Sex Differences in Pain Across the Life Course

Keogh, Edmund

doi:10.1007/978-1-4419-1651-8_21

Cited by 9 publications

(11 citation statements)

References 201 publications

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“…Experimental pain provides a starting point for such examinations, controlling for many of the confounding factors that complicate interpretations of results in studies of clinical pain. Prior reviews have only provided narrative descriptions of select studies of sex differences in experimental pain among children and adolescents [55,77].The primary objectives of the present study were to: (1) systematically review the existing literature on sex differences in responses to experimental pain in healthy children, and (2) metaanalyze data from published studies on experimental pain in boys and girls to provide a further investigation of sex differences beyond those statistics reported in published articles.Additionally, where possible, meta-analyses were to be conducted separately for children (participant mean age less than 12 years) and adolescents (participant mean age of 12 years or older). Finally, an additional objective was to examine the reporting practices of sex and gender in the studies included in the review.…”

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Sex differences in experimental pain among healthy children: A systematic review and meta-analysis

Boerner

Birnie

Caes

et al. 2014

Pain

106

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Sex differences in response to experimental pain are commonly reported in systematic reviews in the adult literature. The objective of the present research was to conduct a systematic review and meta-analysis of sex differences in healthy children's responses to experimental pain (e.g., cold pressor, heat pain, pressure pain) and, where possible, to conduct analyses separately for children and adolescents. A search was conducted of electronic databases for published papers in English of empirical research using experimental pain tasks to examine pain-related outcomes in healthy boys and girls between 0 and 18 years of age. Eighty articles were eligible for inclusion and were coded to extract information relevant to sex differences. The systematic review indicated that, across different experimental pain tasks, the majority of studies reported no significant differences between boys and girls on painrelated outcomes. However, the meta-analysis of available combined data found that girls reported significantly higher pain intensity compared to boys in studies where the mean age of participants was greater than 12 years. Additionally, a meta-analysis of heat pain found that boys had significiantly higher tolerance than girls overall, and boys had significantly higher heat pain threshold than girls in studies where the mean age of participants was 12 years or younger. These findings suggest that developmental stage may be relevant for understanding sex differences in pain . 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 SEX DIFFERENCES IN EXPERIMENTAL PAIN IN CHILDREN AbstractSex differences in response to experimental pain are commonly reported in systematic reviews in the adult literature. The objective of the present research was to conduct a systematic review and meta-analysis of sex differences in healthy children's responses to experimental pain (e.g., cold pressor, heat pain, pressure pain) and, where possible, to conduct analyses separately for children and adolescents. A search was conducted of electronic databases for published papers in English of empirical research using experimental pain tasks to examine pain-related outcomes in healthy boys and girls between 0 and 18 years of age. Eighty articles were eligible for inclusion and were coded to extract information relevant to sex differences. The systematic review indicated that, across different experimental pain tasks, the majority of studies reported no significant differences between boys and girls on pain-related outcomes. However, the meta-analysis of available combined data found that girls reported significantly higher pain intensity compared to boys in studies where the mean age of participants was greater than 12 years. Additionally, a meta-analysis of heat pain found that boys had significiantly higher tolerance than girls overall, and...

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Sex differences in experimental pain among healthy children: A systematic review and meta-analysis

Boerner

Birnie

Caes

et al. 2014

Pain

106

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“…Importantly, this is a sex-specific effect: no such difference was found for women, whose willingness to participate was unrelated to gender identification. [6,8,11,28,37,42,63]. In the context of pain, males are expected to withstand (or underreport) pain, displaying toughness rather than responses associated with feminine gender roles [34].…”

Section: Discussionmentioning

confidence: 99%

Sex-Specific Effects of Gender Identification on Pain Study Recruitment

Feijó

Tarman

Fontaine

et al. 2018

The Journal of Pain

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To examine whether sex and gender affect willingness to participate in pain studies, we assessed gender identification in men and women, then attempted to recruit them to participate in a pain study. Men who agree to participate in pain studies are significantly higher in masculine gender identification than men who decline to participate or women who agree to participate. Men who agreed to participate were rated particularly high in aggressiveness and competitiveness.

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“…There are sex and gender differences in pain, with biological and psychosocial factors thought to play a role (Fillingim et al., ; Keogh, ; Racine et al., ,b). Increasingly, interest has turned to social influences, with suggestions that pain occurs in a gendered context, and the specific ways in which males and females interact and communicate pain are important (Keogh, , ).…”

Section: Introductionmentioning

confidence: 99%