Race, age, and gender influences among clusters of african american and white patients with chronic pain

Green, Carmen R.; Ndao-Brumblay, S. Khady; Nagrant, Andrew M.; Baker, Tamara A.; Rothman, Edward D.

doi:10.1016/j.jpain.2004.02.227

Cited by 89 publications

(81 citation statements)

References 75 publications

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“…Thus, African Americans with pain were more likely to have depression than Caucasians with pain. While it is difficult to draw firm conclusions given the marginal significance of the latter finding as well as the small proportion of African Americans in the current sample, the current findings support previous research showing that African Americans with chronic pain tend to report more depressive symptoms than Caucasians [15]. The fact that the regression analyses included other variables means that these differences in self-identified racial group were not due to possible socioeconomic differences between racial groups.…”

Section: Discussionsupporting

confidence: 71%

Comorbid Chronic Pain and Depression: Who Is at Risk?

Miller

Caño

2009

The Journal of Pain

263

155

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The purpose of this study was to investigate the prevalence and demographic risk factors of chronic pain and its comorbidity with depression. Computer-assisted telephone interviewing was utilized to obtain a representative community sample in the state of Michigan (N = 1,179). The prevalence of chronic pain due to any cause was 21.9%.Approximately 35% of participants with chronic pain also had comorbid depression (7.7% of the entire sample). Depression was not associated with pain types or sites. A multinomial regression analysis revealed several demographic correlates of chronic pain and depression.Participants with chronic pain or comorbid pain and depression were more likely to be older, female, employed less than full-time, and have less education than persons without either condition. Logistic regression analyses showed that younger participants were more likely to have comorbid pain and depression than chronic pain only. A similar but marginally significant effect was found for African-American participants. Compared to the depression only group, those in the comorbid group were more likely to be women and middle-aged. These findings provide additional evidence on the prevalence of comorbid pain and depression in the community and suggest that certain demographic groups with chronic pain may especially benefit from depression screenings.Perspective. This article reports on the prevalence of chronic pain and co-occurring depression in a representative community sample. The high prevalence rates of pain and comorbid depression point to the clinical importance of assessing depression in chronic pain samples.

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Section: Discussionsupporting

confidence: 71%

Comorbid Chronic Pain and Depression: Who Is at Risk?

Miller

Caño

2009

The Journal of Pain

263

155

View full text Add to dashboard Cite

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“…Very little research has examined the possible influence of race/ ethnicity on treatment outcomes for patients with chronic noncancer pain. The results have been mixed; some descriptive studies indicated no significant differences in treatment outcomes as a function of race/ethnicity [35] and others found that minority patients were at risk for less positive outcomes, including greater disability [33][34]. In the present study, the white and nonwhite patients did not differ in their ratings of satisfaction, effectiveness, or changes in pain condition and QOL.…”

Section: Discussioncontrasting

confidence: 57%

“…Previous research has indicated that these demographic variables may influence the outcome of multidisciplinary painmanagement programs [3,28,33]. Among the statistically significant relationships was one between disability and race/ethnicity; white patients (n = 62) had lower mean ratings than nonwhite patients (n = 31), with mean values of 14.97 versus 18.45, respectively, (t 91 = -3.23, p = 0.002).…”

Section: Resultsmentioning

confidence: 92%

Are patient ratings of chronic pain services related to treatment outcome?

Tan¹,

Jensen²,

Thornby³

2006

JRRD

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Abstract-Consumer ratings of satisfaction with treatment are rarely used as measures of treatment outcome. This study examined the relationships between service ratings and psychometric outcomes of patients receiving pain-management services in a tertiary teaching hospital. A group of 122 patients who completed a multidisciplinary pain-management program rated their satisfaction with and effectiveness of services received and changes in their pain condition and quality of life (QOL). They also completed pre-and posttreatment measures of pain severity, pain interference, depression, and disability. Pain severity, pain interference, and depression significantly decreased following treatment. The patients' ratings of services were significantly associated with outcome measures. Pre-to posttreatment changes in pain severity and pain interference were associated with treatment satisfaction and effectiveness, improvement in pain condition, and QOL. Pre-to posttreatment change in disability was significantly related to ratings of treatment effectiveness, improvement in pain condition, and quality of life. The findings suggest that pain intensity, pain interference, and disability are important outcome dimensions of pain-management programs.

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“…[4][5][6]12,30,32 In addition, there are race differences in clinical and experimental pain with African-Americans reporting more clinical pain, lower pain thresholds for ischemic and cold pressor pain, higher pain-related disability, and higher pain unpleasantness than Caucasians. 4,5,8,12,13,33,34,40,41 Other research groups have not found race differences in pain severity. 9,21 Although such research may enhance treatment and prevention with diverse groups, it is essential to also examine variables that might moderate racial group differences in the pain experience.…”

mentioning

confidence: 97%