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The mediating role of pain catastrophizing on the association between depression and pain severity and interference among elderly asian immigrants with chronic pain

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dc.contributor.authorKim, HJ-
dc.contributor.authorPark, H-
dc.contributor.authorJuon, HS-
dc.date.accessioned2022-12-16T05:44:29Z-
dc.date.available2022-12-16T05:44:29Z-
dc.date.issued2021-
dc.identifier.urihttp://repository.ajou.ac.kr/handle/201003/23332-
dc.description.abstractPurpose: The association between depression and chronic pain is well established. However, few studies have examined the pathways from depression to chronic pain. The present cross-cultural study aimed to test the mediating effects of pain catastrophizing on associations between depression and chronic pain (eg, pain severity, pain intensity) among Korean American elderly. Patients and Methods: A total of 132 elderly Korean Americans with chronic pain were recruited from elderly daycare centers and Korean ethnic churches in the community. For mediation analyses, structural equation modeling with full information maximum likelihood estimation method was used. The bias-corrected bootstrap confidence interval (CI) method for inferential tests of the indirect effects was also conducted in mediation analysis. Results: The results indicated that the proportion of comorbid depression and chronic pain was 45.7%. Elderly Korean Americans with depression scored higher in pain severity, pain interference, and pain catastrophizing than those without depression. Pain catastrophizing was found to have a significant mediating effect on the relationship between depression and pain severity (indirect effect = 0.147, Bootstrap 95% CI = [0.079, 0.226]), controlling for demographic covariates, comorbidities and pain area. Pain catastrophizing also mediated the relationship between depression and pain interference (indirect effect =0.164, Bootstrap 95% CI = [0.097, 0.244]), controlling for the covariates. Conclusion: These findings add to the literature by providing evidence that pain catastro-phizing plays a role in high levels of pain severity and pain interference comorbid chronic pain and depression in Asian elderly immigrants. Appropriate culturally tailored programs to redirect pain catastrophizing cognitive process should be developed and provided for elderly Asian Americans to reduce chronic pain disparity.-
dc.language.isoen-
dc.titleThe mediating role of pain catastrophizing on the association between depression and pain severity and interference among elderly asian immigrants with chronic pain-
dc.typeArticle-
dc.identifier.pmid33737831-
dc.identifier.urlhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC7966355/-
dc.subject.keywordComorbid-
dc.subject.keywordCross-cultural-
dc.subject.keywordKorean immigrants-
dc.subject.keywordMediation-
dc.contributor.affiliatedAuthorKim, HJ-
dc.type.localJournal Papers-
dc.identifier.doi10.2147/JPR.S304440-
dc.citation.titleJournal of pain research-
dc.citation.volume14-
dc.citation.date2021-
dc.citation.startPage737-
dc.citation.endPage745-
dc.identifier.bibliographicCitationJournal of pain research, 14. : 737-745, 2021-
dc.identifier.eissn1178-7090-
dc.relation.journalidJ011787090-
Appears in Collections:
Journal Papers > College of Nursing Science / Graduate School of Nursing Sciences > Nursing Science
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