慢性疼痛与性别差异；女性接受并行动，而男性情绪低落。
Chronic pain and sex-differences; women accept and move, while men feel blue.
作者信息
Rovner Graciela S, Sunnerhagen Katharina S, Björkdahl Ann, Gerdle Björn, Börsbo Björn, Johansson Fredrik, Gillanders David
机构信息
Rehabilitation Medicine, Institute of Neuroscience and Physiology, University of Gothenburg at Sahlgrenska Academy, Gothenburg, Sweden.
Division of Rehabilitation Medicine, Department of Clinical Sciences, Karolinska Institutet Danderyd University Hospital, Stockholm, Sweden.
出版信息
PLoS One. 2017 Apr 25;12(4):e0175737. doi: 10.1371/journal.pone.0175737. eCollection 2017.
PURPOSE
The aim of this study is to explore differences between male and female patients entering a rehabilitation program at a pain clinic in order to gain a greater understanding of different approaches to be used in rehabilitation.
METHOD
1371 patients referred to a specialty pain rehabilitation clinic, completed sociodemographic and pain related questionnaires. They rated their pain acceptance (CPAQ-8), their kinesiophobia (TSK), the impact of pain in their life (MPI), anxiety and depression levels (HAD) and quality of life scales: the SF-36, LiSat-11, and the EQ-5D. Because of the large sample size of the study, the significance level was set at the p ≤.01.
RESULTS
Analysis by t-test showed that when both sexes experience the same pain severity, women report significantly higher activity level, pain acceptance and social support while men report higher kinesiophobia, mood disturbances and lower activity level.
CONCLUSION
Pain acceptance (CPAQ-8) and kinesiophobia (TSK) showed the clearest differences between men and women. Pain acceptance and kinesiophobia are behaviorally defined and have the potential to be changed.
目的
本研究旨在探讨进入疼痛诊所康复项目的男性和女性患者之间的差异，以便更好地理解康复中可采用的不同方法。
方法
1371名被转诊至专科疼痛康复诊所的患者完成了社会人口统计学和疼痛相关问卷。他们对自己的疼痛接纳程度（CPAQ - 8）、运动恐惧（TSK）、疼痛对生活的影响（MPI）、焦虑和抑郁水平（HAD）以及生活质量量表：SF - 36、LiSat - 11和EQ - 5D进行了评分。由于研究样本量较大，显著性水平设定为p≤0.01。
结果
t检验分析表明，当两性经历相同程度的疼痛时，女性报告的活动水平、疼痛接纳程度和社会支持显著更高，而男性报告的运动恐惧、情绪障碍和活动水平更低。
结论
疼痛接纳程度（CPAQ - 8）和运动恐惧（TSK）在男性和女性之间表现出最明显的差异。疼痛接纳程度和运动恐惧是行为学定义的，并且有可能被改变。
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