Cited by 233Pain Mechanisms and TreatmentsPain Management and Placebo EffectPediatric Pain Management Techniques

Gender differences in pain ratings and pupil reactions to painful pressure stimuli

Ellermeier, Wolfgang, Westphal, Wolfgang·1995·Pain

Abstract

In order to investigate gender differences in pain perception, the present study employed both a psychophysical and a psychophysiological measure. In experiment 1, 20 subjects rated the painfulness of 4 different levels of tonic pressure applied to their fingers using a verbally anchored categorization procedure. In general agreement with studies of pain threshold and tolerance, female subjects reported greater pain at high levels of stimulation, with no gender difference being evident at low pressure levels. In experiment 2, 16 different subjects were exposed to the same painful pressure stimuli while measuring their pupil reactions using infrared video pupillometry. The pupil dilations seen during the last 10 sec of the 20-sec pressure application turned out to be a highly significant indicator of pain intensity. When female and male subjects were compared on this measure, a similar divergent pattern as in the psychophysical data emerged, with female subjects showing greater pupil dilations at high pressure levels only. The fact that gender differences in pain perception can be demonstrated using an autonomic indicator of pain that is beyond voluntary control suggests that these differences reflect low-level sensory and/or affective components of pain rather than attitudinal or response-bias factors.

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Crossref · 10.1016/0304-3959(94)00203-q

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  • Having a supportive partner is associated with reduced symptom burden including less pain, improved quality of life, and fewer distress symptoms in patients with chronic lymphocytic leukemia, metastatic breast cancer, and colorectal cancer.

    “the presence of a supportive partner has been associated with reduced symptom burden (including less pain), improved quality of life, and fewer symptoms of distress in patients with chronic lymphocytic leukemia 92, metastatic breast cancer 93, 94, and other cancer types such as colorectal cancer95, 96.”

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Authors
Ellermeier, W., & Westphal, W.
Affiliations
University of Würzburg (DE)
Corresponding author
Ellermeier, Wolfgang
Venue
Pain
Published
1995-06
Volume
61
Issue
3
Pages
435-439
ISSN
0304-3959 (ISSN-L)
OpenAlex
W2070947554
Cited by
233
References
23
Citations by year
2026: 5 · 2025: 6 · 2024: 4 · 2023: 3 · 2022: 6 · 2021: 8 · 2020: 11 · 2019: 13 · 2018: 6 · 2017: 11 · 2016: 5 · 2015: 4 · 2014: 12 · 2013: 9 · 2012: 8
FWCI
4.64
Type
journal article
Language
en
Open access
closed
Locations
  • Pain (publishedVersion)
  • PubMed (publishedVersion)
Funders
Wilhelm Sander-Stiftung
Topics
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
gender differences, pain perception, pain intensity, pupil dilation, pupillometry, sex differences in pain
MeSH terms
Female, Humans, Male, Pain Measurement, Perception, Reflex, Pupillary, Sex Characteristics, Stress, Mechanical, Students

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