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Sources of variation in assessing male and female responses to pain

Identifieur interne : 00A286 ( Main/Merge ); précédent : 00A285; suivant : 00A287

Sources of variation in assessing male and female responses to pain

Auteurs : Stuart W. G. Derbyshire [États-Unis]

Source :

RBID : ISTEX:6AD0950527B4903619CAA4323B68E7B45CC88AE4

Descripteurs français

English descriptors

Abstract

Abstract: The question of differential pain response between men and women has recently received much attention. In general, women present with pain and ill-health problems at least twice as often as do men and are therefore greater users of the health care system. One common explanation of this disproportionate use is that women respond to stimuli as painful at a lower intensity than do men. Thus, in the same situation, more women are liable to present with pain and illness than are men. Such a suggestion, however, is at odds with the highly variable psychological responses to painful stimuli in both men and women and returns to an essentially Cartesian understanding of pain which draws on the largely discredited ‘direct transmission model’. It is suggested here that differential ill-health and pain response between the sexes can be understood through an extension of the biopsychosocial model of pain and ill-health which is used to describe three types of clinical pain disorder: post extraction pain, rheumatoid arthritis and atypical facial pain. The differential experiences of men and women give women both greater opportunity and reason to be ill by altering the factors influencing the biopsychosocial model of pain.

Url:
DOI: 10.1016/S0732-118X(97)00009-3

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ISTEX:6AD0950527B4903619CAA4323B68E7B45CC88AE4

Le document en format XML

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<term>British journal</term>
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<term>British journal</term>
<term>Child care</term>
<term>Chronic pain</term>
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<term>Facial pain</term>
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<term>Female responses</term>
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<term>Gender effects</term>
<term>General household survey</term>
<term>Greater analgesia</term>
<term>Life events</term>
<term>Long term</term>
<term>Lower pain threshold</term>
<term>Male rats</term>
<term>Marital difficulties</term>
<term>Melzack</term>
<term>Melzack wall</term>
<term>Mood changes</term>
<term>More children</term>
<term>Normal distribution</term>
<term>Opioid</term>
<term>Oral epidemiology</term>
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<term>Pain centre</term>
<term>Pain disorder</term>
<term>Pain disorders</term>
<term>Pain experience</term>
<term>Pain perception</term>
<term>Pain problems</term>
<term>Pain reports</term>
<term>Pain response</term>
<term>Pain tolerance</term>
<term>Positron emission tomography</term>
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<term>Psychogenic pain</term>
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<term>Psychological factors</term>
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<term>Rheumatoid arthritis</term>
<term>Social trends</term>
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<term>Specificity theory</term>
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<div type="abstract" xml:lang="en">Abstract: The question of differential pain response between men and women has recently received much attention. In general, women present with pain and ill-health problems at least twice as often as do men and are therefore greater users of the health care system. One common explanation of this disproportionate use is that women respond to stimuli as painful at a lower intensity than do men. Thus, in the same situation, more women are liable to present with pain and illness than are men. Such a suggestion, however, is at odds with the highly variable psychological responses to painful stimuli in both men and women and returns to an essentially Cartesian understanding of pain which draws on the largely discredited ‘direct transmission model’. It is suggested here that differential ill-health and pain response between the sexes can be understood through an extension of the biopsychosocial model of pain and ill-health which is used to describe three types of clinical pain disorder: post extraction pain, rheumatoid arthritis and atypical facial pain. The differential experiences of men and women give women both greater opportunity and reason to be ill by altering the factors influencing the biopsychosocial model of pain.</div>
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