Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance

Schmitz A-K, Vierhaus M, Lohaus A (2013)
European Journal Of Pain 17(1): 124-131.

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Abstract
Background Laboratory studies with children and adolescents revealed inconsistent findings regarding sex differences in pain tolerance, although lower pain tolerance is commonly reported for adult women. Besides biological mechanisms, several socio-cognitive variables are discussed which may influence pain tolerance in regard to sex differences. The purpose of the present study was to investigate the pain tolerance of children and adolescents using the cold pressor task (CPT) and to analyse influences of pain-coping and pain-related self-efficacy. Methods About 1021 children and adolescents aged 917 participated in the study. Pain tolerance was defined as the length of time a participant's hand remains under water during the CPT. Two phases of pain tolerance were differentiated: the time until pain is reported (pain threshold) and the time from the threshold until the pain increases to a level resulting in the hand being withdrawn (pain endurance). Pain-coping and pain-related self-efficacy were assessed by self-report questionnaires. Results We revealed an obvious effect of sex on pain threshold, which increased with age, a small effect on pain tolerance and no significant effect on endurance. Independent of sex, pain endurance was influenced by pain-related self-efficacy and positive self-instruction. Conclusions Our results support the assumption that female and male adolescents develop in different directions regarding their pain tolerance when reaching puberty. This seems mainly attributable to a decrease of pain threshold in girls. In contrast, boys and girls are able to endure pain to an equal extent influenced, however, by self-efficacy and coping variables.
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Schmitz A-K, Vierhaus M, Lohaus A. Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance. European Journal Of Pain. 2013;17(1):124-131.
Schmitz, A. - K., Vierhaus, M., & Lohaus, A. (2013). Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance. European Journal Of Pain, 17(1), 124-131.
Schmitz, A. - K., Vierhaus, M., and Lohaus, A. (2013). Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance. European Journal Of Pain 17, 124-131.
Schmitz, A.-K., Vierhaus, M., & Lohaus, A., 2013. Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance. European Journal Of Pain, 17(1), p 124-131.
A.-K. Schmitz, M. Vierhaus, and A. Lohaus, “Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance”, European Journal Of Pain, vol. 17, 2013, pp. 124-131.
Schmitz, A.-K., Vierhaus, M., Lohaus, A.: Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance. European Journal Of Pain. 17, 124-131 (2013).
Schmitz, Anne-Katharina, Vierhaus, Marc, and Lohaus, Arnold. “Pain tolerance in children and adolescents: Sex differences and psychosocial influences on pain threshold and endurance”. European Journal Of Pain 17.1 (2013): 124-131.
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18 References

Data provided by Europe PubMed Central.


Bandura, 1997
Human pain responsivity in a tonic pain model: psychological determinants.
Chen AC, Dworkin SF, Haug J, Gehrig J., Pain 37(2), 1989
PMID: 2664663
The role of experiential avoidance in acute pain tolerance: a laboratory test.
Feldner MT, Hekmat H, Zvolensky MJ, Vowles KE, Secrist Z, Leen-Feldner EW., J Behav Ther Exp Psychiatry 37(2), 2006
PMID: 15882839
Sex, gender, and pain: a review of recent clinical and experimental findings.
Fillingim RB, King CD, Ribeiro-Dasilva MC, Rahim-Williams B, Riley JL 3rd., J Pain 10(5), 2009
PMID: 19411059
Coping predictors of children's laboratory-induced pain tolerance, intensity, and unpleasantness.
Lu Q, Tsao JC, Myers CD, Kim SC, Zeltzer LK., J Pain 8(9), 2007
PMID: 17611165
Sex, gender, and age: contributions to laboratory pain responding in children and adolescents.
Myers CD, Tsao JC, Glover DA, Kim SC, Turk N, Zeltzer LK., J Pain 7(8), 2006
PMID: 16885012
Psychosocial contributions to sex-correlated differences in pain
Myers, Clin J Pain 33(), 2003
A self-report measure of pubertal status: Reliability, validity and initial norms
Petersen, J Youth Adolescence 17(), 1988
Gender role expectations of pain: relationship to sex differences in pain.
Robinson ME, Riley JL 3rd, Myers CD, Papas RK, Wise EA, Waxenberg LB, Fillingim RB., J Pain 2(5), 2001
PMID: 14622803
Role of anticipatory anxiety and anxiety sensitivity in children's and adolescents' laboratory pain responses.
Tsao JC, Myers CD, Craske MG, Bursch B, Kim SC, Zeltzer LK., J Pediatr Psychol 29(5), 2004
PMID: 15187176
Guidelines for the cold pressor task as an experimental pain stimulus for use with children.
von Baeyer CL, Piira T, Chambers CT, Trapanotto M, Zeltzer LK., J Pain 6(4), 2005
PMID: 15820909
Die Erfassung des Pubertätsstatus anhand der pubertal development scale: Erste Schritte zur Evaluation einer deutschen Übersetzung
Watzlawik, Diagnostica 55(), 2009

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