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首页> 外文期刊>The Open Anesthesia Journal >The Confounding Effect of Assessor Ethnicity on Subjective Pain Reporting in Women
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The Confounding Effect of Assessor Ethnicity on Subjective Pain Reporting in Women

机译：评估者种族对女性主观疼痛报告的混杂影响

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Objective:The current study examines how subjective pain reporting is influenced by the concordant and discordant nature of the ethnic identities of pain expressers (participants) and pain assessors (experimenters). Methods:Three discomfort conditions that varied in stimuli intensity (Study 1: mild pain; Study 2: severe pain), and distraction components (Study 3) were used to assess whether pain intensity and tolerance reporting differ with the ethnic identification of the participant and the experimenter. Specifically, 87 Hispanic and 74 Non-Hispanic White (NHW) women (18–51 yrs., M _(age) = 20.0, SD = 4.3) underwent a cold pressor pain task (CPT) after engaging in minimal procedural interactions with one of the 22 research experimenters (47% Hispanic, 42% females). The procedural interactions with the experimenters included only consenting and instructions, with no interaction between experimenter and participant during the actual CPT.Results:Random-effects models showed that between the 0% and 18% of the variance in pain sensitivity (intensity and tolerance scores) was attributable to characteristics of the experimenters. Controlling for self-esteem, baseline pain levels, and the gender of the experimenter, Hispanic subjects showed higher pain sensitivity (as marked by lower pain tolerance and higher pain intensity scores) following interactions with an NHW rather than a Hispanic experimenter in response to the most severe pain intensity stimuli.Conclusion:These results question the validity of common findings of ethnic differences in pain sensitivity from studies that have not accounted for the ethnic identity of the pain assessor (and the general communicative nature of pain reporting).
机译：目的：本研究探讨了疼痛表达者（参与者）和疼痛评估者（实验者）的种族认同的一致性和不一致性如何影响主观疼痛报告。方法：使用三种刺激强度不同的不适条件（研究1：轻度疼痛;研究2：严重疼痛）和分散注意力的成分（研究3）来评估疼痛强度和耐受性报告是否与参与者的种族认同和民族差异有关。实验者。具体来说，有87名西班牙裔妇女和74名非西班牙裔白人（NHW）妇女（18-51岁，M _（年龄）= 20.0， SD = 4.3）在参与后经历了冷压痛任务（CPT）与22位研究实验者之一（最少47％的西班牙裔，42％的女性）在程序上的最少互动。与实验者的程序互动仅包括同意书和说明，在实际CPT过程中实验者与参与者之间没有互动。结果：随机效应模型显示，疼痛敏感性的变化范围为0％至18％（强度和耐受性评分） ）归因于实验者的特征。在控制自尊，基线疼痛水平和实验者的性别之后，西班牙裔受试者在与NHW而非西班牙裔实验者互动时表现出更高的疼痛敏感性（以较低的疼痛耐受性和较高的疼痛强度评分为标志）。结论：这些结果质疑了尚未对疼痛评估者的种族特征（以及疼痛报告的一般交流性质）进行研究的关于疼痛敏感性的种族差异的常见发现的有效性。

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