Keep Your Hopes Up: An Examination of Racial Differences in the Association Between Hope and Pain

Abstract Hope has been associated with increased pain tolerance (Snyder et al., 2005) and has been incorporated in interventions targeting chronic pain (Howell et al., 2015; Katsimigos et al., 2020). Research suggests that African Americans with osteoarthritis (OA) pain experience greater pain severity and disability compared to non-Hispanic White individuals (Vaughn et al., 2019). Although the literature is limited, there is some evidence to suggest racial/ethnic differences in hope (Chang & Banks, 2007). The current study examined race as a moderator of the association between hope and pain in a sample of older adults. Experience sampling (ESM) data was used from a multi-site study examining non-Hispanic White and African American individuals with knee osteoarthritis (OA). Participants completed the Adult Hope Scale (Snyder et al., 1991) during baseline interviews and self-reported momentary pain during 28 ESM calls. Multilevel models revealed a significant interaction between hope and race (p = .04). Specifically, greater hope was associated with decreased momentary pain, and this association was stronger for African American compared to non-Hispanic White individuals. Results suggest that high levels of hope may be particularly protective for African American chronic pain patients. These findings can help inform existing and future interventions focused on enhancing hope in chronic pain populations. (Supported by AG041655, P. Parmelee and D. Smith, Co-PIs)

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Reduced Cold Pain Tolerance in Chronic Pain Patients Following Opioid Detoxification

Pain Medicine ◽

10.1111/j.1526-4637.2008.00475.x ◽

2008 ◽

Vol 9 (8) ◽

pp. 1158-1163 ◽

Cited By ~ 15

Author(s):

Jarred Younger ◽

Peter Barelka ◽

Ian Carroll ◽

Kim Kaplan ◽

Larry Chu ◽

...

Keyword(s):

Chronic Pain ◽

Pain Tolerance ◽

Cold Pain ◽

Chronic Pain Patients ◽

Pain Patients ◽

Opioid Detoxification

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Expressed emotion among relatives of chronic pain patients, the interaction between relatives’ behaviours and patients’ pain experience

International Journal of Social Psychiatry ◽

10.1177/0020764013496371 ◽

2013 ◽

Vol 60 (2) ◽

pp. 197-205 ◽

Cited By ~ 7

Author(s):

Carles Ballús-Creus ◽

M Virginia Rangel ◽

Alba Peñarroya ◽

Jordi Pérez ◽

Julian Leff

Keyword(s):

Chronic Pain ◽

Expressed Emotion ◽

Pain Experience ◽

Chronic Pain Patients ◽

Pain Patients

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Chronic pain patients’ need for recognition and their current struggle

Medicine Health Care and Philosophy ◽

10.1007/s11019-021-10040-5 ◽

2021 ◽

Author(s):

D. Koesling ◽

C. Bozzaro

Keyword(s):

Chronic Pain ◽

Chronically Ill ◽

Social Model ◽

Social Aspects ◽

Family Interactions ◽

Pain Experience ◽

The Social ◽

Chronic Pain Patients ◽

Struggle For Recognition ◽

Pain Patients

AbstractChronic pain patients often miss receiving acknowledgement for the multidimensional struggles they face with their specific conditions. People suffering from chronic pain experience a type of invisibility that is also borne by other chronically ill people and their respective medical conditions. However, chronic pain patients face both passive and active exclusion from social participation in activities like family interactions or workplace inclusion. Although such aspects are discussed in the debates lead by the bio-psycho-social model of pain, there seems to be a lack of a distinct interest in assessing more specifically the social aspects regarding chronic pain. As a result, the social aspects have yet to be taken into a more thorough theoretical consideration of chronic pain and to be practically implemented to help affected patients. By addressing chronic pain patients’ struggle for recognition, this paper attempts to shed light on some of these social aspects. We base this attempt on a theoretical framework that combines patients’ statements with an adaptation of Axel Honneth’s social-philosophical work on recognition. Thus, this paper tries to make a suggestion on how the bio-psycho-social model of pain can live up to its name by helping to address more adequately some of the more neglected aspects in chronic pain patients’ suffering than has been possible to date.

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Low-dose hydrocortisone replacement improves wellbeing and pain tolerance in chronic pain patients with opioid-induced hypocortisolemic responses. A pilot randomized, placebo-controlled trial

Psychoneuroendocrinology ◽

10.1016/j.psyneuen.2015.03.015 ◽

2015 ◽

Vol 56 ◽

pp. 157-167 ◽

Cited By ~ 17

Author(s):

Marni A. Nenke ◽

Clare L. Haylock ◽

Wayne Rankin ◽

Warrick J. Inder ◽

Lucia Gagliardi ◽

...

Keyword(s):

Chronic Pain ◽

Low Dose ◽

Controlled Trial ◽

Pain Tolerance ◽

Chronic Pain Patients ◽

Pain Patients

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Meaning in life in chronic pain patients over time: associations with pain experience and psychological well-being

Journal of Behavioral Medicine ◽

10.1007/s10865-014-9614-1 ◽

2014 ◽

Vol 38 (2) ◽

pp. 384-396 ◽

Cited By ~ 43

Author(s):

Jessie Dezutter ◽

Koen Luyckx ◽

Amy Wachholtz

Keyword(s):

Chronic Pain ◽

Meaning In Life ◽

Well Being ◽

Psychological Well Being ◽

Pain Experience ◽

Chronic Pain Patients ◽

Pain Patients ◽

Over Time

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Racial Variation in Response to Music in a Sample of African-American and Caucasian Chronic Pain Patients

Pain Management Nursing ◽

10.1016/j.pmn.2008.08.003 ◽

2009 ◽

Vol 10 (1) ◽

pp. 14-21 ◽

Cited By ~ 18

Author(s):

Sandra L. Siedlecki

Keyword(s):

Chronic Pain ◽

African American ◽

Racial Variation ◽

Chronic Pain Patients ◽

Pain Patients

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Daily Links Between Sleep and Anger Among Spouses of Chronic Pain Patients

The Journals of Gerontology Series B ◽

10.1093/geronb/gby111 ◽

2018 ◽

Vol 75 (5) ◽

pp. 927-936

Author(s):

Christina M Marini ◽

Lynn M Martire ◽

Dusti R Jones ◽

Ruixue Zhaoyang ◽

Orfeu M Buxton

Keyword(s):

Chronic Pain ◽

Multilevel Models ◽

Marital Interaction ◽

Marital Functioning ◽

Daily Diaries ◽

Potential Value ◽

Unrefreshing Sleep ◽

Chronic Pain Patients ◽

Patients Experience ◽

Pain Patients

Abstract Objectives This study identified daily associations between sleep, emotion, and marital functioning in the context of chronic pain. Because spouses’ sleep is compromised on nights when patients experience more pain, we set out to identify implications of spouses’ sleep for their own emotion (anger) upon waking and marital interaction (marital tension) throughout the rest of the day. We further considered whether spouses’ critical attitudes about patients’ pain-related coping exacerbated associations between their sleep, morning anger, and marital tension. Method Data came from a study of knee osteoarthritis patients (50+ years old) and spouses (N = 138 couples) who completed daily diaries across 22 days. Multilevel models were estimated to test hypotheses. Results Spouses woke up angrier on mornings when they reported that their sleep was more unrefreshing than usual. This association was stronger among more critical spouses. Morning anger resulting from unrefreshing sleep, however, did not predict marital tension throughout the rest of the day. Discussion Findings highlight the potential value of intervention efforts aimed at promoting spouses’ sleep quality in an effort to offset negative emotional consequences that may undermine spouses’ and patients’ adjustment in the context of chronic pain.

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Concurrent and lagged associations of prescription opioid use with pain and negative affect in the daily lives of chronic pain patients.

10.31234/osf.io/nypb4 ◽

2019 ◽

Author(s):

Ryan Carpenter ◽

Sean Patrick Lane ◽

Stephen Bruehl ◽

Timothy J Trull

Keyword(s):

Chronic Pain ◽

Negative Affect ◽

Multilevel Models ◽

Negative Reinforcement ◽

Prescription Opioid ◽

Opioid Misuse ◽

Opioid Use ◽

Opioid Dose ◽

Chronic Pain Patients ◽

Pain Patients

Objective: Prescribed opioids for chronic pain management contribute significantly to the opioid crisis. There is a need to understand the real-world benefits that, despite risks, lead chronic pain patients to persist in opioid use. Negative reinforcement models of addiction posit that individuals use substances to reduce aversive states but have seldom been applied to prescribed opioids. Using ecological momentary assessment, we examined reciprocal associations between opioid use and physical pain, for which opioids are prescribed, and negative affect (NA), for which they are not. Method: Chronic low back pain patients on long-term opioid therapy (n = 34) without significant past-year opioid misuse reported multiple times daily via smartphone over 2 weeks (nobservations = 2,285). We hypothesized that pain and NA would be positively associated with subsequent opioid use, and that use would be negatively associated with subsequent pain and NA. Results: Time-lagged multilevel models indicated that participants were more likely to use opioids and in larger doses following elevated pain and NA. There was also an interaction of concurrent pain and NA on opioid dose. In turn, participants reported reduced pain and NA following larger doses. Additionally, individuals at high risk for opioid misuse, compared with low risk, took larger doses following pain, but also experienced smaller subsequent pain and NA reductions. Conclusions: Opioid use was bidirectionally associated with pain and NA. Findings fit negative reinforcement models associated with risk of developing opioid use disorder. Educating patients and providers about negative reinforcement may help reduce opioid use and opioid-associated risks. (PsycINFO Database Record (c) 2019 APA, all rights reserved)

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Catastrophizers with Chronic Pain Display more Pain Behaviour when in a Relationship with a Low Catastrophizing Spouse

Pain Research and Management ◽

10.1155/2011/247940 ◽

2011 ◽

Vol 16 (5) ◽

pp. 293-299 ◽

Cited By ~ 17

Author(s):

Nathalie Gauthier ◽

Pascal Thibault ◽

Michael JL Sullivan

Keyword(s):

Chronic Pain ◽

Pain Catastrophizing ◽

Pain Experience ◽

Pain Behaviour ◽

Pain Communication ◽

Chronic Pain Patients ◽

Scale Scores ◽

Pain Outcomes ◽

The Relationship ◽

Pain Patients

The present study examined the relationship between couple concordance of catastrophizing and adverse pain outcomes. Possible mechanisms underlying the relationship between couple concordance of catastrophizing and pain outcomes were also explored. Fifty-eight couples were recruited for the study. The chronic pain patients were filmed while lifting a series of weighted canisters. The spouse was later invited to view the video and answer questions about the pain experience of their partner. Median splits on Pain Catastrophizing Scale scores were used to create four ‘catastrophizing concordance’ groups: low catastrophizing patient-low catastrophizing spouse; low catastrophizing patient-high catastrophizing spouse; high catastrophizing patient-low catastrophizing spouse; and high catastrophizing patient-high catastrophizing spouse. Analyses revealed that high catastrophizing pain patients who were in a relationship with a low catastrophizing spouse displayed more pain behaviours than patients in all other groups. These findings suggest that high catastrophizing chronic pain patients may need to increase the ‘volume’ of pain communication to compensate for low catastrophizing spouses’ tendency to underestimate the severity of their pain experience. Patients’ perceived solicitousness and punitive response from the spouse could not explain the group differences in pain behaviour. Theoretical and clinical implications of the findings are discussed.

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