Pain and Function in Home Care
| Autor: | Christopher M. Murtaugh, Manny C. Reid, Katherine Beissner, Sridevi Sridharan, Eileen Bach, Charles Henderson, Yolanda Barrón, Melissa Trachtenberg |
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| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Minority group Cross-sectional study Psychological intervention Ethnic group Pain Health literacy Article Disability Evaluation 03 medical and health sciences 0302 clinical medicine Prevalence medicine Humans Pain Management Prospective Studies 030212 general & internal medicine Healthcare Disparities Psychiatry Physical Therapy Modalities Aged Self-efficacy Depression business.industry Home Care Services Self Efficacy Cross-Sectional Studies Anesthesiology and Pain Medicine Female Pain catastrophizing Neurology (clinical) business Psychosocial 030217 neurology & neurosurgery |
| Zdroj: | The Clinical Journal of Pain. 33:300-309 |
| ISSN: | 0749-8047 |
| DOI: | 10.1097/ajp.0000000000000410 |
| Popis: | To describe racial/ethnic group differences in pain presentation and the prevalence of psychosocial factors among patients admitted to home health care, and to determine the extent of racial/ethnic group differences in the association of psychosocial factors with pain intensity and pain-related disability. We analyzed cross-sectional data on 588 patients with activity-limiting pain admitted to home care for physical therapy. Three psychosocial factors were assessed: depressive symptoms, pain self-efficacy, and health literacy. Statistical methods included estimation of general linear models of pain intensity and pain-related disability. Hispanics and non-Hispanic blacks report a greater number of pain sites, worse pain intensity, and higher levels of pain-related disability than non-Hispanic whites and others. Racial/ethnic minority group patients also have a higher prevalence of adverse psychosocial factors than others, with evidence that race/ethnicity interacts with pain self-efficacy and depressive symptoms in their association with mean pain intensity and pain-related disability, respectively. The substantial racial/ethnic difference in the psychosocial profiles of older adults with activity-limiting pain highlights the importance of screening for these modifiable risk factors and tailoring interventions accordingly. Direct attention to the psychosocial needs of patients could help to address racial/ethnic disparities in pain outcomes. |
| Databáze: | OpenAIRE |
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