@article{01HN0N0S0AAE6PJDPQ5RQMGCE4,
  abstract     = {{Research documents racial disparities in chronic low back pain (CLBP). Few studies have examined racial disparities in movement -related appraisals and no studies have examined anticipatory appraisals prior to or pain behaviors during functional activities among individuals with CLBP. This cross-sectional study examined racial differences in anticipatory appraisals of pain, concerns about harm, and anxiety, appraisals of pain and anxiety during movement, and observed pain behaviors during 3 activities of daily living (supine -to -standing bed task, sitting -to -standing chair task, floor -towaist lifting task) in a sample (N = 126) of non -Hispanic Black (31.0%), Hispanic (30.2%), and nonHispanic White (38.9%) individuals with CLBP. Hispanic participants reported more expected pain, concerns about harm, and pre -movement anxiety prior to the bed and chair tasks compared to nonHispanic White participants. Hispanic participants reported more pain during the bed task and more anxiety during the bed and chair tasks compared to non -Hispanic White participants. Non -Hispanic Black participants reported more expected pain, concerns about harm, and pre -movement anxiety prior to the bed task and more pre -movement anxiety prior to the chair task compared to non -Hispanic White participants. Non -Hispanic Black participants reported more anxiety during the bed and chair tasks compared to non -Hispanic White participants. Non -Hispanic Black participants were observed to have significantly more verbalizations of pain during the bed task compared to non -Hispanic White participants. Current findings identify racial disparities in important cognitive -behavioral and fearavoidance mechanisms of pain. Results indicate a need to revisit traditional theoretical and treatment models in CLBP, ensuring racial disparities in pain cognitions are considered. Perspective: This study examined racial disparities in anticipatory and movement -related appraisals, and pain behaviors during activities of daily living among Non -Hispanic Black, Non -Hispanic White, and Hispanic individuals with CLBP. Racial disparities identified in the current study have potentially important theoretical implications surrounding cognitive -behavioral and fear -avoidance mechanisms of pain. (R) 2024 (R) Published by Elsevier Inc. on behalf of United States Association for the Study of Pain, Inc All rights reserved.}},
  articleno    = {{104438}},
  author       = {{Kissi, Ama and Vorensky, Mark and Sturgeon, John A. and Vervoort, Tine and Van Alboom, Ischa and Guck, Adam and Perera, Robert A. and Rao, Smita and Trost, Zina}},
  issn         = {{1526-5900}},
  journal      = {{JOURNAL OF PAIN}},
  keywords     = {{Anesthesiology and Pain Medicine,Neurology (clinical),Neurology,Chronic low back pain,Racial disparities,Movement-evoked pain,Pain,behaviors,Anticipatory pain appraisals,FEAR-AVOIDANCE MODEL,PATIENT-PHYSICIAN COMMUNICATION,MUSCULOSKELETAL,PAIN,MEDICAL EVIDENCE,OLDER-ADULTS,HEALTH-CARE,RACE,VALIDITY,RELIABILITY,DISABILITY}},
  language     = {{eng}},
  number       = {{5}},
  pages        = {{14}},
  title        = {{Racial differences in movement-related appraisals and pain behaviors among adults with chronic low back pain}},
  url          = {{http://doi.org/10.1016/j.jpain.2023.11.021}},
  volume       = {{25}},
  year         = {{2024}},
}

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