What is it about?
Chronic pain is a public health crisis that is made worse by racism. The Racism ExpoSure and Trauma AccumulatiOn PeRpetuate PAin InequiTIes – AdVocating for ChangE (RESTORATIVE) model integrates the models of racism and pain. The RESTORATIVE model demonstrates how the shared contribution of trauma symptoms maintains chronic pain for racialized groups in the United States.
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Why is it important?
Inequities in pain experience, assessment, and treatment have been reported for decades. The RESTORATIVE model demonstrates how racism interacts with pain to create trauma symptoms. This model provides a roadmap for critically needed pain research and future interventions.
Perspectives
Read the Original
This page is a summary of: Racism exposure and trauma accumulation perpetuate pain inequities—advocating for change (RESTORATIVE): A conceptual model., American Psychologist, February 2023, American Psychological Association (APA),
DOI: 10.1037/amp0001042.
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Resources
Confronting Racism in Pain Research: A Call to Action
Article provides a historical and theoretical background of racism as a foundation for understanding how an antiracism pain research framework - which focuses on the impact of racism, rather than “race,” on pain outcomes - can be incorporated across the continuum of pain research. We also describe cultural humility as a lifelong self-awareness process critical to ending generalizations and successfully applying antiracism research practices through the pain research continuum.
Confronting Racism in All Forms of Pain Research: Reframing Study Designs
Article describes research designs that perpetuate racism and provide reframes.
Confronting Racism in All Forms of Pain Research: A Shared Commitment for Engagement, Diversity, and Dissemination
Article emphasizes the implications of an antiracism framework for research dissemination, community-engagement practices and diversity in research teams.
Mechanisms of injustice: what we (do not) know about racialized disparities in pain
Review contends that pain disparities are most appropriately conceptualized from an injustice perspective within a larger interacting systems framework.
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