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

The DOI matches its Crossref record; 37 of the 40 references it cites were found in a registry or an index.

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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  1. Frettloh, 2003, Validation of the German Mainz Pain Staging System in different pain syndromes., Schmerz, 17, 240

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Metadata

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
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 › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › 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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