Gender differences in outcomes of a multimodal pain management program

Pieh, Christoph; Altmeppen, Jürgen; Neumeier, Susanne; Loew, Thomas; Angerer, Michael; Lahmann, Claas

doi:10.1016/j.pain.2011.10.016

Cited by 110Musculoskeletal pain and rehabilitationPain Management and TreatmentPain Management and Opioid Use

Gender differences in outcomes of a multimodal pain management program

Pieh, Christoph, Altmeppen, Jürgen, Neumeier, Susanne, Loew, Thomas, Angerer, Michael, Lahmann, Claas·2012·Pain

DOI 10.1016/j.pain.2011.10.016

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Abstract

Although gender differences in pain and analgesia are well known, it still remains unclear whether men and women vary in response to multimodal pain treatment. This study was conducted to investigate whether men and women exhibited different outcomes after an intensive multimodal pain treatment program. The daily outpatient program consisted of individual treatment as well as group therapy, with a total amount of therapy of 117.5h per patient. Overall, 496 patients (254 women) completed the multimodal program. Pretreatment parameters for pain, disability due to pain, pain duration, and pain chronicity stage, as well as age or psychiatric comorbidities, did not differ between genders. The average pain, measured with a Numeric Rating Scale, decreased after treatment of -1.54 (±1.96) with a large effect size (ES) of .911 for the total sample. However, there were considerable differences in the benefit for women (-1.83±2.12; ES 1.045) compared with men (-1.23±1.74; ES .758). Consistently, women (ES .694) improved more in pain-related disabilities in daily life than men (ES .436). These distinctions are not due to differences in pain duration, received medication, psychiatric comorbidities, pain chronicity stage, or application for a disability pension. Therefore, gender differences not only refer to chronic pain prevalence, pain perception, or experimental pain measurement, but also seem to have a clinically relevant impact on the response to pain therapy.

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Sex differences in multidisciplinary chronic pain treatment outcomes
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Do men and women differ in their response to interdisciplinary chronic pain management?
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An Evaluation of Sex Differences in Patients With Chronic Pain Undergoing an Interdisciplinary Pain Treatment Program
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Comparison of two multimodal pain rehabilitation programmes, in relation to sex and age
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Authors: Pieh, C., Altmeppen, J., Neumeier, S., Loew, T., Angerer, M., & Lahmann, C.
Affiliations: Klinikum Weiden (DE)
University of Regensburg (DE)
Technical University of Munich (DE)
Corresponding author: Pieh, Christoph
ORCID: Pieh, Christoph
Loew, Thomas
Lahmann, Claas
Venue: Pain
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2012-01
Volume: 153
Issue: 1
Pages: 197-202
ISSN: 0304-3959 (ISSN-L)
DOI: 10.1016/j.pain.2011.10.016
OpenAlex: W2054788830
Cited by: 110
References: 40
Citations by year: 2026: 6 · 2025: 8 · 2024: 8 · 2023: 7 · 2022: 9 · 2021: 10 · 2020: 8 · 2019: 9 · 2018: 10 · 2017: 2 · 2016: 12 · 2015: 4 · 2014: 6 · 2013: 7 · 2012: 2
FWCI: 3.51
Type: journal article
Language: en
Open access: closed
Locations: Pain (publishedVersion)
PubMed (publishedVersion)
mediaTUM (Technical University of Munich) (submittedVersion)
Topics: Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
Keywords: gender differences, multimodal pain management, chronic pain, pain-related disability, treatment response, group therapy, women
MeSH terms: Adult, Aged, Disability Evaluation, Female, Persons with Disabilities, Disabled Persons, Humans, Male, Middle Aged, Pain Measurement, Psychotherapy, Group, Sex Factors, Cognitive Behavioral Therapy, Treatment Outcome, Physical Therapy Modalities, Chronic Pain, Pain Management

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Gender differences in outcomes of a multimodal pain management program

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