Epidemiology, co-morbidity, and impact on health-related quality of life of self-reported headache and musculoskeletal pain--a gender perspective
Abstract
Background Headache and musculo-skeletal pain are major public health problems. Substantial proportions of the general population report that they experience pain problems that affect their work, daily living and social life. Epidemiological studies have consistently shown that the prevalence of most pain conditions is higher in women than in men. Design Cross-sectional survey in the county of Uppland, Sweden, 1995. Five thousand four hundred and four completed the questionnaire (response rate=68%). In these analyses for persons aged 20-64 years 4506 were included. Results Back pain (22.7%) and shoulder pain (21.0%) were the most commonly reported medical problems in the population with pain in arms/legs (15.7%) in fifth and headache (12.5%) in eight place. Major gender differences were found. The prevalence of pain conditions, especially headache, was higher among women. Women reported more severe pain. Co-morbidity between pain conditions and psychiatric and somatic problems was higher among women. Health-related quality of life (SF-36) differed by gender and type of pain condition. The physical dimensions of HRQoL were more affected by headache among men; psychological dimensions were more affected among women. Among both men and women, pain conditions were associated with poorer socioeconomic conditions and life-style factors but there were gender differences. Education and unemployment were important only among men while economical difficulties, half-time work and being…
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Depression, anxiety, general emotional distress, and negative affect are probably the most commonly assessed psychological factors in persistent pain patients.
“Depression, anxiety, and general indices of emotional distress along with a cluster of negative emotions, thoughts, and behaviors termed, “negative affect,” are probably the most commonly-assessed psychological factors in patients with persistent pain 11, 32, 33.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [33]
Chronic pain patients show higher self-reported negative affect than pain-free controls across all such indices.
“Recent systematic reviews indicate that chronic pain patients, relative to pain-free controls, show elevations in all of these indices of self-reported negative affect 33–35.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [33]
Social support is associated with better physical functioning in people with pain conditions.
“social support is found to be associated with improved physical functioning for individuals with pain conditions 33, 87–89.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [33]
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- Authors
- Bingefors, K., & Isacson, D.
- Affiliations
- Uppsala University (SE)
- Corresponding author
- Bingefors, Kerstin
- ORCID
- Bingefors, Kerstin
- Venue
- European Journal of Pain
- Publisher
- Wiley
- Published
- 2004-10
- Volume
- 8
- Issue
- 5
- Pages
- 435-450
- ISSN
- 1090-3801 (ISSN-L)
- 1532-2149
- OpenAlex
- W2132768923
- Cited by
- 380
- References
- 57
- Citations by year
- 2025: 10 · 2024: 4 · 2023: 17 · 2022: 15 · 2021: 26 · 2020: 22 · 2019: 11 · 2018: 17 · 2017: 14 · 2016: 16 · 2015: 10 · 2014: 24 · 2013: 23 · 2012: 25
- FWCI
- 12.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- European Journal of Pain (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Keywords
- headache, musculoskeletal pain, back pain, shoulder pain, gender differences, health-related quality of life, comorbidities, pain prevalence, pain intensity, socioeconomic factors, obesity, sick leave, disability retirement, physical activity, working conditions, women's health
- MeSH terms
- Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Educational Status, Female, Headache, Health Surveys, Humans, Male, Middle Aged, Musculoskeletal Diseases, Obesity, Physical Fitness, Quality of Life, Surveys and Questionnaires, Sex Characteristics, Socioeconomic Factors, Sweden, Unemployment, Comorbidity, Pain Threshold, Marital Status, Sick Leave, Arthralgia, Shoulder Pain
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