Keogh Edmund, Denford Sarah
Department of Psychology and Centre for Pain Research, University of Bath, Bath, United Kingdom.
Eur J Pain. 2009 Jul;13(6):629-34. doi: 10.1016/j.ejpain.2008.07.002. Epub 2008 Aug 31.
Sex differences are generally found in the perception and experience of pain, with women reporting more intense and frequent pain than men. One reason why such differences may occur has been linked to socially-acquired gender-role expectations associated with pain. Although there is evidence that men and women report using different pain coping strategies, we do not know the extent to which gender-specific expectations are associated with pain-related coping. The current study sought to examine this in more detail by administering a standard pain coping measures on three separate occasions, but with different instructions. Hundred and twenty two participants (57 male, 65 female) were asked to complete the coping measure as themselves, then again as they would expect the typical man and the typical woman to complete it. Results indicated that there were no significant differences between men and women in their own self-reported usage of pain coping strategies. However, there was general evidence to suggest that there are differences in stereotypical views of how men and women are thought to cope with pain. Furthermore, sex differences were also found in how participants viewed their own coping behaviours in comparison to that of the typical man and typical woman. These results confirm that alongside pain, men and women hold different gender-specific expectations with respect to certain pain coping strategies. Future research is required to examine whether these different coping expectations influence an individuals own choice of strategy, and whether this in turn affects actual pain experiences.
一般来说,在疼痛的感知和体验方面存在性别差异,女性报告的疼痛比男性更强烈、更频繁。出现这种差异的一个原因与社会习得的与疼痛相关的性别角色期望有关。虽然有证据表明男性和女性报告使用不同的疼痛应对策略,但我们不知道特定性别的期望与疼痛相关应对之间的关联程度。当前的研究试图通过在三个不同场合实施标准的疼痛应对措施,但给出不同的指导语,来更详细地研究这一问题。122名参与者(57名男性,65名女性)被要求先以自己的身份完成应对措施,然后再分别以他们期望典型男性和典型女性完成的方式来完成。结果表明,男性和女性在自我报告的疼痛应对策略使用上没有显著差异。然而,有普遍证据表明,在人们对男性和女性如何应对疼痛的刻板印象上存在差异。此外,在参与者如何将自己的应对行为与典型男性和典型女性的应对行为进行比较方面也发现了性别差异。这些结果证实,除了疼痛之外,男性和女性在某些疼痛应对策略方面也持有不同的特定性别期望。未来的研究需要考察这些不同的应对期望是否会影响个体自己的策略选择,以及这是否反过来会影响实际的疼痛体验。