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Comparison of pain thresholds and pain tolerance levels between Middle Easterners and Swedes and between genders
Abstract
OBJECTIVE: This study evaluates the presence of culture and gender differences in pain thresholds and pain tolerance levels between Middle Easterners and Swedes. METHODS: Sixty-four healthy individuals, 32 Middle Easterners (16 men and 16 women, mean age: 24.6 +/- 3.4 years) and 32 Swedes (16 men and 16 women, mean age: 24 +/- 3.5 years) participated in the study. Three experimental pain tests were conducted in each participant. Pain thresholds and pain tolerance levels were measured using an algometer (mechanical stimulus), the PainMatcher((R)) (electric stimulus) and cold pressor test (thermal stimulus). RESULTS: While no significant differences in pain thresholds were observed between Middle Easterners and Swedes in algometer and cold pressor tests, differences in pain tolerance levels were significant (P < 0.01 for both tests). All between-culture differences in pain perception, pain threshold and pain tolerance level were non-significant when measured with the PainMatcher. Significant between-gender differences were observed only in pain threshold with the PainMatcher (P < 0.05) and in pain tolerance level with the algometer (P < 0.01) and the PainMatcher (P <0.001). CONCLUSION: This study found significant differences in two out of three pain tolerance level tests - but not pain threshold tests - between the Middle Eastern and Swedish cultures and between genders. These differences were more pronounced between Middle Eastern and Swedish men than between Middle Eastern and Swedish women. Gender differences were more pronounced within the Swedish than the Middle Eastern culture. These findings indicate that culture and gender influence pain experience.
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Response to treatment for chronic pain differs between sexes.
“In addition, response to treatment differs between sexes [6–10].”
From Chronic pain and sex-differences; women accept and move, while men feel blue (2017) · cites this paper as [7]
Citations
Cites
Gender variations in clinical pain experience
Unruh, A. M. (1996) · Pain · doi:10.1016/0304-3959(95)00214-6 · Cited by 1,550
Berkley, K. J. (1997) · Behavioral and Brain Sciences · doi:10.1017/s0140525x97221485 · Cited by 1,125
Cultural Components in Responses to Pain1
Zborowski, M. (1952) · Journal of Social Issues · doi:10.1111/j.1540-4560.1952.tb01860.x · Cited by 884
Ethnicity as a variable in epidemiological research
Senior, P. A., & Bhopal, R. (1994) · British medical journal · doi:10.1136/bmj.309.6950.327 · Cited by 583
Sex-related hormonal influences on pain and analgesic responses
Fillingim, R. B., & Ness, T. J. (2000) · Neuroscience & Biobehavioral Reviews · doi:10.1016/s0149-7634(00)00017-8 · Cited by 554
Edwards, C. L., Fillingim, R. B., & Keefe, F. J. (2001) · Pain · doi:10.1016/s0304-3959(01)00408-0 · Cited by 493
Gender differences in the responses to noxious stimuli
Fillingim, R. B., & Maixner, W. D. (1995) · Pain Forum · doi:10.1016/s1082-3174(11)80022-x · Cited by 475
Measurement of Subjective Responses: Quantitative Effects of Drugs
(1960) · JAMA · doi:10.1001/jama.1960.03020130117030 · Cited by 467
Pain Tolerance: Differences According to Age, Sex and Race
Woodrow, K. M., FRIEDMAN, G. D., SIEGELAUB, A. B., & Collen, M. F. (1972) · Psychosomatic Medicine · doi:10.1097/00006842-197211000-00007 · Cited by 436
Changes in temporomandibular pain and other symptoms across the menstrual cycle
LeResche, L., Mancl, L., Sherman, J. J., Gandara, B., & Dworkin, S. F. (2003) · Pain · doi:10.1016/j.pain.2003.06.001 · Cited by 415
Variation in migraine prevalence by race
Stewart, W. F., Lipton, R. B., & Liberman, J. N. (1996) · Neurology · doi:10.1212/wnl.47.1.52 · Cited by 403
Rollman, G. B. (1995) · Pain Forum · doi:10.1016/s1082-3174(11)80026-7 · Cited by 399
Temperature and the cold pressor test
Mitchell, L., MacDonald, R., & Brodie, E. E. (2004) · Journal of Pain · doi:10.1016/j.jpain.2004.03.004 · Cited by 376
The effects of experimenter gender on pain report in male and female subjects
Levine, F. M., & Simone, L. L. D. (1991) · Pain · doi:10.1016/0304-3959(91)90149-r · Cited by 369
Ethnic Differences in Pain Tolerance: Clinical Implications in a Chronic Pain Population
Edwards, R. R., Doleys, D. M., Fillingim, R. B., & Lowery, D. (2001) · Psychosomatic Medicine · doi:10.1097/00006842-200103000-00018 · Cited by 358
Giles, B. E., & Walker, J. S. (1999) · Current Opinion in Anaesthesiology · doi:10.1097/00001503-199910000-00017 · Cited by 288
Sex differences in the perception of noxious heat stimuli
Feine, J. S., Bushnell, C. M., Miron, D., & Duncan, G. H. (1991) · Pain · doi:10.1016/0304-3959(91)90094-e · Cited by 278
The effects of experimenter characteristics on pain reports in women and men
Kállai, I., Barke, A., & Voss, U. (2004) · Pain · doi:10.1016/j.pain.2004.08.008 · Cited by 259
Deyo, R. A., Diehl, A. K., Hazuda, H. P., & D, M. P. S. M. (1985) · American Journal of Public Health · doi:10.2105/ajph.75.1.51 · Cited by 236
Ohrbach, R. K., & Gale, E. N. (1989) · Pain · doi:10.1016/0304-3959(89)90189-9 · Cited by 224
RELIABILITY AND RESPONSIVENESS OF THREE DIFFERENT PAIN ASSESSMENTS
Lundeberg, I. L. T. (2001) · Journal of Rehabilitation Medicine · doi:10.1080/165019701753236473 · Cited by 220
Todd, K. H., LEE, T., & Hoffman, J. R. (1994) · Survey of Anesthesiology · doi:10.1097/00132586-199410000-00035 · Cited by 208
Ethnicity and the pain experience
Lipton, J. A., & Marbach, J. J. (1984) · Social Science & Medicine · doi:10.1016/0277-9536(84)90015-7 · Cited by 200
Normative Model for Cold Pressor Test
Walsh, N. E., Schoenfeld, L. S., Ramamurthy, S., & Hoffman, J. (1989) · American Journal of Physical Medicine & Rehabilitation · doi:10.1097/00002060-198902000-00003 · Cited by 199
Todd, K. H. (1994) · JAMA · doi:10.1001/jama.1994.03510360051035 · Cited by 199
Svensson, P., Arendt‐Nielsen, L., Nielsen, H., & Larsen, J. K. (1995) · PubMed · Cited by 189
Analysis of gender effects on pain perception and symptom presentation in temporomandibular pain
Bush, F. M., Harkins, S. W., Harrington, W. G., & Price, D. D. (1993) · Pain · doi:10.1016/0304-3959(93)90058-w · Cited by 188
The Influence of Resting Blood Pressure and Gender on Pain Responses
Fillingim, R. B., & Maixner, W. D. (1996) · Psychosomatic Medicine · doi:10.1097/00006842-199607000-00005 · Cited by 180
Altering gender role expectations: effects on pain tolerance, pain threshold, and pain ratings
Robinson, M. E., Gagnon, C. M., Riley, J. L., & Price, D. D. (2003) · Journal of Pain · doi:10.1016/s1526-5900(03)00559-5 · Cited by 169
Keogh, E., Hatton, K., & Ellery, D. (2000) · Pain · doi:10.1016/s0304-3959(99)00270-5 · Cited by 169
Keogh, E., Bond, F. W., Hanmer, R., & Tilston, J. (2005) · European Journal of Pain · doi:10.1016/j.ejpain.2004.12.005 · Cited by 143
Proceedings of the 8th World Congress on Pain
Jensen, T. S., Turner, J. A., & Wiesenfeld‐Hallin, Z. (1997) · Medical Entomology and Zoology · Cited by 129
McKendall, M. J., & Haier, R. J. (1983) · Psychiatry Research · doi:10.1016/0165-1781(83)90099-9 · Cited by 123
The Influence of Cultural Group on the Undertreatment of Postoperative Pain1
Streltzer, J., & Wade, T. C. (1981) · Psychosomatic Medicine · doi:10.1097/00006842-198110000-00002 · Cited by 116
The detectability, discriminability, and perceived magnitude of painful electrical shock
Rollman, G. B., & Harris, G. (1987) · Perception & Psychophysics · doi:10.3758/bf03203077 · Cited by 111
Mechlin, M. B., Maixner, W., Light, K. C., Fisher, J. M., & Girdler, S. S. (2005) · Psychosomatic Medicine · doi:10.1097/01.psy.0000188466.14546.68 · Cited by 96
Tactile and pain thresholds in the intra- and extra-oral regions of symptom-free subjects
Komiyama, O., & Laat, A. D. (2005) · Pain · doi:10.1016/j.pain.2005.03.006 · Cited by 95
Ethnic Differences Regarding Tactile and Pain Thresholds in the Trigeminal Region
Komiyama, O., Kawara, M., & Laat, A. D. (2007) · Journal of Pain · doi:10.1016/j.jpain.2006.12.002 · Cited by 80
Influence of sex and anxiety on pain threshold and tolerance.
Robin, O., Vinard, H., Vernet-Maury, E., & Saumet, J. (1987) · PubMed · Cited by 80
Cimino, R., Farella, M., Michelotti, A., Pugliese, R., & Martina, R. (2000) · PubMed · Cited by 61
Bernhardt, O., SCHIFFMAN, E. L., & Look, J. O. (2007) · PubMed · Cited by 60
Widmalm, S., Gunn, S. M., CHRISTIANSEN, R. L., & HAWLEY, L. M. (1995) · Journal of Oral Rehabilitation · doi:10.1111/j.1365-2842.1995.tb00241.x · Cited by 60
Koutantji, M., Pearce, S. A., & Oakley, D. A. (1998) · Pain · doi:10.1016/s0304-3959(98)00075-x · Cited by 59
Effect of race and ethnicity on outcomes in arthritis and rheumatic conditions
Jordan, J. M. (1999) · Current Opinion in Rheumatology · doi:10.1097/00002281-199903000-00003 · Cited by 57
Relationship between pain and obesity: An electrophysiological study
Pradalier, A., Jc, W., Boureau, F., & Dry, J. (1981) · Physiology & Behavior · doi:10.1016/0031-9384(81)90354-1 · Cited by 53
Pain amongst ethnic minority groups of South Asian origin in the United Kingdom: a review
Njobvu, P., Hunt, I. M., Pope, D. P., et al. (1999) · Lara D. Veeken · doi:10.1093/rheumatology/38.12.1184 · Cited by 47
Culture: The Missing Variable in Understanding Social Policy?
Baldock, J. (1999) · Social Policy and Administration · doi:10.1111/1467-9515.00163 · Cited by 34
Assessing pain perception using the Painmatcher® in patients with whiplash-associated disorders
Käll, L. B., Kowalski, J. H., & Stener‐Victorin, E. (2008) · Acta Dermato Venereologica · doi:10.2340/16501977-0163 · Cited by 28
Severe weather phobia: An exploratory study
Westefeld, J. S. (1996) · Journal of Clinical Psychology · doi:10.1002/(sici)1097-4679(199609)52:5 · Cited by 19
Anxiety measures during induced experimental pain.
Coulthard, P., & Jp, R. (1993) · PubMed · Cited by 7
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- Zborowski M, 1969, People in pain
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Chronic pain and sex-differences; women accept and move, while men feel blue
Rovner, G. S., Sunnerhagen, K. S., Björkdahl, A., Gerdle, B., Börsbo, B., Johansson, F., & Gillanders, D. (2017) · PLOS ONE · doi:10.1371/journal.pone.0175737 · Cited by 179
Metadata
- Authors
- DAWSON, A., & LIST, T.
- Affiliations
- Malmö University (SE)
- Corresponding author
- LIST, T.
- ORCID
- LIST, T.
- Venue
- Journal of Oral Rehabilitation
- Publisher
- Wiley
- Published
- 2009-03-03
- Volume
- 36
- Issue
- 4
- Pages
- 271-278
- ISSN
- 0305-182X (ISSN-L)
- 1365-2842
- OpenAlex
- W2026407101
- Cited by
- 50
- References
- 50
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 7 · 2023: 2 · 2022: 2 · 2021: 4 · 2020: 4 · 2017: 2 · 2016: 3 · 2015: 2 · 2014: 3 · 2013: 2 · 2012: 3
- FWCI
- 3.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Oral Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Malmö University Publications (Malmö University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Physiology (medical) › Pain Mechanisms and Treatments
- Health Sciences › Medicine › Pediatrics, Perinatology and Child Health › Pediatric Pain Management Techniques
- Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Opioid Use
- Keywords
- pain threshold, pain tolerance, gender differences in pain perception, Swedes, algometry, cold pressor test, cross-cultural comparison
- MeSH terms
- Adult, Cold Temperature, Cultural Characteristics, Electric Stimulation, Female, Humans, Male, Middle East, Pain Measurement, Pressure, Sex Factors, Sweden, Time Factors, Pain Threshold, Young Adult
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