作者: Andrea K. Newman , Benjamin P. Van Dyke , Calia A. Torres , Jacob W. Baxter , Joshua C. Eyer
DOI: 10.1097/J.PAIN.0000000000000964
关键词: Clinical psychology 、 Psychology 、 Cross-sectional study 、 Psychosocial 、 Outcomes research 、 Psychological intervention 、 Psychiatry 、 Mediation (statistics) 、 Health equity 、 Chronic pain 、 Pain catastrophizing
摘要: Chronic pain is a pervasive condition that complicated by economic, educational, and racial disparities. This study analyzes key factors associated with chronic within an understudied underserved population. The sample characterized triple disparity respect to income, education/literacy, barriers substantially increase the vulnerability negative consequences of pain. examined pretreatment data 290 participants enrolled in Learning About My Pain trial, randomized controlled comparative effectiveness trial psychosocial interventions (B.E.T., Principal Investigator, Patient-Centered Outcomes Research Institute Contract No. 941; clinicaltrials.gov identifier NCT01967342) for Hierarchical multiple regression analyses evaluated relationships among sociodemographic (sex, age, race, poverty status, literacy, education level) psychological (depressive symptoms catastrophizing) variables interference, severity, disability. indirect effects depressive catastrophizing on were investigated using bootstrap resampling. Reversed mediation models also examined. Results suggested experience this low-income better accounted than sex, level. Depressive mediated between age variables, whereas primary literacy status. Some reversed equivalent hypothesized models, suggesting possibility bidirectionality. Although cross-sectional findings cannot establish causality, our results highlight critical role play individuals health