Injustice Appraisal but not Pain Catastrophizing Mediates the Relationship Between Perceived Ethnic Discrimination and Depression and Disability in Low Back Pain

The pain literature documents notable racial/ethnic disparities in chronic pain experience and care.1,25 Individuals identifying as Black/African American endorse more frequent and disabling pain across a number of conditions compared to other racial groups, most notably Whites.1,25 With respect to low back pain – the leading cause of pain and disability in the United States – research in the area of Worker's Compensation highlights racial disparities in evaluation, treatment, and litigation outcomes of work-related lower back injuries9,10,12,13 with Blacks showing long-term vulnerability to greater pain intensity, catastrophizing, emotional distress, financial stress9,11 and future disability.

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