| Gender Differences Associated with Pain Patterns and Psychological Variables in Chronic Musculoskeletal Pain Patients. |
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Lim, Kil Byung , Lee, Hong Jae , Kim, Dug Young , Lee, Kyung Tae , Kim, Ji Yeong , Kim, Seong Soo , Kim, Young Sup |
1Department of Rehabilitation Medicine, Inje University College of Medicine, Ilsanpaik Hospital, Korea. realranma@naver.com
2Institute of Sports Rehabilitation, Inje University, Korea.
3Rehabilitation Psychology, Ilsanpaik Hospital, Korea. |
| 만성 근골격계 통증 환자에서 성별에 따른 통증 양상과 심리적 변인의 차이 |
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임길병, 이홍재, 김덕영1, 이경태, 김지영2, 김성수, 김영섭 |
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인제대학교 의과대학 일산백병원 재활의학교실, 1인제대학교 스포츠재활연구소, 2일산백병원 재활심리실 |
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| Abstract |
Objective
To investigate gender differences in pain patterns and psychological variables among patients with chronic musculoskeletal pain.
Method
Thirty-five male and thirty-eight female patients who visited our outpatient clinic due to chronic musculoskeletal pain were evaluated using a questionnaire survey. Chronic musculoskeletal pain was defined as pain lasting longer than 6 months. Patients were evaluated with visual analogue scale (VAS), pain site, pain duration and frequency. Beck depression inventory, state-trait anxiety index, somatization scale of symptom checklist-revised, symptom interpretation questionnaire, and pain catastrophizing scale were checked for psychological variables. Correlations among each variable were evaluated statistically.
Results
Female patients with chronic musculoskeletal pain recorded higher scores on number of pain site, pain catastrophizing scale, rumination, magnification and catastrophic attribution than male patients (p＜0.05). In female patients, VAS was correlated significantly with depression, static anxiety, somatization, catastrophizing thought. rumination, magnification, helpless, and catastrophic attribution. Pain frequency was correlated significantly with somatization, catastrophizing thought, rumination, and helpless. Number of pain site was correlated with somatization, catastrophizing thought, magnification, and helpless. The correlation between pain patterns and psychological variables was also observed in male patients, but statistically less significant than female patients.
Conclusion
We found gender difference associated with pain patterns and psychological variables in chronic musculoskeletal pain patients. Consideration of psychological factors may be important for management in female patients with chronic musculoskeletal pain. (J Korean Acad Rehab Med 2010; 34: 197-203) |
| Key Words:
Chronic musculoskeletal pain, Gender difference, Psychological variables |
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