Pain Rehabilitation, Mary Free Bed Rehabilitation Hospital, Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
Michigan State University College of Human Medicine, Grand Rapids, MI, USA.
Scand J Pain. 2022 Feb 14;22(2):218-231. doi: 10.1515/sjpain-2021-0188. Print 2022 Apr 26.
Interdisciplinary pain rehabilitation programs (IPRPs) are evidence-based treatments for chronic pain. Previous research has demonstrated that initial presentations of adult men and women admitted to IPRPs differ, but less is known about sex differences in IPRP treatment outcomes. To summarize and synthesize the current literature base on this topic, a systematic literature review was conducted that asked: are sex differences present in participant outcomes upon completion of interdisciplinary pain rehabilitation programs for cisgender patients? Four core domains of outcome measures were assessed: depression, pain catastrophizing, pain interference, and pain intensity/severity.
Relevant studies meeting inclusion criteria were identified using a computer-aided search of the following electronic bibliographic databases: PubMed (MEDLINE), EMBASE, PsycINFO, CENTRAL (via Wiley Online Library), and CINAHL (via EBSCOhost). The reference list of relevant studies identified in the electronic searches was also screened to identify further studies.
This review concluded that most studies did not find any differences related to sex using the four outcome measures included in this review. This implies that specific considerations based on sex may not be needed when providing interdisciplinary pain rehabilitation.
Future research directions include comparison of additional outcome measures and exploring sex and gender issues in IPRP treatment in other formats than as a simple dichotomous variable.
跨学科疼痛康复计划（IPRPs）是慢性疼痛的循证治疗方法。先前的研究表明，接受 IPRP 的成年男女的初始表现存在差异，但对于 IPRP 治疗结果中的性别差异知之甚少。为了总结和综合该主题的现有文献基础，进行了系统的文献回顾，提出了以下问题：在跨学科疼痛康复计划完成后，顺性别患者的参与者结果是否存在性别差异？评估了四个核心领域的结果测量指标：抑郁、疼痛灾难化、疼痛干扰和疼痛强度/严重程度。
使用计算机辅助搜索以下电子书目数据库来确定符合纳入标准的相关研究：PubMed（MEDLINE）、EMBASE、PsycINFO、CENTRAL（通过 Wiley Online Library）和 CINAHL（通过 EBSCOhost）。还对电子搜索中确定的相关研究的参考文献列表进行了筛选，以确定其他研究。
本综述得出的结论是，大多数研究使用本综述中包含的四项结果测量指标都没有发现任何与性别相关的差异。这意味着在提供跨学科疼痛康复时，可能不需要基于性别的具体考虑。
未来的研究方向包括比较其他结果测量指标，并以除简单二分变量以外的其他形式探索 IPRP 治疗中的性别和性别问题。
