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Kapos, FP, Craig, KD, Anderson, SR, Bernardes, SF, Hirsh, AT, Karos, K, Keogh, E, Reynolds Losin, EA, McParland, JL, Moore, DJ and Ashton-James, CE (2024) Social Determinants and Consequences of Pain: Toward Multilevel, Intersectional, and Life Course Perspectives. The Journal of Pain, 25 (10). p. 104608. ISSN 1526-5900
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Abstract
Despite wide endorsement of a biopsychosocial framework for pain, social aspects of pain remain rarely addressed in the context of pain prevention and management. In this review, we aim to 1) examine the broad scope of social determinants and consequences of pain and their interactions across multiple levels of organization, and 2) provide a framework synthesizing existing concepts and potential areas for future work on social aspects of pain, drawing upon socioecological, intersectional, and life course approaches. Integrating interdisciplinary theory and evidence, we outline pathways through which multilevel social factors and pain may affect each other over time. We also provide a brief summary of intrapersonal aspects of pain, which are thought to operate at the interface between individuals and the social context. Progressing from micro- to macrolevel factors, we illustrate how social determinants of pain can directly or indirectly contribute to pain experiences, expression, risk, prognosis, and impact across populations. We consider 1) at the interpersonal level, the roles of social comparison, social relatedness, social support, social exclusion, empathy, and interpersonal conflict; 2) at the group or community level, the roles of intimacy groups, task groups, social categories, and loose associations; and 3) at the societal level, the roles of political, economic, and cultural systems, as well as their policies and practices. We present examples of multilevel consequences of pain across these levels and discuss opportunities to reduce the burden and inequities of pain by expanding multilevel social approaches in pain research and practice. PERSPECTIVE: Despite wide endorsement of a biopsychosocial framework for pain, social aspects of pain are often unclearly defined, hindering their use in pain prevention, management, and research. We summarize the scope of social aspects of pain and provide a framework synthesizing existing concepts and potential areas for future work.
| Item Type: | Article |
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| Uncontrolled Keywords: | Humans; Pain; Interpersonal Relations; Social Determinants of Health; Social structure; health equity; intersectional framework; life course perspective; social determinants of health; Humans; Pain; Social Determinants of Health; Interpersonal Relations; Basic Behavioral and Social Science; Behavioral and Social Science; Prevention; Chronic Pain; Social Determinants of Health; Pain Research; 10 Reduced Inequalities; Humans; Pain; Social Determinants of Health; Interpersonal Relations; 11 Medical and Health Sciences; 17 Psychology and Cognitive Sciences; Anesthesiology |
| Subjects: | B Philosophy. Psychology. Religion > BF Psychology |
| Divisions: | Psychology (from Sep 2019) |
| Publisher: | Elsevier |
| SWORD Depositor: | A Symplectic |
| Date Deposited: | 28 Nov 2024 18:34 |
| Last Modified: | 28 Nov 2024 18:45 |
| DOI or ID number: | 10.1016/j.jpain.2024.104608 |
| URI: | https://researchonline.ljmu.ac.uk/id/eprint/24921 |
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