Race, Social Status, and Depressive Symptoms: A Moderated Mediation Analysis of Chronic Low Back Pain Interference and Severity
| Autor: | Burel R. Goodin, Andrew M Sims, Pamela Jackson, Terence M Penn, Edwin N. Aroke, Tammie Quinn, Fariha N Hasan, Deanna Rumble, Ava N Michl, Demario S Overstreet, D. Leann Long, Caroline V Kehrer |
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| Rok vydání: | 2020 |
| Předmět: |
Biopsychosocial model
Adult Male Pain Interference Article 03 medical and health sciences Race (biology) 0302 clinical medicine Moderated mediation 030202 anesthesiology Medicine Humans Socioeconomic status Depressive symptoms Mediation Analysis business.industry Depression Middle Aged Chronic low back pain Black or African American Anesthesiology and Pain Medicine Psychological Distance Social Class Female Neurology (clinical) Chronic Pain business Low Back Pain 030217 neurology & neurosurgery Social status Clinical psychology |
| Zdroj: | Clin J Pain |
| ISSN: | 1536-5409 |
| Popis: | BACKGROUND Chronic low back pain (cLBP) is the leading cause of disability, with a significant societal cost. It disproportionately affects non-Hispanic blacks and individuals of lower socioeconomic status. The biopsychosocial framework has been used to study and manage cLBP, yet disparities persist. OBJECTIVE The objective of this study was to assess whether self-identified race moderated the relationship between perceived social status and cLBP outcomes (pain interference and pain severity) and investigate whether race moderated the indirect relationship between perceived social status and pain outcomes via depressive symptoms. METHODS Fifty-seven blacks and 48 whites with cLBP were recruited as part of a large ongoing study. Depressive symptoms, objective and subjective measures of socioeconomic status, and pain outcomes were measured. Hayes' moderated mediation model was used to estimate conditional direct and indirect relationship between these variables. RESULT On average black participants reported significantly more pain interference (4.12 [SD=2.65] vs. 2.95 [SD=2.13]) and severity (5.57 [SD=2.27] vs. 3.99 [SD=1.99]) than white participants, (P |
| Databáze: | OpenAIRE |
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