Greater mechanical temporal summation of pain in Latinx-Americans and the role of adverse life experiences
| Autor: | Jessica C. Luedke, Namrata Nanavaty, F. Rassu, Vani A. Mathur, Mary W. Meagher |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
Central pain
General Section Central sensitization Ethnic discrimination Pain Latinx 02 engineering and technology Summation 01 natural sciences lcsh:RD78.3-87.3 Ethnic differences 0103 physical sciences 0202 electrical engineering electronic engineering information engineering Medicine Adverse Experience 010306 general physics Association (psychology) Adverse life experiences business.industry Chronic pain medicine.disease Temporal summation Anesthesiology and Pain Medicine lcsh:Anesthesiology 020201 artificial intelligence & image processing business Research Paper Social status Clinical psychology |
| Zdroj: | PAIN Reports, Vol 5, Iss 5, p e842 (2020) Pain Reports |
| ISSN: | 2471-2531 |
| DOI: | 10.1097/PR9.0000000000000842 |
| Popis: | Supplemental Digital Content is Available in the Text. Latinx-Americans showed greater temporal summation, adversity, and adversity correlates relative to non-Hispanic Whites. Discrimination and lifespan social status change inversely related to summation for Latinx-Americans. Introduction: Adverse life experiences disproportionately impact Latinx-Americans and are related to greater chronic pain rates. However, little is known about how adversities interact with central pain mechanisms for the development of later pain among Latinx-Americans. Objectives: The current study examined the relationship between adverse life experiences (eg, trauma and ethnic discrimination) and correlates (eg, social status) with mechanical temporal summation of pain (a proxy measure of central sensitization) between pain-free U.S. native Latinx (n = 65) and non-Hispanic White (NHW) (n = 51) adults. Methods: Participants completed self-report adverse life experience and correlational measures regarding childhood and adulthood and a mechanical temporal summation protocol. Results: Relative to NHWs, Latinx-Americans reported experiencing significantly greater trauma, discrimination, and lower social status during childhood and adulthood, along with greater temporal summation. Contrary to hypotheses, recent and lifetime experiences of ethnic discrimination significantly correlated with less temporal summation among Latinx-Americans. Decreases in objective and subjective social status across the lifespan (childhood to present day) correlated with greater temporal summation for Latinx-Americans. However, r-to-z transformation analyses confirmed that significant adversity and social status correlations observed among the Latinx group did not significantly differ from NHW participants. Conclusions: The present findings highlight the complex association between adverse experiences, adverse experience risk factors, and pain for Latinx-Americans. Given the disproportion of experienced pain and adversity among Latinx-Americans, the current findings suggest that a better understanding of the unique adversities for this sample may help elucidate the mechanisms underlying the relationship between adversities, adversity correlates, and pain risk for Latinx-Americans. |
| Databáze: | OpenAIRE |
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