Ethnic Group Differences in the Outcomes of Multidisciplinary Pain Treatment

Overview

Journal J Musculoskelet Pain

Publisher Informa Healthcare

Date 2011 Jul 7

PMID 21731407

Citations 16

Authors

Brian Merry

Claudia M Campbell

Luis F Buenaver

Lynanne McGuire

Jennifer A Haythornthwaite

Daniel M Doleys

Robert R Edwards

Affiliations

Soon will be listed here.

Abstract

OBJECTIVES: The aim of this prospective investigation was to evaluate ethnic group differences in pain-related outcomes following multidisciplinary chronic pain treatment. A prospective pre- and post-treatment assessment design was employed to investigate the effects of ethnicity on changes in pain-related variables following completion of a multidisciplinary pain treatment program. METHODS: One hundred fifty five chronic pain patients participating in a multidisciplinary pain treatment program completed measures of pain and mood both prior to and following the four-week treatment. Primary outcome variables included pain severity, pain-related interference, and depressive symptoms. RESULTS: Baseline differences between African-Americans and Whites were observed for depressive symptoms, but not for pain severity or pain-related interference. Following multidisciplinary pain treatment, both White and African-American patients displayed post-treatment reductions in depressive symptoms and pain-related interference. However, White patients also reported reduced pain severity while African-Americans did not. CONCLUSIONS: The treatment approach used in the present study appeared to be less effective in reducing self-reported pain severity in African-American versus White patients, though both groups benefited in terms of reduced depressive symptoms and pain-related interference. Moreover, the observation that improvements in functioning occurred without reductions in pain severity in African-American patients suggests that differences may exist in treatment processes as a function of ethnic group, and will consequently be an important area for future research.

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References

Paller C, Campbell C, Edwards R, Dobs A . Sex-based differences in pain perception and treatment. Pain Med. 2009; 10(2):289-99. PMC: 2745644. DOI: 10.1111/j.1526-4637.2008.00558.x. View

Kim H, Neubert J, Miguel A, Xu K, Krishnaraju R, Iadarola M . Genetic influence on variability in human acute experimental pain sensitivity associated with gender, ethnicity and psychological temperament. Pain. 2004; 109(3):488-496. DOI: 10.1016/j.pain.2004.02.027. View

Sheffield D, Biles P, Orom H, Maixner W, Sheps D . Race and sex differences in cutaneous pain perception. Psychosom Med. 2000; 62(4):517-23. DOI: 10.1097/00006842-200007000-00010. View

Lasch K . Culture, pain, and culturally sensitive pain care. Pain Manag Nurs. 2001; 1(3 Suppl 1):16-22. DOI: 10.1053/jpmn.2000.9761. View

Tan G, Jensen M, Thornby J, Anderson K . Ethnicity, control appraisal, coping, and adjustment to chronic pain among black and white Americans. Pain Med. 2005; 6(1):18-28. DOI: 10.1111/j.1526-4637.2005.05008.x. View

Doescher M, Saver B, Franks P, Fiscella K . Racial and ethnic disparities in perceptions of physician style and trust. Arch Fam Med. 2000; 9(10):1156-63. DOI: 10.1001/archfami.9.10.1156. View

Carter C, Zapka J, ONeill S, DesHarnais S, Hennessy W, Kurent J . Physician perspectives on end-of-life care: factors of race, specialty, and geography. Palliat Support Care. 2006; 4(3):257-71. DOI: 10.1017/s1478951506060330. View

Edwards C, Fillingim R, Keefe F . Race, ethnicity and pain. Pain. 2001; 94(2):133-137. DOI: 10.1016/S0304-3959(01)00408-0. View

Katz J, Losina E . Measures matter: racial disparities in the provision of total knee replacement. Arthritis Rheum. 2005; 53(6):805-7. DOI: 10.1002/art.21600. View

10.

Rahim-Williams F, Riley 3rd J, Herrera D, Campbell C, Hastie B, Fillingim R . Ethnic identity predicts experimental pain sensitivity in African Americans and Hispanics. Pain. 2007; 129(1-2):177-84. PMC: 1925263. DOI: 10.1016/j.pain.2006.12.016. View

11.

McCracken L, Turk D . Behavioral and cognitive-behavioral treatment for chronic pain: outcome, predictors of outcome, and treatment process. Spine (Phila Pa 1976). 2002; 27(22):2564-73. DOI: 10.1097/00007632-200211150-00033. View

12.

Beck A, Ward C, Mendelson M, Mock J, ERBAUGH J . An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4:561-71. DOI: 10.1001/archpsyc.1961.01710120031004. View

13.

Nicholson R, Rooney M, Vo K, OLaughlin E, Gordon M . Migraine care among different ethnicities: do disparities exist?. Headache. 2006; 46(5):754-65. PMC: 2443411. DOI: 10.1111/j.1526-4610.2006.00453.x. View

14.

Edwards R, Moric M, Husfeldt B, Buvanendran A, Ivankovich O . Ethnic similarities and differences in the chronic pain experience: a comparison of african american, Hispanic, and white patients. Pain Med. 2005; 6(1):88-98. DOI: 10.1111/j.1526-4637.2005.05007.x. View

15.

White S, Asher M, Lai S, Burton D . Patients' perceptions of overall function, pain, and appearance after primary posterior instrumentation and fusion for idiopathic scoliosis. Spine (Phila Pa 1976). 1999; 24(16):1693-9; discussion 1699-700. DOI: 10.1097/00007632-199908150-00011. View

16.

Jensen M, Turner J, Romano J . Correlates of improvement in multidisciplinary treatment of chronic pain. J Consult Clin Psychol. 1994; 62(1):172-9. DOI: 10.1037//0022-006x.62.1.172. View

17.

Cano A, Mayo A, Ventimiglia M . Coping, pain severity, interference, and disability: the potential mediating and moderating roles of race and education. J Pain. 2006; 7(7):459-68. PMC: 1894938. DOI: 10.1016/j.jpain.2006.01.445. View

18.

Kalauokalani D, Franks P, Oliver J, Meyers F, Kravitz R . Can patient coaching reduce racial/ethnic disparities in cancer pain control? Secondary analysis of a randomized controlled trial. Pain Med. 2007; 8(1):17-24. DOI: 10.1111/j.1526-4637.2007.00170.x. View

19.

Weir R, Browne G, Tunks E, Gafni A, Roberts J . Gender differences in psychosocial adjustment to chronic pain and expenditures for health care services used. Clin J Pain. 1996; 12(4):277-90. DOI: 10.1097/00002508-199612000-00007. View

20.

Cintron A, Morrison R . Pain and ethnicity in the United States: A systematic review. J Palliat Med. 2006; 9(6):1454-73. DOI: 10.1089/jpm.2006.9.1454. View