Gender role in pain perception and expression: an integrative review

Nascimento, Michele Gomes do; Kosminsky, Maurício; Chi, Michele

doi:10.5935/2595-0118.20200013

Cited by 13 publications

(11 citation statements)

References 29 publications

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“…In other words, women are more sensitive to painful stimuli than men. Nascimento (2020) found that gender was a factor in pain perception differences, with males having higher thresholds and pain tolerance, as well as a reduced inclination to report discomfort (10). In this study finding, majority (70%) of the participants were males and the pain perception score are also noted lower than females.…”

Section: Discussionsupporting

confidence: 52%

Effectiveness of Art Therapy on Pain Perception among Post-Operative Patients in Orthopedic wards of Selected Hospitals, UAE

Muthu¹,

Alghafli²

2022

PJMHS

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Art therapy the essence of psychotherapy enables to reduce patient’s suffering from pain sensation by focusing the way the patient perceives the current situation; pain relieved as well along the way. The aim of the study was to assess the effectiveness of art therapy on pain perception among postoperative orthopedic patients and to find association between pain perception scores of postoperative patient with their selected demographic and clinical variables.Pre-experimental research design among 50 orthopedic post-operative selected using consecutive sampling technique. Demographic data, clinical data and pain scores assessed using numeric pain scale before and after the art therapy for three consecutive days. Majority (70%) of the participants were males. About 62% were married and 42% had primary level of education. Majority (32%) had road traffic accident and 28% meet with work site injuries. On day-1 pre-art most of the patients (52%) experienced moderate to severe pain (28%), on day-2 and day-3, they experienced mild (44%) to moderate (42%) level of pain. After an hour of the art therapy, pain assessment on day-1, the patients had mild (38%) to moderate (34%), while on day-2, majority (72%) experienced mild pain and 26% had moderate pain. On day-3, the pain was verbalized to be with mild (78%) to moderate (22%). Art therapy was effective in reducing pain (p=0.000) Variables like age, gender, educational level and nationality were noted to be significantly associated with the pain scores along with diabetes, hypertension, and type of injury. Art therapy is beneficial hence be utilized effectively by nurses to help alleviate pain among post- operative orthopedic patients.

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Section: Discussionsupporting

confidence: 52%

Effectiveness of Art Therapy on Pain Perception among Post-Operative Patients in Orthopedic wards of Selected Hospitals, UAE

Muthu¹,

Alghafli²

2022

PJMHS

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“…This finding might be explained by different pain thresholds between women and men caused by different genetics, environmental and psychosocial factors, taking into account that pain is one of the important predictive factors of HRQOL. It is concluded that a higher degree of female social roles were associated with lower thresholds and less tolerance to pain, as well as a greater natural tendency to communicate pain sensation ( 31 ). Women also consider men, in general, to be more tolerant to pain, less willing to report pain, and less sensitive to it ( 32 ).…”

Section: Discussionmentioning

confidence: 99%

Quality of Life in Multiple Sclerosis Patients: Influence of Gender, Age and Marital Status

Suljić¹,

Serdarević²,

Mahmutbegovic³

2022

Mater Sociomed

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Background: Multiple sclerosis (MS) is a chronic disease characterised by a wide range of symptoms and a highly unpredictable prognosis, which can severely affect patient quality of life. Objective: The aim of the study was to evaluate the influence of gender, age and marital status on health-related quality of life (HRQoL) in MS patients. Methods: This study included 100 MS patients treated at the Department of Neurology, Clinical Center University of Sarajevo. Inclusion criteria were an Expanded Disability Status Scale score between 1.0 and 6.5, age between 18 and 65 years, stable disease on enrollment. HRQOL was evaluated by the Multiple Sclerosis Quality of Life-54 questionnaire (MSQoL-54). Mann-Whitney and Kruskal-Wallis test were used for comparisons. Linear regression analyses were performed to evaluate prediction value of gender, age and marital status on both physical and mental HRQOL Results: Women had significantly lower QOL scores then men in pain scale (55.00 vs. 76.67; p<0, 05). Younger patients had better physical (54.58 vs. 37.90; p<0.05) and mental health (59.55 vs. 45.90; p<0.05) composite scores. Patients with earlier age of onset scored significantly higher in health perception domain scale (45.00 vs. 32.50, p<0.05). Married patinets scored higher in physical and mental composite scores but with no significant difference except in sexual function (87,51 vs 70, 86, p<0,05) and emotional well being (66,67 vs 33,33; p<0,05) scales. Patient age retined its independent predictivity of physical health composite score (r 2 =0.063). Conclusion: Aging in MS proved to be important negative factor in predicting physical domains of QOL. Interventions for reducing difficulties caused by physical limitations in older patients, higher level of psychological support for patients with late onset disease and social support for those living alone are important factors in improving HRQOL in MS patients.

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“…Personality traits can also be associated with better social support, a factor known to have a positive influence on adjustment to CP ( 77 ). An integrative review on gender roles in pain perception and expression showed that femininity seems to be associated with lower pain tolerance thresholds, as well as a greater propensity to report painful sensations ( 78 ). Moreover, psychological and social elements of gender have been reported as associated with altered pain experiences and analgesic use profiles.…”

Section: Discussionmentioning

confidence: 99%

Gender Differences in Medication Adverse Effects Experienced by People Living With Chronic Pain

et al. 2022

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ObjectivesUnderstanding gender differences in chronic pain (CP) outcome research is essential to optimal treatment delivery. This study explored the associations between gender identity, gender roles, and the number of non-life-threatening pain medication adverse effects reported as severe by people living with CP.MethodsThe analyses were conducted using the COPE Cohort, a dataset generated through a web-based recruitment of adults with CP. Participants were asked how they identified themselves (women, men, unknown, unspecified) and gender roles were measured using the Bem Sex-Role Inventory (subgroups were formed applying the median split method). Pain medication adverse effects were assessed using a standardized checklist (none/mild/moderate/severe). A zero-inflated Poisson model was used to assess gender identity, gender roles and their interaction as potential predictors of the number of pain medication adverse effects.ResultsA total of 1,343 participants reported using pain medications. Adjusting for potential confounders, both gender identity (men vs. women: ß = −0.32, p = 0.0024) and gender roles (androgynous vs. undifferentiated: ß = 0.26, p = 0.0030) were associated with the number of pain medication adverse effects reported as severe, and they interacted with each other. The stratified analysis by gender roles showed that women reported a greater number of severe adverse effects than men among those classified as masculine and androgynous.DiscussionAlthough we are unable to confirm whether the associations can be explained by differences in the experience or in the reporting of effects, gender identity and gender roles should both be explored when studying pain medication adverse effects.

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Gender role in pain perception and expression: an integrative review

Cited by 13 publications

References 29 publications

Effectiveness of Art Therapy on Pain Perception among Post-Operative Patients in Orthopedic wards of Selected Hospitals, UAE

Effectiveness of Art Therapy on Pain Perception among Post-Operative Patients in Orthopedic wards of Selected Hospitals, UAE

Quality of Life in Multiple Sclerosis Patients: Influence of Gender, Age and Marital Status

Gender Differences in Medication Adverse Effects Experienced by People Living With Chronic Pain

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