PMID- 33727859
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20220421
IS  - 1178-7090 (Print)
IS  - 1178-7090 (Electronic)
IS  - 1178-7090 (Linking)
VI  - 14
DP  - 2021
TI  - Race Differences in Resilience Among Older Adults with Chronic Low Back Pain.
PG  - 653-663
LID - 10.2147/JPR.S293119 [doi]
AB  - INTRODUCTION: Racial minorities are disproportionally affected by pain. Compared 
      to non-Hispanic Whites (NHWs), non-Hispanic Blacks (NHBs) report higher pain 
      intensity, greater pain-related disability, and higher levels of mood 
      disturbance. While risk factors contribute to these disparities, little is known 
      regarding how sources of resilience influence these differences, despite the 
      growing body of research supporting the protective role of resilience in pain and 
      disability among older adults with chronic pain. The current study examined the 
      association between psychological resilience and pain, and the moderating role of 
      race across these relationships in older adults with chronic low back pain 
      (cLBP). METHODS: This is a secondary analysis of the Adaptability and Resilience 
      in Aging Adults (ARIAA). Participants completed measures of resilience (ie, 
      gratitude, trait resilience, emotional support), as well as a performance-based 
      measure assessing lower-extremity function and movement-evoked pain. RESULTS: 
      There were 45 participants that identified as non-Hispanic White (NHW) and 15 
      participants that identified as non-Hispanic Black (NHB). Race was a significant 
      correlate of pain outcomes with NHBs reporting greater movement-evoked pain (r = 
      0.27) than NHWs. After controlling for relevant sociodemographic characteristics, 
      measures of movement-evoked pain were similar across both racial groups, F (1, 
      48) = 0.31, p = 0.57. Moderation analyses revealed that higher levels of 
      gratitude (b = -1.23, p = 0.02) and trait resilience (b = -10.99, p = 0.02) were 
      protective against movement-evoked pain in NHWs. In contrast, higher levels of 
      gratitude were associated with lower functional performance in NHBs (b = -0.13, p 
      =0.02). DISCUSSION: These findings highlight racial differences in the 
      relationship between resilience and pain-related outcomes among older adults with 
      cLBP. Future studies should examine the potential benefits of targeted 
      interventions that improve resilience and ameliorate pain disparities among 
      racial minorities.
CI  - (c) 2021 Morais et al.
FAU - Morais, Calia A
AU  - Morais CA
AUID- ORCID: 0000-0002-7846-7044
AD  - Department of Community Dentistry and Behavioral Sciences, University of Florida, 
      Gainesville, FL, USA.
FAU - Fullwood, Dottington
AU  - Fullwood D
AUID- ORCID: 0000-0001-6077-3302
AD  - Institute on Aging, Department of Aging and Geriatric Research, University of 
      Florida, Gainesville, FL, USA.
FAU - Palit, Shreela
AU  - Palit S
AD  - Department of Community Dentistry and Behavioral Sciences, University of Florida, 
      Gainesville, FL, USA.
FAU - Fillingim, Roger B
AU  - Fillingim RB
AD  - Department of Community Dentistry and Behavioral Sciences, University of Florida, 
      Gainesville, FL, USA.
FAU - Robinson, Michael E
AU  - Robinson ME
AD  - Department of Clinical and Health Psychology, University of Florida, Gainesville, 
      FL, USA.
FAU - Bartley, Emily J
AU  - Bartley EJ
AD  - Department of Community Dentistry and Behavioral Sciences, University of Florida, 
      Gainesville, FL, USA.
LA  - eng
GR  - K99 AG052642/AG/NIA NIH HHS/United States
GR  - R00 AG052642/AG/NIA NIH HHS/United States
GR  - T32 AG049673/AG/NIA NIH HHS/United States
GR  - U01 AG061389/AG/NIA NIH HHS/United States
PT  - Journal Article
DEP - 20210309
PL  - New Zealand
TA  - J Pain Res
JT  - Journal of pain research
JID - 101540514
PMC - PMC7955726
OTO - NOTNLM
OT  - gratitude
OT  - older adults
OT  - pain disparities
OT  - racial differences
OT  - resilience
COIS- The authors report no conflicts of interest in this work.
EDAT- 2021/03/18 06:00
MHDA- 2021/03/18 06:01
PMCR- 2021/03/09
CRDT- 2021/03/17 06:45
PHST- 2020/11/20 00:00 [received]
PHST- 2021/02/03 00:00 [accepted]
PHST- 2021/03/17 06:45 [entrez]
PHST- 2021/03/18 06:00 [pubmed]
PHST- 2021/03/18 06:01 [medline]
PHST- 2021/03/09 00:00 [pmc-release]
AID - 293119 [pii]
AID - 10.2147/JPR.S293119 [doi]
PST - epublish
SO  - J Pain Res. 2021 Mar 9;14:653-663. doi: 10.2147/JPR.S293119. eCollection 2021.