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.





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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.

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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


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Recibido: 20/03/2020

Aceptado: 13/06/2020

Prepublicado: 07/07/2020

Publicado: 04/08/2020

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