Osteoarthritis

Exploring the association of gender role expectations of pain and measures of pain sensitization in people with knee osteoarthritis: A cross-sectional study

Osteoarthritis CartilagePublished Cross-sectional study

Authors' conclusion

This first exploration of gendered pain sensitivity and pain endurance by males and females has small and clinically unimportant associations with measures of pain sensitization requiring further validation.

Study context

Population
People aged ≥40, English or French speaking, with knee osteoarthritis (OA) (ACR criteria) consulting an orthopedic surgeon57% females
Participants
280 people
Outcome
Association between GREP scores and psychophysical measures of sensitization (pressure pain thresholds (PPTs), Temporal Summation (TS), CPM)
Methodological detailssecondary analyses of a cohort study, multiple linear regression, adjusted for age, BMI, pain catastrophizing, anxio-depressive symptoms and radiographic severity, stratified on median split of Gender Role Expectations of Pain (GREP) scores
  • Secondary analyses of a cohort study
  • Multiple linear regression
  • Adjusted for age, BMI, pain catastrophizing, anxio-depressive symptoms and radiographic severity
  • Stratified on median split of GREP scores

Main finding

As reported in the abstract

Association of GREP pain sensitivity scores with CPM values in males

GREP pain sensitivity scores in males vs Conditioned Pain Modulation (CPM) values, β

0.09 (0.01 to 0.17) (95% CI)

Observational data: associations, not effects.

Further findings

Males with low GREP pain sensitivity or pain endurance (stratified)

Very small to small positive associations with PPT and CPM values

Original publication

Exploring the association of gender role expectations of pain and measures of pain sensitization in people with knee osteoarthritis: A cross-sectional study. Osteoarthritis Cartilage. Published 2 April 2024. doi:10.1016/j.joca.2024.03.117

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