Year 2020 / Volume 27 / Number 4

Review

Gender determinants in the approach to chronic pain

Rev. Soc. Esp. Dolor. 2020; 27(4): 252-256 / DOI: 10.20986/resed.2020.3802/2020

Elisa Gallach, M. Ara Bermejo, Ruth Robledo, Rosa María Izquierdo, M. Ángeles Canos


ABSTRACT

The 20th century has been an exceptional witness to the great advances and findings in the neurophysiological understanding and the multidisciplinary treatment of chronic pain. However, interest in the different form of expression in the painful perception between men and women and the specific psychological and social determinants associated with gender roles are relatively recent. In this article, an unsystematic review of the psychological and social differential determinants is carried out following the Neuromatrix model. Finally, the knowledge of those biases that we professionals have involuntarily is crucial to address the avoidable inequalities in treatment and the recovery of the health of men and women. Finally, recommendations are offered from the field of Clinical Psychology.



RESUMEN

El siglo xx ha sido testigo de excepción de los grandes avances y hallazgos en la comprensión neurofisiológica y el tratamiento multidisciplicar del dolor crónico. No obstante, el interés por la forma diferente de expresión en la percepción dolorosa entre hombres y mujeres y los determinantes psicológicos y sociales específicos asociados a los roles de género es relativamente reciente. En este artículo se realiza una revisión no sistemática de los determinantes diferenciales psicológicos y sociales siguiendo el modelo de la neuromatriz. Por último, el conocimiento de aquellos sesgos que de forma involuntaria tenemos los profesionales es crucial para abordar las desigualdades evitables en tratamiento y la recuperación de la salud de hombres y mujeres. Finalmente se ofrecen recomendaciones desde el ámbito de la Psicología Clínica.





Complete Article

Bibliografía

1. Ruiz-Cantero MT, Tomás-Aznar C, Rodríguez-Jaume MJ, Pérez-Sedeño E, Gasch-Gallén A. Agenda de género en la formación en ciencias de la salud: experiencias internacionales para reducir tiempos en España. Gac Sanit. 2020;33(5):485-90. DOI: 10.1016/j.gaceta.2018.03.010.
2. Miller VM, Kararigas G, Seeland U, Regitz-Zagrosek V, Kublickiene K, Einstein G, et al. Integrating topics of sex and gender into medical curricula - lessons from the international community. Biol Sex Differ. 2016;7(Suppl 1):44. DOI: 10.1186/s13293-016-0093-7.
3. Greenspan JD, Craft RM, LeResche L, Arendt-Nielsen L, Berkley KJ, Fillingim RB, ... et al. Studying sex and gender differences in pain and analgesia: a consensus report. Pain. 2007;132(Suppl. 1):S26-S45. DOI: 10.1016/j.pain.2007.10.014.
4. Encuesta Nacional de Salud ENSE, España 2017 [Internet]. Ministerio de Sanidad, Consumo y Bienestar Social. 2017; [citado 12 de marzo de 2020]. Disponible en: https://www.mscbs.gob.es/estadEstudios/estadisticas/encuestaNacional/encuesta2017.htm
5. Mapplebeck JC, Beggs S, Salter MW. Sex differences in pain: a tale of two immune cells. Pain. 2016;157(Suppl. 1):S2-S6. DOI: 10.1097/j.pain.0000000000000389.
6. Fillingim RB. Sex, gender, and pain. In: Principles of Gender-Specific Medicine. Legato M (ed). Academic Press; 2017. p. 481-96.
7. Gatchel RJ, Mayer TG, Kidner CL, McGeary D. Are gender, marital status or parenthood risk factors for outcome of treatment for chronic disabling spinal disorders? J Occup Rehabil. 2005;15(2):191-201. DOI: 10.1007/s10926-005-1218-8.
8. Defrin R, Shramm L, Eli I. Gender role expectations of pain is associated with pain tolerance limit but not with pain threshold. Pain. 2009;145(1-2):230-6. DOI: 10.1016/j.pain.2009.06.028.
9. Wijnhoven HA, de Vet HC, Picavet HSJ. Explaining sex differences in chronic musculoskeletal pain in a general population. Pain. 2006;124(1-2):158-66. DOI: 10.1016/j.pain.2006.04.012.
10. Melzack R, Casey KL. Sensory, motivational, and central control determinants of pain: a new conceptual model. In: The skin senses. Kensalo DR, ed. Springfield: Charles C. Thomas; 1968. p. 423-43.
11. Fillingim RB. Individual differences in pain: understanding the mosaic that makes pain personal. Pain. 2017;158(Suppl 1):S11-8. DOI: 10.1097/j.pain.0000000000000775.
12. Bartley EJ, King CD, Sibille KT, Cruz‐Almeida Y, Riley III JL, Glover TL, et al. Enhanced pain sensitivity among individuals with symptomatic knee osteoarthritis: potential sex differences in central sensitization. Arthritis Care Res. 2016;68(4):472-80. DOI: 10.1002/acr.22712.
13. Harutyunyan A, Pastor JS, Dolz VM, Martí AM. Diferencias de género en pacientes con dolor crónico. Comunicación presentada al XII Congreso de la SED.
14. Rodríguez A. Revisión de factores psicológicos y estrategias para el manejo del dolor crónico lumbar desde diferentes modelos teóricos. Dolor. 2014;23(62):24-34.
15. Ramos Rangel Y, Santana Morfa AR, Valladares González AM, López Angulo L, González Brito M. Relación entre estados emocionales y variables clínicas en pacientes con dolor crónico lumbar. Rev Cubana Med Gen Integr. 2017;33(2):180-90.
16. Cook AJ, Chastain DC. The classification of patients with chronic pain: age and sex differences. Pain Res Manag. 2001;6(3):142-51. DOI: 10.1155/2001/376352.
17. Bartley EJ, Fillingim RB. Sex differences in pain: A brief review of clinical and experimental findings. Survey Anesthesiology. 2016;60(4):175-6. DOI: 10.1097/01.sa.0000484819.20819.8b.
18. Bartley EJ, Palit S. Gender and pain. Curr Anesthesiol Rep. 2016;6(4):344-53. DOI: 10.1007/s40140-016-0177-2.
19. Turk DC, Monarch ES. Biopsychosocial perspective on chronic pain. In: D. C. Turk & R. J. Gatchel (Eds.). Psychological approaches to pain management: A practitioner's handbook. The Guilford Press; 2018. p. 3-24.
20. Ruiz-Cantero MT, Verdú-Delgado M. Sesgo de género en el esfuerzo terapéutico. Gac Sanit. 2004;18(4):118-25.

Artículos relacionados

School of non-oncologic chronic pain patients and opioid treatment

Rev. Soc. Esp. Dolor. 2020; 27(5): 324-328 / DOI: 10.20986/resed.2020.3804/2020

Therapeutic failure of the lumbar medial branch block and its relation to obesity. Retrospective cohort study

Rev. Soc. Esp. Dolor. 2020; 27(5): 298-305 / DOI: 10.20986/resed.2020.3829/2020

Efficacy of lidocaine perfusions in fibromyalgia: a prospective cohort study

Rev. Soc. Esp. Dolor. 2020; 27(5): 287-291 / DOI: 10.20986/resed.2020.3796/2020

Pain: a "hotchpotch"

Rev. Soc. Esp. Dolor. 2020; 27(4): 278-280 / DOI: 10.20986/resed.2016.3507/2016

Splanchnic nerve block for the treatment of benign chronic abdominal pain. a case report and literature review

Rev. Soc. Esp. Dolor. 2020; 27(4): 273-277 / DOI: 10.20986/resed.2020.3818/2020

Clinical pathophysiology in patients with sickle cell disease: the transition from acute to chronic pain

Rev. Soc. Esp. Dolor. 2020; 27(4): 257-268 / DOI: 10.20986/resed.2020.3814/2020

Incidence of postmastectomy pain syndrome. Retrospective analysis

Rev. Soc. Esp. Dolor. 2020; 27(4): 246-251 / DOI: 10.20986/resed.2020.3797/2020

Sociodemographic and clinical characterization in patients with chronic back pain, Cienfuegos 2019

Rev. Soc. Esp. Dolor. 2020; 27(4): 239-245 / DOI: 10.20986/resed.2020.3798/2020

Spinal cord stimulation. Analysis of the diagnostic indications

Rev. Soc. Esp. Dolor. 2020; 27(4): 234-238 / DOI: 10.20986/resed.2020.3777/2019

Suboccipital decompression as an alternative in the treatment of pain secundary to occipital neuralgia: a case series

Rev. Soc. Esp. Dolor. 2020; 27(3): 221-226 / DOI: 10.20986/resed.2020.3791/2020

Drug consumption used for musculoskeletal pain treatment in a cohort of blue-collar workers in Zaragoza (Spain)

Rev. Soc. Esp. Dolor. 2020; 27(3): 150-159 / DOI: 10.20986/resed.2020.3749/2019

COVID-19 coronavirus and chronic pain: uncertainties

Rev. Soc. Esp. Dolor. 2020; 27(2): 72-73 / DOI: 10.20986/resed.2020.3808/2020

Conventional radiofrequency for genicular nerves in treatment of knee osteoarthritis

Rev. Soc. Esp. Dolor. 2020; 27(1): 59-60 / DOI: 10.20986/resed.2016.3515/2016

Effectiveness of patient-controlled analgesia in acute and chronic pain after cardiac surgery: a prospective study

Rev. Soc. Esp. Dolor. 2020; 27(1): 24-36 / DOI: 10.20986/resed.2020.3747/2019

Connexins in chronic pain. A new target?

Rev. Soc. Esp. Dolor. 2019; 26(6): 322-323 / DOI: 10.20986/resed.2019.3785/2019

The use of new technologies in patients with chronic pain. A reality that cannot be denied

Rev. Soc. Esp. Dolor. 2019; 26(5): 259-260 / DOI: 10.20986/resed.2019.3766/2019

Orofacial pain in the dental clinic

Rev. Soc. Esp. Dolor. 2019; 26(4): 233-242 / DOI: 10.20986/resed.2019.3724/2019

Characterization of pain in patients with breast cancer attending the Oncology Unit of the San José Hospital

Rev. Soc. Esp. Dolor. 2019; 26(4): 221-226 / DOI: 10.20986/resed.2019.3692/2018

The new international classification of diseases (ICD-11) and chronic pain. Pragmatical implications

Rev. Soc. Esp. Dolor. 2019; 26(4): 209-210 / DOI: 10.20986/resed.2019.3752/2019

Manual therapy, a double-edged weapon in the management of chronic pain

Rev. Soc. Esp. Dolor. 2019; 26(3): 206-207 / DOI: 10.20986/resed.2018.3675/2018

Opioid tapering may improve outcomes for chronic pain patients

Rev. Soc. Esp. Dolor. 2019; 26(3): 204-205 / DOI: 10.20986/resed.2017.3615/2017

Myofascial pain syndrome as a cause of postoperative acute pain in hip surgery

Rev. Soc. Esp. Dolor. 2019; 26(2): 117-119 / DOI: 10.20986/resed.2019.3655/2018

Effectiveness of hand crossing to produce analgesia in patients with chronic pain of the upper limb

Rev. Soc. Esp. Dolor. 2019; 26(2): 81-88 / DOI: 10.20986/resed.2019.3674/2018

Opioids and addiction in chronic pain: is it a problem?, how to address it?

Rev. Soc. Esp. Dolor. 2019; 26(2): 65-67 / DOI: 10.20986/resed.2019.3736/2019

Oxytocin and chronic pain in humans

Rev. Soc. Esp. Dolor. 2019; 26(1): 52-58 / DOI: 10.20986/resed.2018.3664/2018

Radiofrequency thermal and splanchnics nerves block

Rev. Soc. Esp. Dolor. 2018; 25(5): 303-304 / DOI: 10.20986/resed.2016.3509/2016

Implications of bioethics in the treatment of chronic pain: the change of paradigms

Rev. Soc. Esp. Dolor. 2018; 25(5): 291-300 / DOI: 10.20986/resed.2018.3666/2018

Pain in the elderly and in patients with cognitive deficit. A DELPHI study

Rev. Soc. Esp. Dolor. 2018; 25(5): 251-262 / DOI: 10.20986/resed.2017.3621/2017

Chrono study: prevalence of breakthrough pain among patients with non-cancer chronic pain in Andalusia, Spain

Rev Soc Esp Dolor 2018; 25(4): 214-221 / DOI: 10.20986/resed.2017.3626/2017

Sex and pain: sexual satisfaction and sexual function in a sample of patients with chronic, non-pelvic pain

Rev Soc Esp Dolor 2018; 25(3): 145-154 / DOI: 10.20986/resed.2018.3600/2017

Painometer v2®: a mobile application certified for monitoring patients with pain

Rev Soc Esp Dolor 2018; 25(2):112-120 / DOI: 10.20986/resed.2017.3555/2016

Potential uses of Mirtazapine in palliative care beyond its antidepressant effect

Rev Soc Esp Dolor 2018; 25(1): 37-44 / DOI: 10.20986/resed.2017.3575/2017

Chronic pain: relationship with prefrontal symptoms and perceived stress

Rev Soc Esp Dolor 2017; 24(4): 179-187 / DOI: 10.20986/resed.2017.3540/2016

Prevalence of breakthrough pain associated with chronic low back pain in Andalusia (COLUMBUS study)

Rev Soc Esp Dolor 2017; 24(3):116-124 / DOI: 10.20986/resed.2017.3548/2016

Instrucciones para citar

Gallach E, Bermejo M, Robledo R, Izquierdo R, Canos M. Gender determinants in the approach to chronic pain. Rev Soc Esp Dolor 2020; 27(4): 252-256 / DOI: 1020986/resed20203802/2020


Descargar a un gestores de citas

Descargue la cita de este artículo haciendo clic en uno de los siguientes gestores de citas:

Métrica

Este artículo ha sido visitado 1806 veces.
Este artículo ha sido descargado 0 veces.

Estadísticas de Dimensions


Estadísticas de Plum Analytics

Ficha Técnica

Recibido: 20/03/2020

Aceptado: 13/06/2020

Prepublicado: 07/07/2020

Publicado: 04/08/2020

Tiempo de revisión del artículo: 76 días

Tiempo de prepublicación: 109 días

Tiempo de edición del artículo: 137 días


Compartir

Este artículo aun no tiene valoraciones.
Reader rating:
Rate this article:
© 2020 Revista de la Sociedad Española del Dolor
ISSN: 1134-8046   e-ISSN: 2254-6189

      Indexada en: