Document Detail

Does sex make a difference in the prescription of treatments and the adaptation to chronic pain by cancer and non-cancer patients?
MedLine Citation:
PMID:  10467919     Owner:  NLM     Status:  MEDLINE    
The literature suggests that the sex of patients is an important factor in understanding how they are treated by health care professionals and how they adapt to their symptoms. In two groups of patients with chronic pain (n = 428 non-cancer (Study 1) and n = 143 cancer-related (Study 2)), men and women were compared on medications prescribed, treatment history, and coping and adaptation. In Study 1 with the non-cancer pain patients, there were no significant differences between the sexes in past treatments, current analgesic use, pain, or disability. Women were significantly more depressed and were more likely to receive antidepressants than men. Subgrouping patients on the basis of pain-adaptation responses yielded groups with distinct psychosocial and behavioral characteristics. In Study 2 with the cancer pain patients, men and women did not show significant differences on any variables. Consistent with the results of Study 1, however, psychological subgroups differed significantly in pain severity, mood and disability regardless of sex. The results of both studies suggest that the role of patients' sex in chronic pain may be less important than their psychosocial and behavioral responses. Thus, it appears that knowing the psychological characteristics of patients may be more important than their sex.
D C Turk; A Okifuji
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Controlled Clinical Trial; Journal Article    
Journal Detail:
Title:  Pain     Volume:  82     ISSN:  0304-3959     ISO Abbreviation:  Pain     Publication Date:  1999 Aug 
Date Detail:
Created Date:  1999-10-19     Completed Date:  1999-10-19     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  7508686     Medline TA:  Pain     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  139-48     Citation Subset:  IM    
University of Washington School of Medicine, Seattle 98195, USA.
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MeSH Terms
Adaptation, Psychological*
Analysis of Variance
Chronic Disease
Depression / etiology
Drug Prescriptions*
Musculoskeletal Physiological Phenomena
Neoplasms / complications,  psychology*
Pain / drug therapy*,  psychology
Pain Measurement
Sex Factors
Social Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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