Duke University Medical Center, Pain Prevention and Treatment Research Program, 2400, Pratt Street, 7th Floor, Durham, NC, 27705, USA.
University of Miami Miller School of Medicine, Miami, FL, USA.
Support Care Cancer. 2022 Aug;30(8):6633-6640. doi: 10.1007/s00520-022-07083-6. Epub 2022 May 2.
African-American women with breast cancer face significant disparities, including high levels of pain. Depressive symptoms and self-efficacy for pain management impact how women with breast cancer manage pain, yet little is known about how these variables relate to pain specifically for African-American women with breast cancer.
Baseline linear regression analyses were conducted using a sample of women (n = 98) with stage I-III breast cancer identifying as Black or African-American who were part of a larger intervention trial. Linear regressions explored the effect of depressive symptoms on pain (i.e., severity and interference), and the effect of self-efficacy for pain management on pain. Covariates were age (M = 57.22, SD = 10.76), cancer stage (50% = stage 1), and education level (36% = some college).
Participants reported moderate levels of pain severity and interference. Higher depressive symptoms were related to both higher pain severity and interference; (B = 0.06, p < 0.01, 95% CI [0.02,0.09]) and (B = 0.13, p < 0.001, 95% CI [0.09, 0.17]) respectively. Likewise, lower self-efficacy for pain management was also related to both higher pain severity and interference; (B = - 0.04, p < 0.001, 95% CI [- 0.05, - 0.02]) and (B = - 0.06, p < 0.001, 95% CI [- 0.08, - 0.04]) respectively. Women reporting less than a high school diploma endorsed significantly higher pain severity and interference than women reporting some college. Age and cancer stage were not significantly related to pain.
Pain for African-American women with breast cancer may be influenced by depressive symptoms and self-efficacy for pain management, in addition to other important variables. Attending to better assessment and treatment of depressive symptoms and self-efficacy for pain management may improve outcomes.
非裔美国乳腺癌女性面临着显著的差异，包括高水平的疼痛。抑郁症状和疼痛管理自我效能感会影响乳腺癌女性的疼痛管理，但对于非裔美国乳腺癌女性，这些变量与疼痛的关系知之甚少。
使用一项针对患有 I-III 期乳腺癌的非裔美国女性（n=98）的样本进行了基线线性回归分析，这些女性是一项更大的干预试验的一部分。线性回归分析探讨了抑郁症状对疼痛（即严重程度和干扰）的影响，以及疼痛管理自我效能感对疼痛的影响。协变量为年龄（M=57.22，SD=10.76）、癌症分期（50%=1 期）和教育水平（36%=大专）。
参与者报告了中等水平的疼痛严重程度和干扰。较高的抑郁症状与较高的疼痛严重程度和干扰有关；（B=0.06，p<0.01，95%置信区间[0.02，0.09]）和（B=0.13，p<0.001，95%置信区间[0.09，0.17]）。同样，较低的疼痛管理自我效能感也与较高的疼痛严重程度和干扰有关；（B=−0.04，p<0.001，95%置信区间[−0.05，−0.02]）和（B=−0.06，p<0.001，95%置信区间[−0.08，−0.04]）。报告未完成高中学业的女性报告的疼痛严重程度和干扰明显高于报告完成大专学业的女性。年龄和癌症分期与疼痛无显著相关性。
非裔美国乳腺癌女性的疼痛可能受到抑郁症状和疼痛管理自我效能感的影响，以及其他重要变量的影响。关注对抑郁症状和疼痛管理自我效能感的更好评估和治疗可能会改善结果。
