Black women with chronic pain have more psychological and physical distress

October 17, 2005

ANN ARBOR, Mich. -- Black women with chronic pain experience more psychological distress, physical impairments and post-traumatic stress disorder than white women with chronic pain, a finding that researchers say should help lead to a narrowing of the gap in the treatment of chronic pain between black and white women.

New research from the University of Michigan Health System, published in the current issue of the Journal of the National Medical Association, suggests that black women with chronic pain have particular needs that should be addressed through the access to and quality of pain care.

"Although more than one in five Americans live with chronic pain, women are more likely to suffer from chronic pain conditions than men. Overall, their pain complaints receive less attention than the pain complaints from men. What we have found in this research is that there are further differences in the chronic pain experience between black and white women," says Carmen R. Green, M.D. "This study has significant public health implications as well as significant socio-economic and familial implications when studying and managing chronic pain in black women.

"In addition to ensuring adequate access to quality pain care and improving pain assessment, optimizing pain management has the tremendous potential to reduce the mental health gap between black and white women with chronic pain," says Green, associate professor in the U-M Medical School's Department of Anesthesiology and pain specialist at the U-M Health System's Center for Interventional Pain Medicine.

The study involved responses from 1,192 women with chronic pain, about 91 percent of them white and 9 percent of black. Black women in the study were more likely to report disability due to pain (44 percent versus 37 percent), and to say that pain interfered with recreational (8 percent versus 7 percent), sexual (7.4 percent versus 6.1 percent), social (7 percent versus 6 percent) and other activities.

Black women in the study also were more likely to report psychological distress due to pain, with significantly higher scores of post-traumatic stress disorder and depression. But the picture of the depression scores changed when disability, pain severity and affective distress were accounted for; with those measures factored in, black women were significantly less likely to show signs of depression than white women.

That is an important distinction, Green says, that could have important implications in how black women are treated for the physical and psychological distress related to chronic pain.

The study is the first to show that black women report more functional impairment, more post-traumatic stress disorder and less depression than white women when both have chronic pain, Green notes. The racial differences, however, were not found when measuring the effect of the chronic pain on their family and home functions, pain severity or affective distress.

"We found that disability mediates the race-depression relationship, such that higher disability yields more emotional impairment in black women when compared to whites," Green says. "Due to the economic, social and emotional impact that physical disability and emotional impact that physical disability and emotional impairment have on the lives and families of women with chronic pain, these findings can have a considerable effect on treating and studying black women with chronic pain."

Green has conducted many studies related to chronic pain in minorities, which have consistently shown disparities in pain care and health for minorities. One study found that African Americans may be disproportionately missing out on effective treatment for their chronic pain; read more at

She also has found that adults under the age of 50 who have chronic pain may be less able to cope with their condition and more prone to associated depression than their elders. Read more at

In addition to Green, the other author on the paper was S. Khady Ndao-Brumblay, Pharm. D., MSc., senior research associate in the U-M Health System Department of Anesthesiology's Research Division.
The Michigan Center for Urban African-American Aging Research provided assistance for the research.

Reference: Journal of the National Medical Association, Vol. 97, No. 10, October 2005. The National Medical Association is the largest and oldest national organization representing African American physicians and their patients in the United States.

University of Michigan Health System

Related Depression Articles from Brightsurf:

Children with social anxiety, maternal history of depression more likely to develop depression
Although researchers have known for decades that depression runs in families, new research from Binghamton University, State University of New York, suggests that children suffering from social anxiety may be at particular risk for depression in the future.

Depression and use of marijuana among US adults
This study examined the association of depression with cannabis use among US adults and the trends for this association from 2005 to 2016.

Maternal depression increases odds of depression in offspring, study shows
Depression in mothers during and after pregnancy increased the odds of depression in offspring during adolescence and adulthood by 70%.

Targeting depression: Researchers ID symptom-specific targets for treatment of depression
For the first time, physician-scientists at Beth Israel Deaconess Medical Center have identified two clusters of depressive symptoms that responded to two distinct neuroanatomical treatment targets in patients who underwent transcranial magnetic brain stimulation (TMS) for treatment of depression.

A biological mechanism for depression
Researchers report that in depressed individuals there are increased amounts of an unmodified structural protein, called tubulin, in lipid rafts compared with non-depressed individuals.

Depression in adults who are overweight or obese
In an analysis of primary care records of 519,513 UK adults who were overweight or obese between 2000-2016 and followed up until 2019, the incidence of new cases of depression was 92 per 10,000 people per year.

Why stress doesn't always cause depression
Rats susceptible to anhedonia, a core symptom of depression, possess more serotonin neurons after being exposed to chronic stress, but the effect can be reversed through amygdala activation, according to new research in JNeurosci.

Which comes first: Smartphone dependency or depression?
New research suggests a person's reliance on his or her smartphone predicts greater loneliness and depressive symptoms, as opposed to the other way around.

Depression breakthrough
Major depressive disorder -- referred to colloquially as the 'black dog' -- has been identified as a genetic cause for 20 distinct diseases, providing vital information to help detect and manage high rates of physical illnesses in people diagnosed with depression.

CPAP provides relief from depression
Researchers have found that continuous positive airway pressure (CPAP) treatment of obstructive sleep apnea (OSA) can improve depression symptoms in patients suffering from cardiovascular diseases.

Read More: Depression News and Depression Current Events is a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising fees by advertising and linking to