Evaluación de las diferencias de género en las estrategias de afrontamiento del dolor lumbar

Abstract

ResumenEl dolor lumbar puede ser visto como un gran problema de salud pública. Las diferencias de género son importantes factores que influyen en los síntomas y en las respuestas del comportamiento. El objetivo de este estudio fue investigar las diferencias de género en los comportamientos de dolor y en el manejo del dolor lumbar crónico. La muestra estuvo conformada por 158 participantes (66,5% mujeres), con edades entre los 30 y 88 años que fueron diagnosticados con artrosis lumbar. Los instrumentos utilizados fueron: la Escala Visual Analógica, el Cuestionario de Calidad de Vida y un cuestionario para evaluar las actividades de ocio y distracción del dolor. Los resultados del MANOVA demostraron que las mujeres presentaron mayor percepción del dolor que los hombres. También fue posible observar frecuencias más altas de actividades sociales en las mujeres, así como correlaciones significativas entre las actividades sociales y los dominios psicológicos, sociales y medio ambientales. En conclusión, las mujeres presentan un mayor número de estrategias de afrontamiento para el dolor, lo cual puede influir positivamente en su calidad de vida. Palabras clave: dolor, dolor lumbar, género, optimismo, afrontamiento. ASSESSMENT OF GENDER DIFFERENCES IN COPING STRATEGIES FOR LOW BACK PAIN AbstractLow-back pain is considered a serious public health problem. Gender differences are important factors that influence symptoms and behavioral responses. This research aimed to investigate gender differences in pain behaviors and pain management of chronic low back pain. The sample consisted of 158 participants (66.5% female), aged 30-88 who were diagnosed with Lumbar Osteoarthritis. The instruments used were the Visual Analogue Scale, the Quality of Life Questionnaire and a questionnaire to assess leisure and distraction activities from pain. Results of MANOVA showed that women have significant greater pain perception than men. Higher frequencies of social activities were also observed for women as well as significant correlations between social activities and psychological, social and environmental domains. In conclusion, women presented a greater number of coping strategies for pain than men, which probably tend to have a positive influence in their life quality.

Quality of Life in Patients with Chronic Low Back Pain and Differences by Sex: A Longitudinal Study

“…In the present study, CLBP was found to have a major mental health impact, as in other studies [21]. Seven out of ten people referred to having mental health disorders, which was significantly higher in women, with results that were similar to those in Valdés et al [58] (76.73%).…”

“…On the other hand, the constant presence of negative emotions [17], maladaptive coping strategies, catastrophism [18], somatisation, insomnia, depressive mood, widespread pain syndromes, central hypersensitivity syndromes and personality changes are significant predictive variables of worse adaptation to pain and worse perceived health and health [19] at all ages [20], but to a lesser extent in men [21].…”

“…In this respect, daily functional limitation affects the usual occupational activity of workers. The associated disability, absence from work and invalidity create a greater risk of pain chronification, higher levels of pain and worse perceived health [33], which have high family and social costs [38], affecting men to a lesser extent [21]. The avoidance of certain occupational exposures, such as repetitive mechanical overloading, and the adoption of ergonomic habits at the workplace prevent the chronification of pain and the worsening of perceived pain and improve perceived health [8,37].…”

The Impact of Training Time on Understanding the Treatment of Adolescent Idiopathic Scoliosis According to SOSORT International Guidelines: An Online Survey Study

“…In addition, some factors can influence the conduct and effectiveness of the physical therapists, among which we can highlight the difference between genders and the time since graduation. A study published in 2014, which analyzed the views of men and women on low back pain, identified that women have an emotional focus on the individual, while men have a physical focus, In this way, these different views directly influence the individual way in which the professional will carry out their duties [ 13 ].…”

Medicación y dolor: el dolor más intenso es el menos medicado

“…De forma coadyuvante con todo lo demás, en la cultura popular, existe el estereotipo de las mujeres como el sexo más emocional (Sánchez Núñez et al, 2008) y la percepción de que las mujeres tienden a centrarse en los aspectos emocionales del dolor (Zavarize & Wechsler, 2016), son más sensibles a los acontecimientos de la vida diaria que generan dolor (de tipo psicológico y social), ya sea por motivos fisiológicos (cambios hormonales) o por motivos culturales y de socialización (educación y roles de género) (Sánchez Aragon et al, 2008), y se asocia esta "sensibilidad" con un umbral del dolor más bajo y al mismo tiempo con una mayor resistencia, es decir, les "duele más" pero "lo resisten mejor" (Biedma Velázquez et al, 2019).…”