental and physical health. I argue that despite legal reforms banning discrimination since the civil rights era, discrimination persists, posing an ongoing health risk and maintaining social health inequalities. Couched within broader health trends, this covers ongoing challenges and new developments, particularly related to measurement, and promising directions. As the most commonly reported location of individual discrimination is at work, this review concludes by arguing for the significance of the workplace as a unique context ripe for further inquiry for scholars interested in health inequality.

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Discrimination hurts: The effect of discrimination on the development of chronic pain

Cited by 93 publications

References 72 publications

Men, Chronic Pain, and Prescription Pain Medication Use: The Role of Gender Role Beliefs in a Longitudinal Moderated Mediation Model

Men, Chronic Pain, and Prescription Pain Medication Use: The Role of Gender Role Beliefs in a Longitudinal Moderated Mediation Model

Comparison of short- and mid-term outcomes of Italian- and German-speaking patients after an interdisciplinary pain management programme in Switzerland: A prospective cohort study

Perceived discrimination and health: Paradigms and prospects

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