The Experts below are selected from a list of 103245 Experts worldwide ranked by ideXlab platform
Susan G Dorsey - One of the best experts on this subject based on the ideXlab platform.
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Racial/Ethnic Differences in experimental pain sensitivity and associated factors – Cardiovascular responsiveness and psychological status
2019Co-Authors: Hee Jun Kim, Joel D Greenspan, Cynthia L Renn, Meg Johantgen, Richard Ohrbach, William Maixner, Shijun Zhu, Susan G DorseyAbstract:This study evaluated the contributions of psychological status and cardiovascular responsiveness to racial/Ethnic Differences in experimental pain sensitivity. The baseline measures of 3,159 healthy individuals—non-Hispanic white (NHW): 1,637, African-American (AA): 1,012, Asian: 299, and Hispanic: 211—from the OPPERA prospective cohort study were used. Cardiovascular responsiveness measures and psychological status were included in structural equation modeling based mediation analyses. Pain catastrophizing was a significant mediator for the associations between race/Ethnicity and heat pain tolerance, heat pain ratings, heat pain aftersensations, mechanical cutaneous pain ratings and aftersensations, and mechanical cutaneous pain temporal summation for both Asians and AAs compared to NHWs. HR/MAP index showed a significant inconsistent (mitigating) mediating effect on the association between race/Ethnicity (AAs vs. NHWs) and heat pain tolerance. Similarly, coping inconsistently mediated the association between race/Ethnicity and mechanical cutaneous pain temporal summation in both AAs and Asians, compared to NHWs. The factor encompassing depression, anxiety, and stress was a significant mediator for the associations between race/Ethnicity (Asians vs. NHWs) and heat pain aftersensations. Thus, while pain catastrophizing mediated racial/Ethnic Differences in many of the QST measures, the psychological and cardiovascular mediators were distinctly restrictive, signifying multiple independent mechanisms in racial/Ethnic Differences in pain.
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racial and Ethnic Differences in experimental pain sensitivity systematic review and meta analysis
Pain, 2017Co-Authors: Hee Jun Kim, Gee Su Yang, Joel D Greenspan, Katherine D Downton, Kathleen A Griffith, Cynthia L Renn, Meg Johantgen, Susan G DorseyAbstract:Our objective was to describe the racial and Ethnic Differences in experimental pain sensitivity. Four databases (PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, and PsycINFO) were searched for studies examining racial/Ethnic Differences in experimental pain sensitivity. Thermal-heat, cold-pressor, pressure, ischemic, mechanical cutaneous, electrical, and chemical experimental pain modalities were assessed. Risk of bias was assessed using the Agency for Healthcare Research and Quality guideline. Meta-analysis was used to calculate standardized mean Differences (SMDs) by pain sensitivity measures. Studies comparing African Americans (AAs) and non-Hispanic whites (NHWs) were included for meta-analyses because of high heterogeneity in other racial/Ethnic group comparisons. Statistical heterogeneity was assessed by subgroup analyses by sex, sample size, sample characteristics, and pain modalities. A total of 41 studies met the review criteria. Overall, AAs, Asians, and Hispanics had higher pain sensitivity compared with NHWs, particularly lower pain tolerance, higher pain ratings, and greater temporal summation of pain. Meta-analyses revealed that AAs had lower pain tolerance (SMD: -0.90, 95% confidence intervals [CIs]: -1.10 to -0.70) and higher pain ratings (SMD: 0.50, 95% CI: 0.30-0.69) but no significant Differences in pain threshold (SMD: -0.06, 95% CI: -0.23 to 0.10) compared with NHWs. Estimates did not vary by pain modalities, nor by other demographic factors; however, SMDs were significantly different based on the sample size. Racial/Ethnic Differences in experimental pain sensitivity were more pronounced with suprathreshold than with threshold stimuli, which is important in clinical pain treatment. Additional studies examining mechanisms to explain such Differences in pain tolerance and pain ratings are needed.
Adriana Cordal - One of the best experts on this subject based on the ideXlab platform.
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racial Ethnic Differences in the prevalence of depressive symptoms among middle aged women the study of women s health across the nation swan
American Journal of Public Health, 2004Co-Authors: Joyce T Bromberger, Sioban D Harlow, Nancy E Avis, Howard M Kravitz, Adriana CordalAbstract:Objectives. We examined racial/Ethnic Differences in significant depressive symptoms among middle-aged women before and after adjustment for socioeconomic, health-related, and psychosocial characteristics. Methods. Racial/Ethnic Differences in unadjusted and adjusted prevalence of significant depressive symptoms (score ≥16 on the Center for Epidemiologic Studies Depression [CES-D] Scale) were assessed with univariate and multiple logistic regressions. Results. Twenty-four percent of the sample had a CES-D score of 16 or higher. Unadjusted prevalence varied by race/Ethnicity (P<.0001). After adjustment for covariates, racial/Ethnic Differences overall were no longer significant. Conclusions. Hispanic and African American women had the highest odds, and Chinese and Japanese women had the lowest odds, for a CES D score of 16 or higher. This variation is in part because of health-related and psychosocial factors that are linked to socioeconomic status.
Hee Jun Kim - One of the best experts on this subject based on the ideXlab platform.
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Racial/Ethnic Differences in experimental pain sensitivity and associated factors – Cardiovascular responsiveness and psychological status
2019Co-Authors: Hee Jun Kim, Joel D Greenspan, Cynthia L Renn, Meg Johantgen, Richard Ohrbach, William Maixner, Shijun Zhu, Susan G DorseyAbstract:This study evaluated the contributions of psychological status and cardiovascular responsiveness to racial/Ethnic Differences in experimental pain sensitivity. The baseline measures of 3,159 healthy individuals—non-Hispanic white (NHW): 1,637, African-American (AA): 1,012, Asian: 299, and Hispanic: 211—from the OPPERA prospective cohort study were used. Cardiovascular responsiveness measures and psychological status were included in structural equation modeling based mediation analyses. Pain catastrophizing was a significant mediator for the associations between race/Ethnicity and heat pain tolerance, heat pain ratings, heat pain aftersensations, mechanical cutaneous pain ratings and aftersensations, and mechanical cutaneous pain temporal summation for both Asians and AAs compared to NHWs. HR/MAP index showed a significant inconsistent (mitigating) mediating effect on the association between race/Ethnicity (AAs vs. NHWs) and heat pain tolerance. Similarly, coping inconsistently mediated the association between race/Ethnicity and mechanical cutaneous pain temporal summation in both AAs and Asians, compared to NHWs. The factor encompassing depression, anxiety, and stress was a significant mediator for the associations between race/Ethnicity (Asians vs. NHWs) and heat pain aftersensations. Thus, while pain catastrophizing mediated racial/Ethnic Differences in many of the QST measures, the psychological and cardiovascular mediators were distinctly restrictive, signifying multiple independent mechanisms in racial/Ethnic Differences in pain.
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racial and Ethnic Differences in experimental pain sensitivity systematic review and meta analysis
Pain, 2017Co-Authors: Hee Jun Kim, Gee Su Yang, Joel D Greenspan, Katherine D Downton, Kathleen A Griffith, Cynthia L Renn, Meg Johantgen, Susan G DorseyAbstract:Our objective was to describe the racial and Ethnic Differences in experimental pain sensitivity. Four databases (PubMed, EMBASE, the Cochrane Central Register of Controlled Trials, and PsycINFO) were searched for studies examining racial/Ethnic Differences in experimental pain sensitivity. Thermal-heat, cold-pressor, pressure, ischemic, mechanical cutaneous, electrical, and chemical experimental pain modalities were assessed. Risk of bias was assessed using the Agency for Healthcare Research and Quality guideline. Meta-analysis was used to calculate standardized mean Differences (SMDs) by pain sensitivity measures. Studies comparing African Americans (AAs) and non-Hispanic whites (NHWs) were included for meta-analyses because of high heterogeneity in other racial/Ethnic group comparisons. Statistical heterogeneity was assessed by subgroup analyses by sex, sample size, sample characteristics, and pain modalities. A total of 41 studies met the review criteria. Overall, AAs, Asians, and Hispanics had higher pain sensitivity compared with NHWs, particularly lower pain tolerance, higher pain ratings, and greater temporal summation of pain. Meta-analyses revealed that AAs had lower pain tolerance (SMD: -0.90, 95% confidence intervals [CIs]: -1.10 to -0.70) and higher pain ratings (SMD: 0.50, 95% CI: 0.30-0.69) but no significant Differences in pain threshold (SMD: -0.06, 95% CI: -0.23 to 0.10) compared with NHWs. Estimates did not vary by pain modalities, nor by other demographic factors; however, SMDs were significantly different based on the sample size. Racial/Ethnic Differences in experimental pain sensitivity were more pronounced with suprathreshold than with threshold stimuli, which is important in clinical pain treatment. Additional studies examining mechanisms to explain such Differences in pain tolerance and pain ratings are needed.
Benjamin G Druss - One of the best experts on this subject based on the ideXlab platform.
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racial Ethnic Differences in mental health service use among adolescents with major depression
Journal of the American Academy of Child and Adolescent Psychiatry, 2011Co-Authors: Janet R Cummings, Benjamin G DrussAbstract:Objective Little is known about racial/Ethnic Differences in the receipt of treatment for major depression in adolescents. This study examined Differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method Five years of data (2004-2008) were pooled from the National Survey on Drug Use and Health to derive a nationally representative sample of 7,704 adolescents (12-17 years old) diagnosed with major depression in the past year. Racial/Ethnic Differences were estimated with weighted probit regressions across several measurements of mental health service use controlling for demographics and health status. Additional models assessed whether family income and health insurance status accounted for these Differences. Results The adjusted percentages of blacks (32%), Hispanics (31%), and Asians (19%) who received any treatment for major depression were significantly lower than those of non-Hispanic whites (40%; p p Conclusion Results indicated low rates of mental health treatment for major depression in all adolescents. Improving access to mental health care for adolescents will also require attention to racial/Ethnic subgroups at highest risk for nonreceipt of services.
Wilma A M Vollebergh - One of the best experts on this subject based on the ideXlab platform.
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Understanding Ethnic Differences in mental health service use for adolescents’ internalizing problems: the role of emotional problem identification
European Child & Adolescent Psychiatry, 2013Co-Authors: Esmée E. Verhulp, Rens Van De Schoot, Gonneke W J M Stevens, Wilma A M VolleberghAbstract:Although immigrant adolescents are at least at equal risk of developing internalizing problems as their non-immigrant peers, immigrant adolescents are less likely to use mental health care. The present study is the first to examine Ethnic Differences in problem identification to find explanations for this disparity in mental health service use. Specifically, the extent to which emotional problem identification mediates the relationship between immigrant status and mental health service use for internalizing problems in three immigrant populations in the Netherlands (i.e., Surinamese, Turkish, and Moroccan) was investigated. A two-phase design was used to include adolescents at risk for internalizing problems. Data were used from the second phase, in which 349 parents and adolescents participated (95 native Dutch, 85 Surinamese, 87 Turkish, and 82 Moroccan). Results indicated that mental health service use for internalizing problems is far lower among immigrant adolescents than among native Dutch adolescents, although Differences between immigrant groups were also substantive. A lack of emotional problem identification was identified as an essential mediator in the relationship between immigrant status and mental health service use. Since the results suggest the low levels of problem identification in our immigrant samples may serve an explanatory role in the relationship between immigrant status and mental health service use, future research should aim at understanding these Ethnic Differences in problem identification.
