Relationship between Acculturative Stress and Pain Catastrophizing in Korean Americans
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ORIGINAL PAPER
Relationship between Acculturative Stress and Pain Catastrophizing in Korean Americans Hyochol Ahn1 · Natalie Jackson1 · Kyungeh An2 · Roger B. Fillingim3 · Hongyu Miao4 · Moonju Lee5 · Jisook Ko5 · Kelli Galle1 · Mikyoung A. Lee6 Accepted: 5 September 2020 © Springer Science+Business Media, LLC, part of Springer Nature 2020
Abstract Acculturative stress is speculated to be a sociocultural factor contributing to pain since cultural beliefs and practices can influence the way patients perceive and respond to pain. However, the relationship between acculturative stress and pain catastrophizing remains poorly understood. Therefore, we examined the relationship between acculturative stress and pain catastrophizing in Korean Americans. We collected survey data from Korean American in Texas (N = 374). Acculturative stress was measured with the Acculturative Stress Scale, and pain catastrophizing was measured with the Pain Catastrophizing Scale. Participants’ mean age was 46.89 years, and 63% were women. Bivariate and multivariate statistical analyses indicated that higher acculturative stress may contribute to higher pain catastrophizing (regression coefficient = 1.02, P = 0.04). These findings advance our understanding of sociocultural factors associated with pain in Korean Americans; additional research with a larger sample is warranted for cross-validation. Keywords Acculturation · Stress · Pain · Catastrophizing · Korean American
Background Pain is one of the most common ailments, affecting approximately 100 million people in the United States. It can have a major impact on quality of life and produces annual costs of up to $635 billion [1, 2]. Multiple studies have shown * Hyochol Ahn [email protected] 1
Department of Research, Cizik School of Nursing, The University of Texas Health Science Center At Houston, 6901 Bertner Avenue, Ste. 567A, Houston, TX 77030, USA
2
Department of Adult Health and Nursing Systems, School of Nursing, Virginia Commonwealth University, Richmond, VA, USA
3
College of Dentistry, University of Florida, Gainesville, FL, USA
4
Department of Biostatistics and Data Science, School of Public Health, The University of Texas Health Science Center At Houston, Houston, TX, USA
5
School of Nursing, The University of Texas Health Science Center at San Antonio, San Antonio, TX, USA
6
College of Nursing, Texas Woman’s University, Denton, TX, USA
that pain sensitivity is higher in ethnic minorities than in Whites. For instance, in a systematic literature review and analysis of studies published from 1944 to 2011, RahimWilliams et al. [3] found that African Americans had higher experimental pain sensitivity than Whites. Similarly, Vaughn et al. [4] reported that clinical pain severity was higher in African Americans than in Whites with knee osteoarthritis in a meta-analysis of articles published between 2016 and 2018. Furthermore, Ostrom et al. [5] demonstrated that African Americans and Hispanic Americans have higher pain sensitivity than Whites. Althoug
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