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Influences of gender role and anxiety on sex differences in temporal summation of pain
Open accessAbstract
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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“self-efficacy has been shown to be a key mechanism of change in Cognitive-Behavioral Therapy (CBT) for chronic pain 145, 315, 375.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [315]
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“In a study of patients with persistent orofacial pain, self-efficacy mediated the CBT-related improvements in pain and disability 315.”
From Evaluating psychosocial contributions to chronic pain outcomes (2018) · cites this paper as [315]
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Metadata
- 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.
- Venue
- The Journal of Pain
- Publisher
- Elsevier BV
- Published
- 2004-03
- Volume
- 5
- Issue
- 2
- Pages
- 77-82
- ISSN
- 1526-5900 (ISSN-L)
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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