Race Deficits in Pain Detection: Medical Providers and Laypeople Fail to Accurately Perceive Pain Authenticity Among Black People

2021 ◽  
pp. 194855062110458
Author(s):  
E. Paige Lloyd ◽  
Audrey R. Lloyd ◽  
Allen R. McConnell ◽  
Kurt Hugenberg
Keyword(s):  
Medical Care ◽  
Intergroup Relations ◽  
Pain Perception ◽  
Black People ◽  
Pain Treatment ◽  
Practical Significance ◽  
Medical Providers ◽  
Race Disparities ◽  
Pain Detection ◽  
Pain Stimuli

Across six studies ( N = 904), we suggest a novel mechanism for race disparities in pain treatment: Perceiver deficits in discriminating real from fake pain for Black (relative to White) individuals. Across Studies 1–4, White participants (Studies 1–4) and Black participants (Study 2) were better at discerning authentic from inauthentic pain expressions for White targets than for Black targets. This effect emerged for both subtle (Studies 1 and 2) and intense (Studies 3 and 4) pain stimuli. Studies 5 and 6 examined consequences for medical care decisions by examining pain treatment recommendations by laypeople (Study 5) and pain authenticity judgments by medical providers (Study 6). This work advances theory in pain perception, emotion judgment, and intergroup relations. It also has practical significance for identifying unexplored mechanisms causing racial disparities in medical care.

scholarly journals Can Residential Greenspace Exposure Improve Pain Experience? A Comparison between Physical Visit and Image Viewing

Healthcare ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 918
Author(s):  
Hansen Li ◽  
Xing Zhang ◽  
Shilin Bi ◽  
Yang Cao ◽  
Guodong Zhang
Keyword(s):  
Heart Rate ◽  
State Anxiety ◽  
Pain Threshold ◽  
Pain Perception ◽  
The State ◽  
Subjective Stress ◽  
Pain Experience ◽  
Scenic Beauty ◽  
Significant Difference ◽  
Pain Stimuli

Reducing the burden of pain via greenspace exposure is a rising research topic. However, insufficient evidence has been found in relation to the environmental effect itself. Residential greenspace, as a convenient but limited natural environment for urban dwellers, has benefits and services yet to be discovered. Therefore, the current study recruited 24 young adults to evaluate the effects of physical visit to, or image viewing of, residential greenspace on pain perception and related psychophysiological outcomes, via simulated pain. Pain threshold and tolerance were recorded via the level of pain stimuli, and pain intensity was evaluated using the Visual Analog Scale (VAS). The state scale of the State–Trait Anxiety Inventory (STAI-S) and two adjective pairs were employed to measure the state anxiety and subjective stress, respectively. Meanwhile, heart rate (HR), heart rate variability (HRV), and blood pressure (BP) were measured to investigate physiological responses. Besides, Scenic Beauty Estimation (SBE) was also employed to assess participants’ preference regarding the experimental environments. The results revealed that visiting the greenspace significantly increased the pain threshold and tolerance, while no significant effect was observed for image viewing. On the other hand, no significant difference was observed in pain-related psychophysiological indices between the experimental settings, but significantly negative associations were found between the scores of SBE and subjective stress and state anxiety. In conclusion, the current study brings experimental evidence of improving pain experience via residential greenspace exposure, while the related psychophysiological benefits require further investigation.

scholarly journals Ejaculatory Pain

2007 ◽  
Vol 107 (2) ◽  
pp. 298-304 ◽  
Author(s):  
Eske K. Aasvang ◽  
Bo Møhl ◽  
Henrik Kehlet
Keyword(s):  
Chronic Pain ◽  
Sexual Dysfunction ◽  
Quantitative Sensory Testing ◽  
Groin Hernia ◽  
Pain Treatment ◽  
Detection Threshold ◽  
Control Group ◽  
Sensory Testing ◽  
Detection Thresholds ◽  
Pain Detection

Background Sexual dysfunction due to ejaculatory and genital pain after groin hernia surgery may occur in approximately 2.5% of patients. However, the specific psychosexological and neurophysiologic characteristics have not been described, thereby precluding assessment of pathogenic mechanisms and treatment strategies. Methods Ten patients with severe pain-related sexual dysfunction and ejaculatory pain were assessed in detail by quantitative sensory testing and interviewed by a psychologist specialized in evaluating sexual functional disorders and were compared with a control group of 20 patients with chronic pain after groin hernia repair but without sexual dysfunction, to identify sensory changes associated with ejaculatory pain. Results Quantitative sensory testing showed significantly higher thermal and mechanical detection thresholds and lowered mechanical pain detection thresholds in both groups compared with the nonpainful side. Pressure pain detection threshold and tolerance were significantly lower in the ejaculatory pain group compared with the control group. 'The maximum pain was specifically located at the external inguinal annulus in all ejaculatory pain patients, but not in controls. The psychosexual interview revealed no major psychosexual disturbances and concluded that the pain was of somatic origin. All patients with ejaculatory pain had experienced major negative life changes and deterioration in their overall quality of life and sexual function as a result of the hernia operation. Conclusions Postherniotomy ejaculatory pain and pain-related sexual dysfunction is a specific chronic pain state that may be caused by pathology involving the vas deferens and/or nerve damage. Therapeutic strategies should therefore include neuropathic pain treatment and/or surgical exploration.

scholarly journals On the Concept of Criminological Ratios of Unintentional Crime in Medical Assistance Rendering

2020 ◽  
Vol 11 ◽  
pp. 31-34
Author(s):  
Polina G. Gabay ◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Workers ◽  
Medical Personnel ◽  
Practical Significance ◽  
Healthcare Sector ◽  
Legal Analysis ◽  
Medical Assistance ◽  
Personal Relations

Purpose. To study the indices of carelessness in the provision of medical care from a criminological standpoint. Methodology: it includes the following methods: historical and legal, comparative legal, analysis and forecasting. Conclusions. 1. Elements of everyday carelessness in health care can be distinguished only conditionally and only in the sphere of relations that are within the framework of personal relations between medical personnel and patients. 2. The structure of health crime includes three groups of crimes: professional crimes of health workers; malfeasance of employees of the studied area; crimes, the responsibility for which arises for these subjects along with other persons. Scientific and practical significance. The conclusions presented in the article are aimed at increasing the effectiveness of counteracting careless criminality in the healthcare sector in the provision of medical care.

scholarly journals Modulation of nociception by corticotrigeminal pathway- A narrative review

Mediscope ◽  
2020 ◽  
Vol 7 (1) ◽  
pp. 51-57
Author(s):  
Sayema Ainan
Keyword(s):  
Nervous System ◽  
Trigeminal Nerve ◽  
Cortical Neurons ◽  
Pain Perception ◽  
Pain Treatment ◽  
Early Stage ◽  
Short Review ◽  
Inhibitory Neurons ◽  
Pain Sensation

Management of chronic pain is one of the most important reason to which medications are given. Traditional medicines which have been used to relieve pain are having a number of limitations. Therefore, novel therapies for pain treatment are essential. Our nervous system can process any kind of injurious stimuli, which is known as nociception. The mechanism of nociception involves a complex interaction of peripheral and central nervous system structures. Brain or cerebral cortex has its own controlling mechanism for pain perception. Trigeminal nerve is the fifth cranial nerve and it receives pain sensation from oro- and craniofacial region and sends the information up to cortex. Recent investigations demonstrate another important role of cortical neurons in addition to pain perception, that is, corticotrigeminal (cortex to trigeminal) pathway excites neurons in the trigeminal nerve that leads to decrease in the pain response induced by noxious stimuli. Thus, as this mechanism can be induced at early stage of nociception, it may reduce the pain sensation. So, the corticotrigeminal pathway could be a new potential target for pain therapies. This short review revisits the concepts how stimulation of primary somatosensory cortex can be transmitted via corticotrigeminal tract which aim for the inhibitory neurons in spinal trigeminal nucleus caudalis (SpVc) and thus potentially generate a feedforward inhibition, explaining the pain modulatory role of the corticotrigeminal pathway. Mediscope Vol. 7, No. 1: Jan 2020, Page 51-57

FC09-02 - Efficacy of distraction by means of virtual reality in the control and reduction of pain using the cold-pressor test

2011 ◽  
Vol 26 (S2) ◽  
pp. 1859-1859
Author(s):  
J. Gutiérrez-Maldonado ◽  
K. Cabas-Hoyos ◽  
O. Gutiérre Martínez ◽  
D. Loreto-Quijada ◽  
C. Peñaloza-Salazar
Keyword(s):  
Pain Intensity ◽  
Pain Perception ◽  
Pain Treatment ◽  
Cold Pressor Test ◽  
Time Estimation ◽  
Cold Pressor ◽  
Experimental Conditions ◽  
Pressor Test ◽  
Reduction Of Pain ◽  
Healthy Participants

IntroductionAttention plays an important rol in pain perception. Focusing attention in pain intensifies the painful experience whereas distraction may decrease its subjective sensation (Eccleston & Crombez, 1999).The purpose of the two studies is to establish the efficacy of distraction by means of VR in the control and reduction of pain using the cold-pressor test. In both studies threshold, tolerance, perceived pain intensity and time estimation were measured.Study 137 healthy participants were induced pain in two consecutive immersions using the cold-pressor test. The experiment was counterbalanced and all participants went through two experimental conditions: VR (stereoscopic screen) and black screen. A virtual environment “Surreal World” was designed based on distraction of attention techniques. Results showed that VR significantly increased threshold and tolerance, diminished pain intensity and perception of time.Study 235 healthy participants underwent two consecutive immersions using cold pressor: VR (using the updated version of Surreal World and 3D laptops) and black screen. VR significantly increased the threshold and tolerance, whereas variations in the estimation of time were barely significant.Differences in the results of the two studies could be accounted for by the immersive effect of the stereoscopic screen. Findings are discussed in relation to previous studies on VR and pain. Results support VR as an adjunctive method in pain treatment and allow proving its efficacy in patients with chronic pain.

scholarly journals International legal mechanism for ensuring the right of women prisoners to health.

2021 ◽  
Vol 3 (3) ◽  
pp. 44-51
Author(s):  
Tetyana Syroid
Keyword(s):  
United Nations ◽  
Medical Care ◽  
World Health ◽  
Practical Significance ◽  
General Nature ◽  
Women Prisoners ◽  
Regional Office ◽  
The United Nations ◽  
The Right ◽  
Drugs And Crime

The article provides a comprehensive analysis of international legal acts regulating the right of women prisoners to health; focuses on problematic issues that need to be addressed, including: creating a safe environment for the health of women prisoners, provision of medical care, protection during the COVID-19 pandemic. The article highlights provisions of the following universal and regional acts of a general nature, which regulate the provision of medical care to prisoners and establish special rules on the status of women prisoners: the United Nations Standard Minimum Rules for the Treatment of Prisoners (the Mandela Rules) (1955 amended); European Prison Rules (2006); the United Nations Rules for the Treatment of Women Prisoners and Non-custodial Measures for Women Offenders (the Bangkok Rules) (2010). The materials of the international specialized structures of the United Nations, in particular the World Health Organization, namely its European Regional Office, the United Nations Office on Drugs and Crime, etc., which focus on ensuring the right of women prisoners to health, have also been considered. They are: “Health in prisons. A WHO guide to the essentials in prison health” (2008), “Women’s health in prison. Action guidance and checklists to review current policies and practices” (2011), “Prisons and Health” (2014), Joint Statement of International Global Health Institutions, during the COVID-19 Pandemic (2020), the United Nations Office on Drugs and Crime position paper outlining COVID-19 preparedness and responses in prisons etc. The emphasis is placed on practical significance of the webinars “Building Networks Behind Prison Walls” initiated by the United Nations and the United Nations Office on Drugs and Crime, which exchange positive practices, develop common approaches to prevention and treatment of certain diseases, continuity of providing medical care for those in need after release, reintegration of prisoners after release into local communities. Relevant conclusions and recommendations have been made in order to improve the situation in the area of ensuring the right of women prisoners to health and the provision of medical care.

Variation in theCOMTgene: implications for pain perception and pain treatment

2009 ◽  
Vol 10 (4) ◽  
pp. 669-684 ◽  
Author(s):  
Sonja Andersen ◽  
Frank Skorpen
Keyword(s):  
Pain Perception ◽  
Pain Treatment

The Relationship Between Pain Perception and Interoception

2009 ◽  
Vol 23 (1) ◽  
pp. 35-42 ◽  
Author(s):  
Natalie S. Werner ◽  
Stefan Duschek ◽  
Michael Mattern ◽  
Rainer Schandry
Keyword(s):  
Pain Perception ◽  
Pain Tolerance ◽  
Pain Experience ◽  
Visual Analog Scales ◽  
Significant Relationships ◽  
Highly Sensitive ◽  
Peripheral Pain ◽  
Interoceptive Sensitivity ◽  
The Relationship ◽  
Pain Stimuli

The question of whether the perception of externally applied pain stimuli and the perception of interoceptive stimuli are based upon similar neuronal or behavioral processes is still open to debate. If such a similarity exists, one would expect that persons who are highly sensitive to visceral stimuli would also exhibit a higher sensitivity to pain stimuli. The present study investigated the sensitivity to heat pain of individuals with high vs. low cardiac interoceptive sensitivity. Pain threshold and pain tolerance were assessed using a testing-the-limits procedure. Furthermore, participants rated the subjective intensity and unpleasantness of tonic heat stimuli on visual analog scales and in a questionnaire. The results show that pain experience did not differ between participants with high and low interoceptive sensitivity, nor did correlation analyses reveal significant relationships between pain experience and cardiac interoceptive sensitivity. These findings suggest that the pathway of peripheral pain processing is at least partially independent of the pathway of interoceptive sensations.

Sign in / Sign up

Export Citation Format

Share Document