Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients
Objective. The aim of this study was to uncover possible psychosocial underpinnings of pain and sleep disturbance in a safety-net primary care sample. Methods. Patients (n = 210) awaiting care in a safety-net primary care clinic waiting room completed measures of cynical hostility, social support, m...
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| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Pain Research and Management |
| Online Access: | http://dx.doi.org/10.1155/2020/5932018 |
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| _version_ | 1832566263497359360 |
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| author | Sarah Griffin Joseph Tan Paul B. Perrin Allison B. Williams Erin R. Smith Bruce Rybarczyk |
| author_facet | Sarah Griffin Joseph Tan Paul B. Perrin Allison B. Williams Erin R. Smith Bruce Rybarczyk |
| author_sort | Sarah Griffin |
| collection | DOAJ |
| description | Objective. The aim of this study was to uncover possible psychosocial underpinnings of pain and sleep disturbance in a safety-net primary care sample. Methods. Patients (n = 210) awaiting care in a safety-net primary care clinic waiting room completed measures of cynical hostility, social support, mental health, sleep disturbance, and pain. This study was cross-sectional and observational. Results. 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. Conclusions. 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. |
| format | Article |
| id | doaj-art-1fb900655331459cbba0062a7e088ddf |
| institution | Kabale University |
| issn | 1203-6765 1918-1523 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Pain Research and Management |
| spelling | doaj-art-1fb900655331459cbba0062a7e088ddf2025-02-03T01:04:40ZengWileyPain Research and Management1203-67651918-15232020-01-01202010.1155/2020/59320185932018Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care PatientsSarah Griffin0Joseph Tan1Paul B. Perrin2Allison B. Williams3Erin R. Smith4Bruce Rybarczyk5Department of Psychology, Virginia Commonwealth University, Richmond, VA, USAHunter Holmes McGuire Veterans Affairs Medical Center, Richmond, VA, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA, USADepartment of Psychology, Virginia Commonwealth University, Richmond, VA, USAObjective. The aim of this study was to uncover possible psychosocial underpinnings of pain and sleep disturbance in a safety-net primary care sample. Methods. Patients (n = 210) awaiting care in a safety-net primary care clinic waiting room completed measures of cynical hostility, social support, mental health, sleep disturbance, and pain. This study was cross-sectional and observational. Results. 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. Conclusions. 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.http://dx.doi.org/10.1155/2020/5932018 |
| spellingShingle | Sarah Griffin Joseph Tan Paul B. Perrin Allison B. Williams Erin R. Smith Bruce Rybarczyk Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients Pain Research and Management |
| title | Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients |
| title_full | Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients |
| title_fullStr | Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients |
| title_full_unstemmed | Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients |
| title_short | Psychosocial Underpinnings of Pain and Sleep Disturbance in Safety-Net Primary Care Patients |
| title_sort | psychosocial underpinnings of pain and sleep disturbance in safety net primary care patients |
| url | http://dx.doi.org/10.1155/2020/5932018 |
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