Slow and Steady But Not Related to HIV Stigma: Physical Activity in South Africans Living with HIV and Chronic Pain

Wadley, Antonia L.; Kamerman, Peter; Pincus, Tamar; Evangeli, Michael; Chinaka, Tapiwa; Venter, W D Francois; Akpomiemie, Godspower; Moorhouse, Michelle; Parker, Romy

doi:10.1007/s10461-022-03928-7

Cited by 1 publication

(9 citation statements)

References 56 publications

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“…The other 4 studies all reported on stigma in relation to chronic pain outcomes cross-sectionally. 36 , 52 , 58 , 62 …”

Section: Resultsmentioning

confidence: 99%

“…Four studies did not provide a definition of stigma although this was measured. 34 , 41 , 49 , 62 The remainder adopted different definitions, including those of Goffman 20 and Link and Phelan, 32 and definitions that were developed by the study authors. Fourteen different tools were adopted to measure stigma, with the Internalised Stigma in People Living with Chronic Pain Scale (ISCP) 2 , 21 , 24 , 36 , 45 , 64 being the most common.…”

Section: Resultsmentioning

confidence: 99%

“…The grey boxes reflect the study weighting; the black diamonds indicate the effect for each study; the horizontal black lines show the 95% confidence intervals (CI); the red dotted line captures the pooled effect of all studies; the blue diamond shows the 95% CI of the pooled effect. Data from Wadley et al 62 were not reported in the published paper and were obtained following author contact.…”

Section: Resultsmentioning

confidence: 99%

“…FM, fibromyalgia; RA, rheumatoid arthritis. Data from Wadley et al 62 were not reported in the published paper and were obtained following author contact.…”

Section: Resultsmentioning

confidence: 99%

“…The other 4 studies all reported on stigma in relation to chronic pain outcomes cross-sectionally. 36,52,58,62 The studies considered samples with a range of chronic pain conditions. Studies of people with chronic pain and HIV 21,24,62,63 and people with rheumatoid arthritis 22,33,34,59 were the most common.…”

Section: Study Characteristicsmentioning

confidence: 99%

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A systematic review with meta-analyses of the association between stigma and chronic pain outcomes

Hickling,

Allani,

Cella

et al. 2024

Pain

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Stigma is common in people experiencing chronic pain and there are indications that it may adversely affect pain outcomes. However, to date, there is no systematic review exploring the impact of stigma on chronic pain-related outcomes. This systematic review and meta-analysis aimed to examine the association between stigma and key chronic pain outcomes and differences in stigma between pain conditions. Seven databases were searched for studies reporting a measure of association between stigma and at least one pain outcome in adults with chronic pain. Studies were screened by 2 independent researchers. Nineteen studies met eligibility criteria and data were extracted, quality-assessed, and narratively synthesised and meta-analysed where possible. Meta-analyses of bivariate cross-sectional correlations demonstrated significant positive correlations between stigma and pain intensity, disability, and depression, with small to moderate effects. Data from 2 prospective studies and those only reporting multivariate analyses that were not included in meta-analyses further supported these findings. There was some evidence that individuals who experience pain conditions with less clear pathophysiology may report greater stigma, although more research is needed. The review highlights that there is a growing number of studies on stigma in the pain field showing an adverse association between stigma and chronic pain outcomes.

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“…The other 4 studies all reported on stigma in relation to chronic pain outcomes cross-sectionally. 36 , 52 , 58 , 62 …”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

“…FM, fibromyalgia; RA, rheumatoid arthritis. Data from Wadley et al 62 were not reported in the published paper and were obtained following author contact.…”

Section: Resultsmentioning

confidence: 99%