Perceived racial discrimination, but not mistrust of medical researchers, predicts the heat pain tolerance of African Americans with symptomatic knee osteoarthritis
Open accessAbstract
OBJECTIVE: Studies have shown that perceived racial discrimination is a significant predictor of clinical pain severity among African Americans. It remains unknown whether perceived racial discrimination also alters the nociceptive processing of painful stimuli, which, in turn, could influence clinical pain severity. This study examined associations between perceived racial discrimination and responses to noxious thermal stimuli among African Americans and non-Hispanic Whites. Mistrust of medical researchers was also assessed given its potential to affect responses to the noxious stimuli. METHOD: One-hundred and 30 (52% African American, 48% non-Hispanic White) community-dwelling older adults with symptomatic knee osteoarthritis completed two study sessions. In session one, individuals provided demographic, socioeconomic, physical and mental health information. They completed questionnaires related to perceived lifetime frequency of racial discrimination and mistrust of medical researchers. In session two, individuals underwent a series of controlled thermal stimulation procedures to assess heat pain sensitivity, particularly heat pain tolerance. RESULTS: African Americans were more sensitive to heat pain and reported greater perceived racial discrimination as well as greater mistrust of medical researchers compared with non-Hispanic Whites. Greater perceived racial discrimination significantly predicted lower heat pain tolerance for African Americans but not non-Hispanic Whites. Mistrust of medical researchers did not significantly predict heat pain tolerance for either racial group. CONCLUSION: These results lend support to the idea that perceived racial discrimination may influence the clinical pain severity of African Americans via the nociceptive processing of painful stimuli.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
People with anxious or insecure attachment styles are at elevated risk for poorer mental and physical health, reduced physical activity engagement, and less treatment-related improvement in affective outcomes in a multidisciplinary program.
“Individuals with anxious or insecure attachment styles are at elevated risk for poorer mental and physical health 128, for reduced engagement in physical activity 129, and for less treatment- related improvement in affective outcomes among patients participating in a multidisciplinary treatment program 130.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [130]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Statistical power analysis for the behavioral sciences
Cohen, J. (1990) · Computers Environment and Urban Systems · doi:10.1016/0198-9715(90)90050-4 · Cited by 65,406 · see citing works
The CES-D Scale: A Self-Report Depression Scale for Research in the General Population
Radloff, L. S. (1977) · Applied Psychological Measurement · doi:10.1177/014662167700100306 · Cited by 53,267 · see citing works
Preacher, K. J., & Hayes, A. F. (2008) · Behavior Research Methods · doi:10.3758/brm.40.3.879 · Cited by 34,117 · see citing works
Bellamy, N., Buchanan, W. W., Goldsmith, C. H., Campbell, J., & Stitt, L. (1988) · PubMed · Cited by 7,688 · see citing works
Altman, R., Asch, E., Bloch, D., Bole, G., Borenstein, D., Brandt, K., Christy, W., Cooke, T. D., Greenwald, R., Hochberg, M., et al. (1986) · Arthritis & Rheumatism · doi:10.1002/art.1780290816 · Cited by 6,777 · see citing works
Perceived discrimination and health: A meta-analytic review.
Pascoe, E. A., & Smart Richman, L. (2009) · Psychological Bulletin · doi:10.1037/a0016059 · Cited by 4,427 · see citing works
Tracey, K. J. (2002) · Nature · doi:10.1038/nature01321 · Cited by 3,728 · see citing works
The biopsychosocial approach to chronic pain: Scientific advances and future directions.
Gatchel, R. J., Peng, Y. B., Peters, M. L., Fuchs, P. N., & Turk, D. C. (2007) · Psychological Bulletin · doi:10.1037/0033-2909.133.4.581 · Cited by 3,392 · see citing works
Discrimination and racial disparities in health: evidence and needed research
Williams, D. R., & Mohammed, S. A. (2009) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9185-0 · Cited by 3,371 · see citing works
Psychological stress and the human immune system: a meta-analytic study of 30 Years of inquiry
Segerstrom, S. C., & Miller, G. E. (2004) · Psychological Bulletin · doi:10.1037/0033-2909.130.4.601 · Cited by 3,334 · see citing works
Racial/Ethnic discrimination and health: findings from community studies
Williams, D. R., Neighbors, H. W., & Jackson, J. S. (2003) · American Journal of Public Health · doi:10.2105/ajph.93.2.200 · Cited by 2,634 · see citing works
Krieger, N., Smith, K., Naishadham, D., Hartman, C., & Barbeau, E. M. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.03.006 · Cited by 1,704 · see citing works
Resampling and Distribution of the Product Methods for Testing Indirect Effects in Complex Models
Williams, J., & MacKinnon, D. P. (2008) · Structural Equation Modeling: A Multidisciplinary Journal · doi:10.1080/10705510701758166 · Cited by 1,240 · see citing works
Attitudes and beliefs of african americans toward participation in medical research
Corbie-Smith, G. M., Thomas, S. B., Williams, M. V., & Moody‐Ayers, S. Y. (1999) · Journal of General Internal Medicine · doi:10.1046/j.1525-1497.1999.07048.x · Cited by 1,014 · see citing works
Jordan, J. M., Helmick, C. G., Renner, J. B., LUTA, G., DRAGOMIR, A. D., Woodard, J., FANG, F., Schwartz, T. A., Nelson, A. E., ABBATE, L. M., et al. (2009) · The Journal of Rheumatology · doi:10.3899/jrheum.080677 · Cited by 739 · see citing works
Shavers, V. L., Lynch, C. F., & Burmeister, L. F. (2002) · Annals of Epidemiology · doi:10.1016/s1047-2797(01)00265-4 · Cited by 502 · see citing works
A Nationwide Study of Discrimination and Chronic Health Conditions Among Asian Americans
Gee, G. C., Spencer, M. S., Chen, J., & Takeuchi, D. T. (2007) · American Journal of Public Health · doi:10.2105/ajph.2006.091827 · Cited by 479 · see citing works
The Symptoms of Osteoarthritis and the Genesis of Pain
Hunter, D. J., McDougall, J. J., & Keefe, F. J. (2008) · Rheumatic Disease Clinics of North America · doi:10.1016/j.rdc.2008.05.004 · Cited by 461 · see citing works
Myers, T. A. (2011) · Communication Methods and Measures · doi:10.1080/19312458.2011.624490 · Cited by 459 · see citing works
Hypervigilance to pain: an experimental and clinical analysis.
Crombez, G., Van Damme, S., & Eccleston, C. (2005) · Pain · doi:10.1016/j.pain.2005.03.035 · Cited by 392 · see citing works
Explanation of Two Anomalous Results in Statistical Mediation Analysis
Fritz, M. S., Taylor, A. B., & MacKinnon, D. P. (2012) · Multivariate Behavioral Research · doi:10.1080/00273171.2012.640596 · Cited by 358 · see citing works
Ethnic Differences in Pain Tolerance: Clinical Implications in a Chronic Pain Population
Edwards, R. R., Doleys, D. M., Fillingim, R. B., & Lowery, D. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200103000-00018 · Cited by 358 · see citing works
Self-citationBrandon, D. T., Isaac, L. A., & LaVeist, T. A. (2005) · PubMed Central · doi:10.13016/lfd2-l89x · Cited by 334 · see citing works
Hormones and the Stressed Brain
DE KLOET, E. R. (2004) · Annals of the New York Academy of Sciences · doi:10.1196/annals.1296.001 · Cited by 314 · see citing works
Rahim-Williams, B., Riley, J. L., Williams, A. K. K., & Fillingim, R. B. (2012) · Pain Medicine · doi:10.1111/j.1526-4637.2012.01336.x · Cited by 307 · see citing works
Self-citationEthnic differences in responses to multiple experimental pain stimuli
Campbell, C. M., Edwards, R. R., & Fillingim, R. B. (2005) · Pain · doi:10.1016/j.pain.2004.08.013 · Cited by 302 · see citing works
Self-citationBraunstein, J. B., Sherber, N., Schulman, S. P., Ding, E. L., & Powe, N. R. (2008) · Medicine · doi:10.1097/md.0b013e3181625d78 · Cited by 256 · see citing works
Opioid Prescriptions by U.S. Primary Care Physicians From 1992 to 2001
Olsen, Y. K., Daumit, G. L., & Ford, D. E. (2006) · Journal of Pain · doi:10.1016/j.jpain.2005.11.006 · Cited by 230 · see citing works
Reactions to racial discrimination: Emotional stress and help-seeking behaviors.
Carter, R. T., & Forsyth, J. (2010) · Psychological Trauma: Theory, Research, Practice, and Policy · doi:10.1037/a0020102 · Cited by 190 · see citing works
Quantitative assessment of experimental pain perception: multiple domains of clinical relevance
Edwards, R. R., Sarlani, E., Wesselmann, U., & Fillingim, R. B. (2005) · Pain · doi:10.1016/j.pain.2005.01.007 · Cited by 187 · see citing works
Self-citationCaño, A., Mayo, A., & Ventimiglia, M. (2006) · Journal of Pain · doi:10.1016/j.jpain.2006.01.445 · Cited by 167 · see citing works
Barriers to black women's participation in cancer clinical trials.
Mouton, C. P., Harris, S., Rovi, S. L. D., Solorzano, P., & Johnson, M. S. (1997) · PubMed Central · Cited by 165 · see citing works
Somers, T. J., Keefe, F. J., Godiwala, N., & Hoyler, G. H. (2009) · Current Opinion in Rheumatology · doi:10.1097/bor.0b013e32832ed704 · Cited by 135 · see citing works
The Effect of Perceived Racial Discrimination on Bodily Pain among Older African American Men
Burgess, D. J., Grill, J. P., Noorbaloochi, S., Griffin, J. M., Ricards, J., van Ryn, M., & Partin, M. R. (2009) · Pain Medicine · doi:10.1111/j.1526-4637.2009.00742.x · Cited by 133 · see citing works
The association of perceived discrimination with low back pain
Edwards, R. R. (2008) · Journal of Behavioral Medicine · doi:10.1007/s10865-008-9160-9 · Cited by 120 · see citing works
Allen, K. D., Helmick, C. G., Schwartz, T. A., et al. (2009) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2009.03.003 · Cited by 113 · see citing works
Ethnic differences in diffuse noxious inhibitory controls
Campbell, C. M., France, C. R., Robinson, M. E., Logan, H. L., Geffken, G. R., & Fillingim, R. B. (2008) · The Journal of Pain · doi:10.1016/j.jpain.2008.03.010 · Cited by 113 · see citing works
Self-citationDifferent Types of Distrust in Clinical Research Among Whites and African Americans
Durant, R. W., Legedza, A., Marcantonio, E. R., Freeman, M. B., & Landon, B. E. (2011) · Journal of the National Medical Association · doi:10.1016/s0027-9684(15)30261-3 · Cited by 104 · see citing works
Racial and ethnic disparities in osteoarthritis phenotypes
Allen, K. D. (2010) · Current Opinion in Rheumatology · doi:10.1097/bor.0b013e32833b1b6f · Cited by 99 · see citing works
Racial differences in osteoarthritis pain and function: potential explanatory factors
Allen, K. D., Oddone, E. Z., Coffman, C. J., Keefe, F. J., Lindquist, J. H., & Bosworth, H. B. (2009) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2009.09.010 · Cited by 90 · see citing works
Development of a Measure to Assess Patient Trust in Medical Researchers
Mainous, A. G. (2006) · The Annals of Family Medicine · doi:10.1370/afm.541 · Cited by 90 · see citing works
Lisowska, B., Maśliński, W., Małdyk, P., et al. (2007) · Rheumatology International · doi:10.1007/s00296-007-0508-1 · Cited by 27 · see citing works
Flagged first, then by citations
Research works printed but not linked: 1
- Huang H Coker AD Examining issues affecting African American participation in research studies Journal of Black Studies 40 619 636
Cited by
Sorted by citations
Evaluating psychosocial contributions to chronic pain outcomes
Meints, S. M., & Edwards, R. R. (2018) · Progress in Neuro-Psychopharmacology and Biological Psychiatry · doi:10.1016/j.pnpbp.2018.01.017 · Cited by 719 · see citing works
- Authors
- Goodin, B. R., Pham, Q. T., Glover, T. L., Sotolongo, A., King, C. D., Sibille, K. T., Herbert, M. S., Cruz-Almeida, Y., Sanden, S. H., Staud, R., Redden, D. T., Bradley, L. A., & Fillingim, R. B.
- Affiliations
- University of Florida Health (US)
- University of Alabama at Birmingham (US)
- Corresponding author
- Goodin, Burel R.
- ORCID
- Venue
- Health Psychology
- Published
- 2013-11
- Volume
- 32
- Issue
- 11
- Pages
- 1117-1126
- ISSN
- 0278-6133 (ISSN-L)
- 1930-7810
- PMC
- PMC3943939
- OpenAlex
- W2000342999
- Cited by
- 79
- References
- 42
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 9 · 2023: 6 · 2022: 10 · 2021: 10 · 2020: 8 · 2019: 6 · 2018: 6 · 2017: 3 · 2016: 5 · 2015: 3
- FWCI
- 8.26
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- Health Psychology (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- NIH/NIA (R01AG033906-08)
- NIH/NCATS (UL1 TR000064; KL2TR000065)
- NIH/NCATS and NCRR (UL1TR000165)
- National Institutes of Health (T32NS045551-06)
- Topics
- Social Sciences › Sociology and Political Science › Racial and Ethnic Identity Research
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
- Keywords
- perceived racial discrimination, knee osteoarthritis, African Americans, non-Hispanic whites, nociceptive processing, pain sensitivity, older adults
- MeSH terms
- Aged, Attitude to Health, Black or African American, Female, Hot Temperature, Humans, Male, Middle Aged, Pain, Surveys and Questionnaires, Research Personnel, Pain Threshold, Osteoarthritis, Knee, Trust, White People, Racism
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
