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Papers of the Week

Papers: 25 Apr 2020 - 1 May 2020


Human Studies

2020 Apr 24

Pain Med

Perceived Injustice Helps Explain the Association Between Chronic Pain Stigma and Movement-Evoked Pain in Adults with Nonspecific Chronic Low Back Pain.


Penn TM, Overstreet DS, Aroke EN, Rumble DD, Sims AM, Kehrer CV, Michl AN, Hasan FN, Quinn TL, Long LD, Trost Z, Morris MC, Goodin BR
Pain Med. 2020 Apr 24.
PMID: 32330282.


For most patients with chronic low back pain (cLBP), the cause is "nonspecific," meaning there is no clear association between pain and identifiable pathology of the spine or associated tissues. Laypersons and providers alike are less inclined to help, feel less sympathy, dislike patients more, suspect deception, and attribute lower pain severity to patients whose pain does not have an objective basis in tissue pathology. Because of these stigmatizing responses from others, patients with cLBP may feel that their pain is particularly unjust and unfair. These pain-related injustice perceptions may subsequently contribute to greater cLBP severity. The purpose of this study was to examine whether perceived injustice helps explain the relationship between chronic pain stigma and movement-evoked pain severity among individuals with cLBP.