Ethnic and Sex Differences in Response to Clinical and Induced Pain in Chronic Spinal Pain Patients

Gf, Lawlis; Achterberg, Jeanne; Kenner, Lukas; Kopetz, K.

doi:10.1097/00007632-198410000-00017

Cited by 58 publications

(20 citation statements)

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“…It remains to be determined whether the forehead and/or the temples will prove to be best in studies of pain in clinical situations. Females have been observed to emphasize back pain more than males (18). Several studies (19,20) have found lower pain thresholds in females, and confirm the present results.…”

Section: Discussionsupporting

confidence: 91%

Evaluation of pain threshold using a simple pressure algometer

Buchanan

Midgley

1987

Clin Rheumatol

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Pain threshold was measured using a simple pressure algometer in 190 subjects. The measurement had a highly acceptable intra-observer error. Significantly lower pain thresholds were observed in all of the five areas of the body studied in females. The most sensitive area was the forehead. There was a higher pain threshold in the dominant hand. Anxiety and fear of pain significantly reduced the threshold.

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Section: Discussionsupporting

confidence: 91%

Evaluation of pain threshold using a simple pressure algometer

Buchanan

Midgley

1987

Clin Rheumatol

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“…Findings from this study support and extend similar pain investigations (Fillingim 2005;Edwards et al 2003;Campbell 2004Campbell ,2005Edwards and Fillingim 1999;and Zatzick and Dimsdale 1990). Although several studies have addressed ethnic differences and pain response in clinical studies (Edwards et al 2005Green 2005Green ,2003Campbell et al 2004;Riley 2002;Greenwald 1991), and some have included multiple ethnic groups (Edwards et al 2005;Hastie, et al 2005;Watson et al 2005;Faucett et al 1994;Lawlis et al 1984;Lipton and Marbach 1984), a unique contribution of this study is the inclusion of both Hispanics and African Americans in a comparative study of experimental pain and ethnic identity. Consistent with previous investigators (Campbell et al, 2005;Edwards, et al, 2003;Edwards and Fillingim,1991;Rollman and Harris, 1987;Wolff, 1971;Gelfand, 1964 Wolff andJarvik, 1963), the most robust ethnic group differences in this study emerged for measures of pain tolerance compared to pain threshold.…”

Section: Discussionsupporting

confidence: 82%

Ethnic identity predicts experimental pain sensitivity in African Americans and Hispanics

Rahim-Williams¹,

Riley²,

Herrera³

et al. 2007

Pain

223

169

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The aim of this study was to examine experimental pain sensitivity in three ethnic groups, African Americans, Hispanic Americans and non-Hispanic whites, and to determine whether ethnic identity is differentially associated with pain sensitivity across ethnic groups. Participants included sixtythree African American, sixty-one Hispanic and eighty-two non-Hispanic white participants who were assessed using three experimental pain measures: thermal, cold-pressor and ischemic. Participants' ethnic identity was assessed using the Multi-group Ethnic Identity Measure (MEIM). Ethnic group differences in pain responses were observed, with African American and Hispanic subjects showing lower cold and heat pain tolerances than non-Hispanic whites. In addition, pain range (i.e. tolerance -threshold) was computed for heat, cold and ischemic pain, and the two minority groups again had lower values compared to non-Hispanic whites. Ethnic identity was associated with pain range only for African American and Hispanic groups. Statistically controlling for ethnic identity rendered some of the group differences in pain range non-significant. These findings indicate that ethnic identity is associated with pain sensitivity in ethnic minority groups, and may partially mediate group differences in pain perception. The results of the present investigation provide evidence of ethnic group differences in responses to experimental pain across multiple noxious stimuli, with both minority groups exhibiting greater sensitivity to laboratory evoked pain compared to non-Hispanic whites.

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“…An additional purpose of the study, which comprises the focus of this report, was to examine racial differences in the association of prior mood disorders with experimental pain sensitivity. Given the evidence that Hispanic populations differ in clinical pain symptoms 26 and are more sensitive to experimental pain than non-Hispanic whites 31 and since the numbers of Hispanics (n ϭ 3), Native Americans (n ϭ 1), Asians (n ϭ 2), and multiracial women (n ϭ 1) in our study did not allow for valid analyses, the present report compares African Americans with non-Hispanic whites only. Therefore, 32 African American women and 23 non-Hispanic white women are included in the present report.…”

Section: Subjectsmentioning

confidence: 99%

Race and Histories of Mood Disorders Modulate Experimental Pain Tolerance in Women

Klatzkin

Mechlin

Bunevičius

et al. 2007

The Journal of Pain

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We examined the association of race and histories of mood disorders with experimental pain sensitivity in an exclusively female sample. Our findings for racial differences in pain sensitivity may have implications for greater clinical pain in African American women. Persistent disturbance in pain modulatory mechanisms in women with a history of mood disorders may also have implications for the development of subsequent mood disturbances.

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Ethnic and Sex Differences in Response to Clinical and Induced Pain in Chronic Spinal Pain Patients

Cited by 58 publications

References 0 publications

Evaluation of pain threshold using a simple pressure algometer

Evaluation of pain threshold using a simple pressure algometer

Ethnic identity predicts experimental pain sensitivity in African Americans and Hispanics

Race and Histories of Mood Disorders Modulate Experimental Pain Tolerance in Women

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