Biocultural Dimensions of Chronic Pain: Implications for Treatment of Multi-Ethnic PopulationsBased on qualitative and quantitative studies in the United States and Puerto Rico, this book demonstrates the significant effects of patients' and health providers' ethnic and cultural backgrounds on the chronic pain experience. A biocultural model from medical anthropology is used to contribute to a better understanding of the interaction of biology and culture in human pain perception. In the studies described, the factors most often associated with successful adjustment to chronic pain are not biomedical but cultural, psychosocial, or the cultural, political, and economic contexts of medical care, compensation and rehabilitation. Truly multi-disciplinary chronic pain treatment programs must be staffed by providers knowledgeable in cultural relativity and cultural self-awareness and should integrate a cultural assessment with an individualized rehabilitation and biopsychosocial treatment plan for each patient. |
Contents
Worlds of Pain | 1 |
A New England Study of Cultural Influences | 25 |
1 Generation Distributions | 37 |
Variations in Reported Pain Intensity in | 43 |
4 Biocultural Model of Pain Perception | 56 |
Inter and IntraEthnicGroup Variations in Pain | 84 |
The Puerto Rican Study | 110 |
Comparisons of Puerto Ricans with New England | 121 |
Summary and Conclusions | 135 |
Ethnicity and Pain Questionnaire | 169 |
Pain Control Center Questionnaire | 175 |
References | 189 |
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Biocultural Dimensions of Chronic Pain: Implications for Treatment of Multi ... Maryann S. Bates No preview available - 1996 |
Common terms and phrases
affect analgesics anger Anglo American Anglo American group ANOVAs arthritis associated attitudes back-pain believed biomedical Canino Canino and Canino chapter chronic pain experience chronic pain patients chronic pain sufferers cognitive compensation status coping cultural defined Degree of Depression despite disability dolor England center England Latinos England pain center ethnic groups Ethnicity and Pain expressiveness external LOC F-Ratio fibers French Canadian gender health-care heritage consistency interference interviews intragroup Irish Irish Ethnic Italian Kleinman Latino group levels lidocaine LOC style mainland McGill Pain Questionnaire Meichenbaum Melzack and Wall methadone native Puerto Ricans nerve Nociceptors occupational therapy Osterweis pain behaviors pain center study pain perception Pain Questionnaire Pain Responses physicians Polish American Polish group programs providers psychological psychosocial R-square regression analysis rehabilitation reported pain intensity response areas Rico score SD Mean SD significant differences significantly Sonia statistically significant stoppage study population surgery tion variables Variations in Pain