Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients.
Journal
Pain research & management
ISSN: 1918-1523
Titre abrégé: Pain Res Manag
Pays: United States
ID NLM: 9612504
Informations de publication
Date de publication:
2020
2020
Historique:
received:
29
05
2019
revised:
02
01
2020
accepted:
14
01
2020
entrez:
14
5
2020
pubmed:
14
5
2020
medline:
21
10
2020
Statut:
epublish
Résumé
The aim of this study was to uncover possible psychosocial underpinnings of pain and sleep disturbance in a safety-net primary care sample. Patients ( A structural equation model suggested that higher cynical hostility was associated with lower social support, which in turn was associated with poorer mental health, which then corresponded with higher pain and sleep disturbance. All possible indirect (mediational) effects within this model were statistically significant, suggesting a possible route through which cynical hostility may shape pain and sleep, two common presenting problems in primary care. These findings illustrate the interplay of psychosocial factors with chronic pain and sleep disturbance in a sample of low-income, predominantly African-American patients seeking care at a safety-net primary care clinic. The findings support integrated primary care as a way to target not only behavioral health issues but also the psychosocial factors entangled with physical health.
Identifiants
pubmed: 32399128
doi: 10.1155/2020/5932018
pmc: PMC7206878
doi:
Types de publication
Journal Article
Research Support, U.S. Gov't, P.H.S.
Langues
eng
Sous-ensembles de citation
IM
Pagination
5932018Informations de copyright
Copyright © 2020 Sarah Griffin et al.
Déclaration de conflit d'intérêts
The authors declare that they have no conflicts of interest.
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