Gender Differences in Coping with Tension-Type Headaches

Rollnik, Jens D.; Karst, Matthias; Piepenbrock, S.; Gehrke, A.; Dengler, Reinhard; Fink, Matthias

doi:10.1159/000072502

Cited by 24 publications

(20 citation statements)

References 16 publications

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“…10,14,20,34,35,39,49 The current study found that personality and coping factors were significantly associated with the pain drawing area, supporting findings of prior studies. 5,18,24 Specifically, other studies have identified factors such as depression, 18 psychological health, 8 and nonorganic signs 5,24 as significantly associated with pain drawing area.…”

Section: Results Tsupporting

confidence: 88%

“…Previous studies have identified sex differences in coping styles between the sexes, but have not reported on ignoring. 10,20,39 For example, men were reported to have significantly higher pain tolerance when instructed to focus on the sensory component of pain, as compared to the emotional component, during a pain endurance task. 20 Our study's findings suggest that a coping style in which the general focus was directed away from the pain lessened the total pain drawing area.…”

Section: Results Tmentioning

confidence: 99%

“…Supporting our belief is that sex differences exist in the incidence of specific chronic pain conditions 12,17,19,21,43,56,58 and in the response to experimental pain stimuli. 10,16 Furthermore, pain studies have demonstrated sex differences in physiological response to pain, 59 central processing of pain, 15 as well as psychological factors like coping style, 10,20,39 anxiety, 14,34 and socialization. 35 These studies support the potential for sex differences in various factors that could influence reporting of musculoskeletal pain through the pain drawing.…”

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confidence: 99%

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Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

George

Bialosky²,

Wittmer³

2007

J Orthop Sports Phys Ther

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Diagnostic classification has been referred to as a prerequisite for physical therapy treatment. 40,42 The medical diagnosis for musculoskeletal complaints is frequently inadequate to guide physical therapy treatment. Subsequently, various classification systems have been proposed that are independent of pathoanatomical diagnosis. 9,23,57 Physical therapists may make use of findings such as pain location and pain response to movement ment-based classification systems for low back pain suggest that the location of peripheral pain may dictate appropriate treatment.9,54 Additionally, pain drawings demonstrating nonanatomic distribution have been suggested to int StuDy DeSiGn: Cross-sectional. t oBJectiveS: To (1) determine the association between pain severity and pain drawing area for men and women; (2) determine if sex differences exist in pain severity or pain drawing area; (3) determine the relative influence of pain severity, anatomical location of pain, personality, and psychological coping factors on pain drawing area for men and women.t BackGrounD: Pain drawings have been postulated to assist in clinical decision making regarding classification and treatment of musculoskeletal pain. Prior studies have been ambiguous on this topic, possibly because they have not considered if sex differences exist for pain drawing area. t methoDS anD meaSureS: One hundred twenty-six subjects referred to a multidisciplinary chronic pain clinic with chronic musculoskeletal pain were included in this study. Subjects completed a pain drawing, the Multidimensional Pain Inventory (MPI), the Coping Strategies Questionnaire (CSQ), and the Minnesota Multiphasic Personality Inventory (MMPI-2). Pearson correlations investigated the associations of pain severity and pain drawing area, independent t tests investigated sex differences in pain severity and pain drawing area, and multiple regression investigated factors that influenced pain drawing area.t reSultS: Pain severity was positively correlated with pain drawing area for men (r = 0.38, P = .003) and women (r = 0.23, P = .052), accounting for approximately 14% and 5% of the total variance, respectively. There was no significant sex difference in pain severity ratings, but women reported a significantly larger area of symptoms on the pain drawings (effect size, 0.61; P = .002). The sex difference in pain drawing area was consistent across different anatomical locations of pain. In women, the final regression model accounted for 39% (P,.001) of the variance in pain drawing area, with anatomical location of pain (b = .42, P,.001) and hypochondriasis (b = .31, P = .005) as the only unique predictors in the final model. In men, the regression model accounted for 27% (P = .003) of the variance in pain drawing area, with pain severity (b = .32, P = .021) and a coping style of ignoring pain (b = -.32, P = .018) as the only unique predictors in the final model. t concluSionS: Women had larger pain drawing area and this area was significantly associated with anatomical location of pain and hy...

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Section: Results Tsupporting

confidence: 88%

Section: Results Tmentioning

confidence: 99%

mentioning

confidence: 99%

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Sex Differences in Pain Drawing Area for Individuals With Chronic Musculoskeletal Pain

George

Bialosky²,

Wittmer³

2007

J Orthop Sports Phys Ther

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“…This finding was contrary to previous studies where the authors reported an insignificant negative correlation with age (34). The association between BMI and the risk of developing knee OA was demonstrable in various other studies too (35).…”

Section: (6-300)contrasting

confidence: 91%

Quality of Life in Knee Osteoarthritis; Correlation with Clinical Measures and the Knee Injury and Osteoarthritis Outcome Score

Aksekili¹,

Fidan²,

Alkan³

et al. 2016

Acta Med Anatol

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Introduction: Osteoarthritis (OA), the most common degenerative joint disorder, affects the quality of lives (QoL) of the sufferers as other chronic disorders. Therefore assessment of QOL is of particular importance. In this study we aimed to evaluate the quality of life (QoL) in patients with knee osteoarthritis by using the Nottingham Health Profile (NHP) and to determine its relationships with disability and pain indices. Methods:Patients with knee OA (n=105), with a mean age of 59.79±10.10 yrs and 50 sex and age-matched healthy controls were included in the study. Age, sex, symptom durations, body mass index (BMI) and Kellgren-Lawrence scores were recorded. NHP was used in assessment of QoL in all patients and controls. Knee injury and Osteoarthritis Outcome Score (KOOS) was used in assessment of disability and pain was assessed by using Visual Analog Scale (VAS) in patients.Results: Patients with knee OA had higher scores in all subgroups of NHP than controls. In patients the NHP total score significantly correlated to presence of effusion, VAS pain and the KOOS subgroups scores. Discussion And Conclusion:The patients with knee OA had a significantly poorer quality of life compared to the healthy persons. Besides, NHP was found to be associated with clinical examination findings and disability. We assume that NHP can effectively be used in evaluation of health status in patients with knee OA. Keywords:The Knee injury and Osteoarthritis Outcome Score, Nottingham Health Profile, knee osteoarthritis. Received: 25.12.2015 Accepted: 18.01.2016 Abstract Introduction

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“…For all types of headache, prevalence is higher for women than for men, including tension-type headache [1 Á/3]. Coping strategies may be gender specific [13]. In this study we chose to concentrate on experiences of women headache sufferers.…”

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confidence: 99%