Richardson Elizabeth J, Trost Zina, Payne Morgan, Wiggins Asia
Department of Behavioral and Social Sciences, University of Montevallo, UMOM, Station 6180, Montevallo, AL, 35115, USA.
Department of Physical Medicine & Rehabilitation, Virginia Commonwealth University, Richmond, VA, USA.
J Clin Psychol Med Settings. 2023 Mar;30(1):169-181. doi: 10.1007/s10880-022-09860-1. Epub 2022 Mar 4.
This study examined the negative impact of social discrimination on the time to pain tolerance during experimentally induced cold pressor pain among healthy individuals. It was hypothesized that the degree to which one catastrophized about pain would exacerbate the negative impact of a history discriminatory experiences on pain tolerance, and that this interaction would be different between individuals of a racial and ethnic minority and non-Hispanic white individuals (thus testing catastrophizing as a moderated moderator). Higher levels of discrimination were positively related to catastrophic thinking about pain, and there was a significant negative relationship between the level of experienced discrimination and time to pain tolerance. Pain catastrophizing emerged as a significant moderator in that when pain catastrophizing levels were high, there was no association between social discrimination and pain tolerance. A history of social discrimination was significantly associated with reduced pain tolerance at low and moderate levels of pain catastrophizing. Racial minority status did not significantly alter this moderating relationship. Implications for the importance of assessing sociocultural variables, such as experiencing social discrimination in the clinical assessment of the individual with pain are outlined.
本研究考察了社会歧视对健康个体在实验诱导的冷压痛期间疼痛耐受时间的负面影响。研究假设，个体对疼痛灾难化的程度会加剧既往歧视经历对疼痛耐受的负面影响，并且这种相互作用在少数种族和族裔个体与非西班牙裔白人个体之间会有所不同（从而将灾难化作为一个调节性调节因素进行检验）。较高水平的歧视与对疼痛的灾难化思维呈正相关，并且经历的歧视水平与疼痛耐受时间之间存在显著的负相关。疼痛灾难化成为一个显著的调节因素，即当疼痛灾难化水平较高时，社会歧视与疼痛耐受之间没有关联。在低水平和中等水平的疼痛灾难化情况下，社会歧视史与疼痛耐受降低显著相关。少数种族身份并未显著改变这种调节关系。概述了在对疼痛个体进行临床评估时评估社会文化变量（如经历社会歧视）的重要性。
