Sex differences in adolescent chronic pain and pain-related coping
Sex differences in adolescent chronic pain and pain-related coping
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DOI：
10.1016/j.pain.2006.03.004
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发表时间：
2006-08-01
期刊：
影响因子：
7.4
通讯作者：
Eccleston, Christopher
中科院分区：
文献类型：
--
作者：
Keogh, Edmund;Eccleston, Christopher
疼痛和科普疼痛的策略存在性别差异。虽然有人提出这种差异在青春期前后变得明显，但令人惊讶的是，很少有研究专门调查性作为青少年疼痛的调节剂。本研究的主要目的是调查46名男性和115名女性青少年慢性疼痛患者在疼痛和应对方面的性别差异。所有患者的年龄在11至19岁之间，均被转诊至英国皇家国立风湿病医院疼痛管理科。患者完成了一系列的措施，包括疼痛的经验和疼痛应对问卷。在疼痛慢性化方面没有发现性别差异，尽管男性和女性在自我报告的疼痛经历方面确实存在差异（女性报告的疼痛更高）。在应对行为上也存在性别差异。女性使用更多的社会支持，积极的声明和内化/灾难化，而男性报告从事更多的行为分心。在这些策略中，内化/灾难化被发现调解了性与疼痛之间的关系。这表明，不仅存在性别差异的疼痛经验和疼痛应对策略的青少年慢性疼痛，但内化/灾难化可能是一个重要的机制，在理解这种差异。建议进行更多研究来检查儿童和青少年的潜在性别差异。(c)2006年国际疼痛研究协会。Elsevier B. V.出版，保留所有权利。
Sex differences exist in pain and the strategies used to cope with pain. Although it is has been proposed that such differences become apparent around puberty, somewhat surprisingly very little research has specifically investigated sex as a moderator of pain within adolescents. The primary aim of the current study was to investigate sex differences in pain and coping within a group of 46 male and 115 female adolescent chronic pain sufferers. All were aged between 11 and 19 years and had been referred to the Pain Management Unit at the Royal National Hospital for Rheumatic Diseases, United Kingdom. Patients completed a battery of measures including pain experiences and a pain coping questionnaire. No sex differences were found in pain chronicity, although males and females did differ in self-reported pain experiences (females reported higher pain). Sex differences were also found in coping behaviours. Females used more social support, positive statements and internalizing/catastrophizing, whereas males reported engaging in more behavioural distraction. Of these strategies internalizing/catastrophizing was found to mediate the relationship between sex and pain. This suggests that not only do sex differences exist in the pain experiences and pain-coping strategies of adolescents with chronic pain, but that internalizing/catastrophizing may be an important mechanism in understanding such differences. More research examining potential sex differences in children and adolescents is recommended. (c) 2006 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.