Ethnic differences in pain coping: Factor structure of the coping strategies questionnaire and coping strategies questionnaire-revised

Hastie, B.; Riley, Joseph L.; Fillingim, Roger B.

doi:10.1016/j.jpain.2004.05.004

Cited by 84 publications

(75 citation statements)

References 73 publications

(153 reference statements)

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“…Compared to Whites, Black participants engaged in more catastrophizing and praying but less ignoring strategies. This is consistent with previous literature examining general (i.e., dispositional) pain coping 8,22,26 . The current study provides novel information about race differences in situation-specific coping strategies, which, to date, have only been reported for catastrophizing.…”

Section: Discussionsupporting

confidence: 92%

“…The CSQ-R has a more refined factor structure than the original CSQ, with subscale reliability ranging from 0.72 to 0.86 35,36 . The 6-factor structure reported by Hastie, Riley & Fillingim 22 was retained in this sample with good overall (α = 0.85) and subscale (range of α = 0.83-0.91) reliability.…”

Section: Pain Copingmentioning

confidence: 89%

“…Racial groups differ in their use of pain coping strategies. Black individuals engage in pain-related praying and catastrophizing more than nonHispanic Whites, while non-Hispanic Whites more often use ignoring strategies 8,22,26 . These differences may be particularly important to understanding racial differences in pain sensitivity, as previous studies have found that catastrophizing and praying are associated with increased pain sensitivity, while ignoring strategies are associated with less pain 15,26,37 .…”

Section: Introductionmentioning

confidence: 99%

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In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

Meints

Hirsh

2015

The Journal of Pain

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Black individuals have a lower tolerance for experimental pain than White individuals. Black and White individuals also differ in their use of pain coping strategies, which may explain the race differences in pain sensitivity. We examined the extent to which situation-specific pain coping mediated Black-White differences in pain sensitivity. We hypothesized that: (1) Black participants would demonstrate lower pain tolerance than White participants, (2) Black participants would use different pain coping strategies than White participants, and (3) the differential use of these strategies would mediate the relationship between race and pain tolerance. Healthy college undergraduates (N=190) participated in a cold pressor task and then completed the CSQ-R to assess their situation-specific pain coping. Compared to White participants, Black participants demonstrated lower pain tolerance, engaged in more situationspecific catastrophizing and praying, and ignored pain less frequently. Catastrophizing and praying were inversely related to pain tolerance and were significant mediators of the relationship between race and pain tolerance. The indirect effect of praying was stronger than that of catastrophizing. Race differences in pain sensitivity may be due, in part, to differences in the use of catastrophizing and praying as coping strategies. These results may help guide treatments addressing maladaptive pain coping. Perspective:This study suggests that race differences in pain sensitivity may be due, in part, to the differential use of catastrophizing and praying strategies. Psychosocial treatments for pain should encourage patients to take an active role in their pain management.

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Section: Discussionsupporting

confidence: 92%

Section: Pain Copingmentioning

confidence: 89%

Section: Introductionmentioning

confidence: 99%

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In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

Meints

Hirsh

2015

The Journal of Pain

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“…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. As researchers have suggested, racial group differences may be due to a variety of factors including coping strategies [8,13,18], which were not a part of the current investigation.…”

Section: Discussionmentioning

confidence: 97%

Comorbid chronic pain and depression: who is at risk?

Miller

Caño

2009

The Journal of Pain

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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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“…African Americans have higher levels of comorbid depression and/or anxiety, fear, and helplessness than whites [13,41,67,78] African Americans are more likely to attribute pain to personal inadequacies than whites [58] Overt behavioral expression of pain; verbal expressions; pain reporting; pain coping strategies; healthcare seeking; activity/role interference and restrictions African Americans are more likely than whites to underreport pain unpleasantness, especially in the presence of physicians perceived as ''higher social status'' [52] African Americans and Hispanics are more likely than whites to believe health professionals did not believe them when they reported being in pain [74] African Americans experience greater activity interference at comparable pain level than whites or Hispanics [6,48,50,51,61] African Americans are more likely to use passive pain coping strategies (prayer, pain catastrophizing) [41,92] African Americans and Hispanics are more afraid than whites of opioid addiction risk [3,23] Volume 469, Number 7, July 2011 Racial/Ethnic Disparities in Pain Management 1863 recognized knowledge regarding pain conditions and pain management principles and strategies, especially the pharmacology and prescribing guides for pain medications, are not well covered in medical undergraduate and specialty education. Physicians' lack of such knowledge and the resultant discomfort in pain management skill level have been advanced as important contributors to the observed racial/ethnic disparities [2,13,100].…”

Section: Provider Level Contributorsmentioning

confidence: 99%

Defining Racial and Ethnic Disparities in Pain Management

Mossey

2011

Clinical Orthopaedics &Amp; Related Research

282

215

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Background Substantial pain prevalence is as high as 40% in community populations. There is consistent evidence that racial/ethnic minority individuals are overrepresented among those who experience such pain and whose pain management is inadequate. Questions/purposes The objectives of this paper are to (1) define parameters of and summarize evidence pertinent to racial/ethnic minority disparities in pain management, (2) identify factors contributing to observed disparities, and (3) identify strategies to minimize the disparities. Methods Scientific literature was selectively reviewed addressing pain epidemiology, differences in pain management of non-Hispanic whites versus racial/ethnic minority groups, and patient and physician factors contributing to such differences.

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Ethnic differences in pain coping: Factor structure of the coping strategies questionnaire and coping strategies questionnaire-revised

Cited by 84 publications

References 73 publications

In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

In Vivo Praying and Catastrophizing Mediate the Race Differences in Experimental Pain Sensitivity

Comorbid chronic pain and depression: who is at risk?

Defining Racial and Ethnic Disparities in Pain Management

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