RICHARD JAMES RICHARD.JAMES4@NOTTINGHAM.AC.UK
Assistant Professor
Depression, Cognition, and Pain: Exploring Individual, Cultural and Country-Level Effects Across Europe
James, Richard J.E.; Ferguson, Eamonn
Authors
EAMONN FERGUSON eamonn.ferguson@nottingham.ac.uk
Professor of Health Psychology
Abstract
The aim of this paper was to investigate the role of economic (eg, GDP per capita), political (eg, healthcare spending), cultural (country-level aggregates norms) and individual correlates (eg, depression) of pain in a secondary analysis of a sample of 76,000 adults in 19 countries across Europe. The sample was aggregated from 2 waves of the Study of Health, Ageing and Retirement in Europe cohort, using multilevel models with cross-level interactions between individual and country-level effects. While there has been extensive focus on individual risk factors (eg, depression, cognition, BMI), the role of social, political and cultural contextual factors has been relatively underexplored. In addition to replicating well-established individual risk factors (eg, increased depression), we demonstrate that higher levels of depression, chronic pain diagnosis, and collectivism, aggregated at the country-level, are also associated with increased pain severity. There was evidence that these country-level effects moderate the effect of individual correlates of pain. These results contribute to the literature by identifying the importance of broader cultural factors alongside individual psychological indices of pain reporting. Perspective: In this study we model how individual, political and cultural factors influence pain in a large cross-national sample. In addition to replicating established individual effects, it shows how cultural (ie, collectivism) and political (eg, GDP, healthcare spending) factors affect individual expressions of pain, and how the cultural and individual factors interact with each other.
Citation
James, R. J., & Ferguson, E. (2023). Depression, Cognition, and Pain: Exploring Individual, Cultural and Country-Level Effects Across Europe. Journal of Pain, 24(6), 1104-1115. https://doi.org/10.1016/j.jpain.2023.03.006
Journal Article Type | Article |
---|---|
Acceptance Date | Mar 14, 2023 |
Online Publication Date | Mar 24, 2023 |
Publication Date | 2023-06 |
Deposit Date | Mar 22, 2023 |
Publicly Available Date | Mar 28, 2024 |
Journal | Journal of Pain |
Print ISSN | 1526-5900 |
Electronic ISSN | 1528-8447 |
Publisher | Elsevier BV |
Peer Reviewed | Peer Reviewed |
Volume | 24 |
Issue | 6 |
Pages | 1104-1115 |
DOI | https://doi.org/10.1016/j.jpain.2023.03.006 |
Keywords | Pain; cross-country variation; arthritis; policy; cognitive function |
Public URL | https://nottingham-repository.worktribe.com/output/18810453 |
Publisher URL | https://www.sciencedirect.com/science/article/pii/S1526590023003711?via%3Dihub |
Files
Depression, Cognition, and Pain: Exploring Individual, Cultural and Country-Level Effects Across Europe
(1.4 Mb)
PDF
Publisher Licence URL
https://creativecommons.org/licenses/by/4.0/
SHARE MS SI JPR1
(796 Kb)
PDF
You might also like
Understanding the construction of ‘behavior’ in smartphone addiction: A scoping review
(2022)
Journal Article
Quantile regression analysis of in-play betting in a large online gambling dataset
(2022)
Journal Article
The Use of Social Media in Research on Gambling: a Systematic Review
(2021)
Journal Article
Using heterogeneity in disease to understand the relationship between health and personality
(2021)
Journal Article
Downloadable Citations
About Repository@Nottingham
Administrator e-mail: digital-library-support@nottingham.ac.uk
This application uses the following open-source libraries:
SheetJS Community Edition
Apache License Version 2.0 (http://www.apache.org/licenses/)
PDF.js
Apache License Version 2.0 (http://www.apache.org/licenses/)
Font Awesome
SIL OFL 1.1 (http://scripts.sil.org/OFL)
MIT License (http://opensource.org/licenses/mit-license.html)
CC BY 3.0 ( http://creativecommons.org/licenses/by/3.0/)
Powered by Worktribe © 2024
Advanced Search