Cited by 193Pain Mechanisms and TreatmentsPain Management and Placebo EffectSex and Gender in Healthcare

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Influences of gender role and anxiety on sex differences in temporal summation of pain

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Robinson, Michael E., Wise, Emily A., Gagnon, Christine, Fillingim, Roger B., Price, Donald D.·2004·The Journal of Pain

DOI 10.1016/j.jpain.2003.11.004

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Abstract

Unlabelled Previous research has consistently shown moderate to large differences between pain reports of men and women undergoing experimental pain testing. These differences have been shown for a variety of types of stimulation. However, only recently have sex differences been demonstrated for temporal summation of second pain. This study examined sex differences in response to temporal summation of second pain elicited by thermal stimulation of the skin. The relative influences of state anxiety and gender role expectations on temporal summation were investigated. Asymptomatic undergraduates (37 women and 30 men) underwent thermal testing of the thenar surface of the hand in a temporal summation protocol. Our results replicated those of Fillingim et al indicating that women showed increased temporal summation compared to men. We extended those findings to demonstrate that temporal summation is influenced by anxiety and gender role stereotypes about pain responding. When anxiety and gender role stereotypes are taken into account, sex is no longer a significant predictor of temporal summation. These findings highlight the contribution of social learning factors in the differences between sexes' pain perception.Perspective Results of this study demonstrate that psychosocial variables influence pain mechanisms. Temporal summation was related to gender role expectations of pain and anxiety. These variables explain a significant portion of the differences between men and women's pain processing, and may be related to differences in clinical presentation.

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Authors: Robinson, M. E., Wise, E. A., Gagnon, C., Fillingim, R. B., & Price, D. D.
Affiliations: University of Florida (US)
Corresponding author: Robinson, Michael E.
ORCID: Robinson, Michael E.
Fillingim, Roger B.
Price, Donald D.
Venue: The Journal of Pain
Publisher: Elsevier BV
Published: 2004-03
Volume: 5
Issue: 2
Pages: 77-82
ISSN: 1526-5900 (ISSN-L)
DOI: 10.1016/j.jpain.2003.11.004
OpenAlex: W1997184829
Cited by: 193
References: 26
Citations by year: 2026: 1 · 2025: 3 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 8 · 2020: 7 · 2019: 12 · 2018: 12 · 2017: 7 · 2016: 9 · 2015: 6 · 2014: 8 · 2013: 11 · 2012: 12
FWCI: 6.78
Type: journal article
Language: en
Open access: bronze
doi.org
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
www.elsevier.com/open-access/userlicense/1.0/ (vor, 7133 d)
Locations: Journal of Pain (publishedVersion)
PubMed (publishedVersion)
Funders: National Institute of Dental and Craniofacial Research (R01DE013208, 1R01 DE13208-01A2)
Topics: Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
Life Sciences › Neuroscience › Cognitive Neuroscience › Pain Management and Placebo Effect
Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
Keywords: sex differences in pain, gender role stereotypes, state anxiety, pain perception, thermal pain, psychosocial factors in pain, social learning
MeSH terms: Adolescent, Adult, Anxiety, Female, Gender Identity, Hot Temperature, Humans, Male, Pain, Perception, Regression Analysis, Sex Characteristics

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Influences of gender role and anxiety on sex differences in temporal summation of pain

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