Cited by 76Musculoskeletal pain and rehabilitationPain Mechanisms and TreatmentsPediatric Pain Management Techniques

Sex differences in negative emotional responses to chronic pain

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Riley, Joseph L., Robinson, Michael E., Wade, James B., Myers, Cynthia D., Price, Donald D.·2001·The Journal of Pain

Abstract

We proposed a sequential model of pain processing with pain intensity as stage 1, pain unpleasantness as stage 2, pain-related emotions (depression, anxiety, frustration, anger, fear) as stage 3, and overt behavioral expression of pain as stage 4. We tested hypotheses about relationships between sex and the first 3 stages of pain processing by conducting simultaneous regression analysis using LISREL-8 with data collected from 967 women and 680 men with chronic pain. We found the following results: (1) women reported higher pain-related frustration and fear; (2) frustration related most highly to pain intensity among women, as compared with anxiety and depression among men; (3) depression and frustration related most highly to usual and highest pain unpleasantness among women, as compared with frustration among men; and (4) contrary to expectations, pain-related emotions were more strongly related to pain for men. Consistent with the sequential model of pain processing, emotional response to pain was more closely related to pain unpleasantness than to pain intensity across sex. Anxiety and frustration were the emotions most highly related to pain. The current results highlight sex differences in the experience of chronic pain and the importance of assessing a range of emotions in patients with pain.

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Crossref · 10.1054/jpai.2001.27000

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  1. Robinson ME, Riley JL: Role of negative emotions in pain, in RJ Gatchel, DC Turk (eds): Psychosocial Factors in Pain. New York, NY, Guilford Press, 1998, pp 74-88

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Authors
Riley, J. L., Robinson, M. E., Wade, J. B., Myers, C. D., & Price, D. D.
Affiliations
  • University of Florida Health (US)
  • Virginia Commonwealth University (US)
  • University of Florida (US)
Venue
The Journal of Pain
Publisher
Elsevier BV
Published
2001-12
Volume
2
Issue
6
Pages
354-359
ISSN
1526-5900 (ISSN-L)
OpenAlex
W2047319884
Cited by
76
References
34
Citations by year
2026: 2 · 2025: 1 · 2024: 5 · 2023: 1 · 2022: 3 · 2021: 4 · 2020: 1 · 2019: 5 · 2018: 2 · 2017: 4 · 2015: 2 · 2014: 4 · 2013: 1 · 2012: 2
FWCI
2.69
Type
journal article
Language
en
Open access
Locations
  • Journal of Pain (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
  • Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
Keywords
sex differences, chronic pain, pain-related emotions, pain unpleasantness, pain intensity, frustration, fear, anxiety, depression, anger, emotional response to pain

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