The role of self-evaluated pain sensitivity as a mediator of objectively measured pain tolerance in Native Americans: findings from the Oklahoma Study of Native American Pain Risk (OK-SNAP).

Native Americans (NAs) are at increased risk for chronic pain. One mechanism contributing to this pain disparity could be personal pain beliefs, which may influence actual pain sensitivity. Thus, we examined whether self-evaluated pain sensitivity (SEPS) mediates the relationship between ethnicity [...

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Publicado en:Journal of Behavioral Medicine Vol. 45; no. 2; pp. 272 - 285
Autores principales: Ross, Erin N., Toledo, Tyler A., Huber, Felicitas, Kell, Parker A., Hellman, Natalie, Shadlow, Joanna O., Rhudy, Jamie L.
Formato: research tables/charts Journal Article
Publicado: Springer Nature Apr2022
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10865-021-00257-3
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        atl: The role of self-evaluated pain sensitivity as a mediator of objectively measured pain tolerance in Native Americans: findings from the Oklahoma Study of Native American Pain Risk (OK-SNAP).
      aug:
        au:
          Ross, Erin N.
          Toledo, Tyler A.
          Huber, Felicitas
          Kell, Parker A.
          Hellman, Natalie
          Shadlow, Joanna O.
          Rhudy, Jamie L.
        affil: Department of Psychology, The University of Tulsa, 800 South Tucker Drive, 74104, Tulsa, OK, USA
      sug:
        subj:
          Chronic Pain Risk Factors
          Pain Measurement
          Native Americans
          Self Assessment
          Chronic Pain Prevention and Control
          Thinking
          Anxiety
          Health Beliefs
          Human
          Pain Threshold
          Hispanic Americans
          White Persons
          Questionnaires
          Mediation Analysis
          Chronic Pain Complications
      ab: Native Americans (NAs) are at increased risk for chronic pain. One mechanism contributing to this pain disparity could be personal pain beliefs, which may influence actual pain sensitivity. Thus, we examined whether self-evaluated pain sensitivity (SEPS) mediates the relationship between ethnicity [NAs vs. non-Hispanic Whites (NHWs)] and objectively-measured pain tolerance, and whether catastrophic thinking and pain-related anxiety influence these pain beliefs. 232 healthy, pain-free NAs and NHWs completed questionnaires measuring SEPS, catastrophizing, and anxiety. Objective pain tolerance was also assessed. Results suggested: (1) NAs reported higher levels of SEPS, catastrophizing, and anxiety, (2) catastrophizing may have enhanced anxiety and both catastrophizing and anxiety were associated with higher SEPS, and (3) anxiety and SEPS were associated with lower pain tolerance. A significant bootstrapped mediation analysis suggested NAs experienced higher pain-related anxiety, which may have promoted higher SEPS, that in turn reduced pain tolerance. Longitudinal research is needed to confirm this.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
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      ougenre: Article
    language: English
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