A contextual approach on sex-related biases in pain judgements: the moderator effects of evidence of pathology and patients' distress cues on nurses' judgements of chronic low-back pain.

作者: Sónia F. Bernardes , Maria Luísa Lima

DOI: 10.1080/08870446.2011.553680

关键词:

摘要: Although women report feeling more pain than men, their is often underdiagnosed and undertreated. By proposing a gender-based theoretical conceptualisation, we argue that such sex-related biases may be enhanced or suppressed by contextual variables pertaining to the clinical situation, perceiver patient. Consequently, aimed explore moderator role of two clinically relevant in chronic low-back (CLBP) scenario: diagnostic evidence pathology (EP) behaviours conveying distress. One-hundred twenty-six female nurses (M = 35.33, SD = 7.64) participated an experimental between-subjects design, 2 (patient's sex) × 2 (EP: present vs. absent) × 2 (pain behaviours: with without distress). Independent were operationalised vignettes depicting patient CLBP. Nurses judged patient's on several dimensions: (1) credibility; (2) disability; (3) severity situation; (4) psychological attributions (5) willingness t...

参考文章(63)
Michael E. Robinson, Emily A. Wise, Joseph L. Riley III, James W. Atchison, Sex Differences in Clinical Pain: A Multisample Study Journal of Clinical Psychology in Medical Settings. ,vol. 5, pp. 413- 424 ,(1998) , 10.1023/A:1026282210848
John T. Chibnall, Raymond C. Tait, Lisa R. Ross, The Effects of Medical Evidence and Pain Intensity on Medical Student Judgments of Chronic Pain Patients Journal of Behavioral Medicine. ,vol. 20, pp. 257- 271 ,(1997) , 10.1023/A:1025504827787
Daniel Todd Gilbert, Susan T Fiske, Gardner Lindzey, The Handbook of Social Psychology ,(1985)
A.Z. Murphy, K.J. Berkley, A. Holdcroft, Pain: Sex/Gender Differences Hormones, brain and behavior. ,vol. 90, pp. 2853- 2876 ,(2002) , 10.1016/B978-008088783-8.00090-5
Yaacov Trope, Shelly Chaiken, Dual-process theories in social psychology Guilford Press. ,(1999)
Jon Streltzer, Textbook of Pain, 4th ed The Journal of Clinical Psychiatry. ,vol. 62, pp. 660- 660 ,(2001) , 10.4088/JCP.V62N0814C
Raymond C. Tait, John T. Chibnall, Physician judgments of chronic pain patients Social Science & Medicine. ,vol. 45, pp. 1199- 1205 ,(1997) , 10.1016/S0277-9536(97)00033-6
Gordon J.G. Asmundson, Joel Katz, Understanding the co-occurrence of anxiety disorders and chronic pain: state-of-the-art. Depression and Anxiety. ,vol. 26, pp. 888- 901 ,(2009) , 10.1002/DA.20600
Emma Loveman, Anthony Gale, Factors influencing nurses' inferences about patient pain. British journal of nursing. ,vol. 9, pp. 334- 337 ,(2000) , 10.12968/BJON.2000.9.6.6336
Michael Blum, Martin Slade, Donna Boden, Henry Cabin, Teresa Caulin-Glaser, Examination of gender bias in the evaluation and treatment of angina pectoris by cardiologists American Journal of Cardiology. ,vol. 93, pp. 765- 767 ,(2004) , 10.1016/J.AMJCARD.2003.12.007