BackgroundPain is a perception conditioned both by the painful experience and by each society’s collective imagination. The general objective of the project which this work forms part of it was to discover what citizens think about different aspects of this complex experience. More precisely, this paper’s objective is to get to know which is the worst pain that can be suffered according to Spaniards and what determines that hierarchy, bearing in mind that this work has chosen a broad definition of pain, including pains of different origins, namely, physical, psychological, and emotional pain.Materials and methodsThe data from the CIS 3137 study “Social perceptions of pain” have been used, which is a survey module designed by the Institute of Advanced Social Studies (IESA) of the Spanish National Research Council (CSIC). A hierarchical multiple factor analysis has been performed, using the SPSS statistical analysis software, where the dependent variable is the citizen’s opinion on which is the worst pain that can be suffered, recoded according to the origin of pain (physical, psychological, and emotional pain). Sociodemographic variables and variables linked to the experience of pain have been included as independent variables.Results and conclusionAlthough the most frequent pains among Spanish citizens are those of a physical origin, especially those linked to musculoskeletal problems and pains of an orofacial origin, when they are asked about the worst pain a person can suffer, they do not mention this type of pain, but those of an emotional origin. It has also been possible to confirm that the pain that citizens refer to when asked about the worst pain that can be suffered, and, therefore, the hierarchy of pain held by Spanish citizens as a group, is conditioned, although not determined, by the pain that has previously been suffered – by one’s own experience of pain.
Pain, as a multidimensional phenomenon, must be tackled from different perspectives. The sociological perspective is one of the less frequent approaches in the bibliography. The main results of a pioneering study about the social legitimacy of pain are set forth in this paper, analyzing citizens' pain today, the feelings it causes in them, the type of pain they suffer, and how this type of pain has an influence on the perception of their own pain and that of others. A quantitative design was adopted, through a cross-sectional survey of general population living in Spain (n = 1600) conducted online in 2021. The results point out that a high percentage of citizens were in pain when they took the survey, even if they stated that they were in good health. In general, feeling pain means having a worse quality of life. Having pain of a psychological origin involves higher levels of shame or guilt, as well as the feeling of being judged by others, than the other types of pain. The pain caused by cancer is the one with the highest social support, followed by the grief caused by the death of a loved one, while the pain with the lowest support is the one caused by alcoholism or obesity. Feeling that one's pain is understood and legitimized by others is fundamental to being able to face it, that is why it is important to carry out studies analyzing pain from this perspective.
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