Supplemental Digital Content is Available in the Text. A third of patients improved simultaneously in several domains, and a third improved in few or none. Pain intensity was the least likely outcome to improve.
Objective Long-lasting pain is a challenge for pa-tients’ everyday lives. The aim of this study was to examine how women and men who have participa-ted in multimodal pain rehabilitation experience its impact in their everyday lives. Patients and methods Individual semi-structured interviews with 5 women and 3 men who had parti-cipated in multimodal pain rehabilitation at a clinic in Sweden, analysed using qualitative content ana-lysis. Results Participants perceived that their “sense of control” increased, which had a positive impact in their everyday life. Sense of control consisted of 3 categories: importance of the patient-provider re-lationship, knowledge gained (especially on body functions and medication), and pain in a social con-text. Three results were discussed in particular: ( i ) a trustful patient-provider relationship based on confidence in the provider’s expertise was a pre-requisite for pain acceptance; ( ii ) patients were aware of gender norms in healthcare; ( iii ) social support was not stressed as important to cope with pain. Conclusion The importance of patients’ confidence in the provider’s expertise and patients’ awareness about gender norms need consideration in terms of the patient-provider encounter. The value of social support for pain rehabilitation was found to be less important compared with previous research; this should be explored further. LAY ABSTRACT We interviewed 5 women and 3 men with long-lasting pain and asked them how pain rehabilitation had affec-ted their everyday life. The interviews were analyzed with a technique called “qualitative content analysis”.The participants experienced a trustful patient-provi-der relation, particularly trust in the providers’ exper-tise, as necessary for their pain acceptance. Pain ac-ceptance, in turn, together with knowledge about body functions and medication, helped the participants to gain a sense of control over their pain and everyday life. Whilst highlighting a positive patient-provider re-lation, they saw gender norms as a potential obsta-cle that could affect relations with health care nega-tively. As research has emphasized social support as important to deal with pain in everyday life we asked about it. Surprisingly, social support was perceived as neither important to handle pain in daily life nor as af-fected by pain rehabilitation.
Background Anxiety sensitivity can be defined as fear of anxiety based on belief that anxiety does devastating physical, psychological and social damage. Behaviour difficulties refer to the following areas: lack of attention and concentration with joint behaviour consequences, risky behaviours and low levels of social skills which result in impaired peer relations. The aim of this study is to determine gender and age differences in anxiety sensitivity and behaviour difficulties in adolescents. Methods A non-clinical sample included 305 adolescents of both sexes, aged 12 to 16. The Serbian version of Childhood Anxiety Sensitivity Index (CASI, Stevanovic et al ., 2013) and the Strength and Difficulties Questionnaire (SDQ, Goodman 1997) were applied. The data were analysed with Multivariate Analysis of Variance. Results Significant main effects of gender (F = 8.777; p < 0.01) and age (F = 3.092; p < 0.01), as well as an interaction effect of these two factors (F = 3.043; p < 0.05) were found. Girls show higher levels of social concerns, unsteady concerns and disease concerns, while risky behaviours and peer problems are more prevalent in boys. Results also show that risky behaviours in age-group 14 and up are less prevalent in boys, and more prevalent in girls. Conclusion This study shows that girls have a higher anxiety sensitivity level, while boys exhibit more behaviour difficulties, which the authors of the study speculate is the result of cultural differences and gender based expectations. Results also show that social concern and peer problems depend on age.
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