疼痛强度、疼痛干扰和慢性疼痛发作的生物行为预测因素:非裔美国成年人前瞻性队列研究》。

IF 4 2区 医学 Q1 CLINICAL NEUROLOGY Journal of Pain Pub Date : 2024-08-01 DOI:10.1016/j.jpain.2024.02.015
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引用次数: 0

摘要

与非西班牙裔白人相比,非裔美国成年人报告的日常疼痛发生率更高、疼痛严重程度更严重、与疼痛相关的干扰也更大。然而,预测非裔美国成年人向慢性疼痛过渡的生物行为因素却不甚明了。这项前瞻性队列研究提供了一个独特的机会,可以对 130 名年龄在 18-44 岁之间、在基线评估时未报告慢性疼痛、随后在 6 个月和 12 个月完成随访评估的非裔美国成年人(81 名女性)的慢性疼痛发病预测因素进行评估。结果测量包括疼痛强度、疼痛相关干扰和慢性疼痛状态。对社会人口和生物行为因素的综合评估用于评价人口统计学、社会经济地位(SES)、压力暴露、社会心理因素、下丘脑-垂体-肾上腺分泌延长以及定量感觉测试(QST)反应。在基线调查中,有 30 名成年人(23.1%)表示曾有过慢性疼痛病史。在 12 个月的随访期间,13 名成人(10.0%)出现了新的慢性疼痛发作,18 名成人(13.8%)出现了慢性疼痛复发。SES指标(即年收入、教育程度)可预测随访期间疼痛强度的变化,而QST指标(即疼痛阈值、疼痛的时间总和)可预测疼痛干扰的变化。慢性疼痛史和基线时较高的抑郁症状可独立预测新的慢性疼痛发作。本研究结果凸显了与非裔美国成年人疼痛强度、疼痛相关干扰和慢性疼痛发作的轨迹有不同关联的生物行为因素子集。概述:这项前瞻性研究旨在进一步了解非裔美国成年人在初次评估时没有慢性疼痛,但在 12 个月的随访期间预测疼痛结果的生物行为因素。研究结果显示了与疼痛强度、疼痛相关干扰和慢性疼痛发作相关的不同因素子集。
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Biobehavioral Predictors of Pain Intensity, Pain Interference, and Chronic Pain Episodes: A Prospective Cohort Study of African-American Adults

Racial disparities in pain experiences are well-established, with African-American (AA) adults reporting higher rates of daily pain, increased pain severity, and greater pain-related interference compared to non-Hispanic Whites. However, the biobehavioral factors that predict the transition to chronic pain among AA adults are not well understood. This prospective cohort study provided a unique opportunity to evaluate predictors of chronic pain onset among 130 AA adults (81 women), ages 18 to 44, who did not report chronic pain at their baseline assessment and subsequently completed follow-up assessments at 6- and 12-months. Outcome measures included pain intensity, pain-related interference, and chronic pain status. Comprehensive assessments of sociodemographic and biobehavioral factors were used to evaluate demographics, socioeconomic status, stress exposure, psychosocial factors, prolonged hypothalamic-pituitary-adrenal secretion, and quantitative sensory testing responses. At baseline, 30 adults (23.1%) reported a history of prior chronic pain. Over the 12-month follow-up period, 13 adults (10.0%) developed a new chronic pain episode, and 18 adults (13.8%) developed a recurrent chronic pain episode. Whereas socioeconomic status measures (ie, annual income, education) predicted changes in pain intensity over the follow-up period, quantitative sensory testing measures (ie, pain threshold, temporal summation of pain) predicted changes in pain interference. A history of chronic pain and higher depressive symptoms at baseline independently predicted the onset of a new chronic pain episode. The present findings highlight distinct subsets of biobehavioral factors that are differentially associated with trajectories of pain intensity, pain-related interference, and onset of chronic pain episodes in AA adults.

Perspective

This prospective study sought to advance understanding of biobehavioral factors that predicted pain outcomes over a 12-month follow-up period among AA adults without chronic pain at their initial assessment. Findings revealed distinct subsets of factors that were differentially associated with pain intensity, pain-related interference, and onset of chronic pain episodes.

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来源期刊
Journal of Pain
Journal of Pain 医学-临床神经学
CiteScore
6.30
自引率
7.50%
发文量
441
审稿时长
42 days
期刊介绍: The Journal of Pain publishes original articles related to all aspects of pain, including clinical and basic research, patient care, education, and health policy. Articles selected for publication in the Journal are most commonly reports of original clinical research or reports of original basic research. In addition, invited critical reviews, including meta analyses of drugs for pain management, invited commentaries on reviews, and exceptional case studies are published in the Journal. The mission of the Journal is to improve the care of patients in pain by providing a forum for clinical researchers, basic scientists, clinicians, and other health professionals to publish original research.
期刊最新文献
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