Sex Differences in Pain Intensity in Adolescents Suffering From Cancer: Differences in Pain Memories?

被引：29

作者：

Hechler, Tanja ^{[1
]}

Chalkiadis, George A. ^{[2
,3
]}

Hasan, Carola ^{[1
]}

Kosfelder, Joachim ^{[4
]}

Meyerhoff, Ulrike ^{[1
]}

Vocks, Silja ^{[5
]}

Zernikow, Boris ^{[1
,6
]}

机构：

[1] Univ Witten Herdecke, Clin Children & Adolescents Datteln, Vodafone Fdn, Inst Childrens Pain Therapy & Palliat Care, D-45711 Datteln, Germany

[2] Royal Childrens Hosp, Dept Paediat Anaesthesia & Pain Management, Melbourne, Vic, Australia

[3] Univ Melbourne, Univ Dept Paediat, Murdoch Childrens Res Inst, Melbourne, Vic 3010, Australia

[4] Univ Appl Sci, Dept Social Sci & Cultural Studies, Dusseldorf, Germany

[5] Ruhr Univ Bochum, Dept Psychol Clin Psychol & Psychotherapy, Bochum, Germany

[6] Univ Hosp Munster, Dept Pediat Oncol, Munster, Germany

来源：

JOURNAL OF PAIN | 2009年 / 10卷 / 06期

关键词：

Sex difference; adolescents; pain; cancer; memory; PEDIATRIC ONCOLOGY; CHILDREN; GENDER; DISTRESS; AGE; RESPONSES; BEHAVIOR; VERSION; WOMEN; BIAS;

D O I：

10.1016/j.jpain.2008.11.011

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Although sex differences have been investigated in chronic pain populations, little is known about sex differences in the pain experience of paediatric oncology patients and also whether their parents rate the pain experience differently for boys and girls. The aim of the present study was to determine if (1) boys and girls with cancer differ in current perception and past recollection of cancer-related pain and (2) if adolescents' and parents' pain ratings differ in relation to the sex of the adolescent. One hundred twelve adolescents with malignant diagnoses (12 to 18 years) and their parents participated in the study. Girls reported higher pain intensity within the last 7 days and 4 weeks despite similar diagnosis, physical status, duration of diagnoses, and main pain causes. When asked for pain intensity that dated back in time, parent and adolescent ratings diverged, with a trend for parents to reporting higher pain intensity in boys and lower pain intensity in girls, particularly for pain in the preceding 7 days. The present study provides preliminary evidence for sex differences in the recalled pain experience of adolescents with malignant diagnoses. Although boys and girls experience present pain similarly and hence should be treated similarly, girls recall higher pain intensity than boys. Future studies should address whether negative memories in girls play a significant role and may have an impact on girls' well-being and pain-related distress. Additionally, psychosocial factors such as gender role expectations may need to be investigated. Parental variables and their impact on parents' pain ratings, especially for ratings of precedent pain, warrants further investigation. Perspective: Girls with malignant diagnoses differ from boys in their recalled pain intensity ratings, with girls reporting higher pain intensity. Additional pain management strategies referring to the memory of pain may need to be implemented. (C) 2009 by the American Pain Society

引用

页码：586 / 593

页数：8

共 50 条

[1] The effect of experimenter gender on autonomic and subjective responses to pain stimuli [J].