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Concept priming and pain: an experimental approach to understanding gender roles in sex-related pain differences

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Abstract

Prior research has found that sex differences in pain are partially due to individual variations in gender roles. In a laboratory study, we tested the hypothesis that the presence of covert gender role cues can also moderate the extent to which women and men experience pain. Specifically, we varied gender role cues by asking male and female participants to write about instances in which they behaved in a stereotypically feminine, masculine, or neutral manner. Pain and cardiovascular reactivity to the cold pressor task were then assessed. Results revealed that, when primed with femininity, men reported less pain and anxiety from the cold pressor task than women. However, no differences existed between the sexes in the masculine or neutral prime conditions. The results indicate that covert gender cues can alter pain reports. Further, at least in some situations, feminine role cues may be more influential on pain reports than masculine role cues.

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References

  • Applegate, K. L., Keefe, F. J., Siegler, I. C., Bradley, L. A., McKee, D. C., Cooper, K. S., et al. (2005). Does personality at college entry predict number of reported pain conditions at mid-life? A longitudinal study. Journal of Pain, 6, 92–97.

    Article  PubMed  Google Scholar 

  • Bargh, J. A., & Chartrand, T. L. (2000). The mind in the middle: A practical guide to priming and automaticity research. In H. T. Reis & C. M. Judd (Eds.), Handbook of research methods in social and personality psychology (pp. 253–285). New York: Cambridge University Press.

    Google Scholar 

  • Bem, S. L. (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology, 42, 155–162.

    Article  PubMed  CAS  Google Scholar 

  • Bem, S. L. (1975). Sex role adaptability: One consequence of psychological androgyny. Journal of Personality and Social Psychology, 31, 624–643.

    Article  Google Scholar 

  • Bem, S. L. (1981). Gender schema theory: A cognitive account of sex-typing. Psychological Review, 88, 354–364.

    Article  Google Scholar 

  • Bem, S. L. (1984). Androgyny and gender schema theory: A conceptual and empirical integration. In T. B. Sonderegger (Ed.), Psychology and gender: Nebraska symposium on motivation (pp. 179–226). Lincoln, NE: University of Nebraska Press.

    Google Scholar 

  • Bendelow, G. A. (2000). Pain and gender. London, UK: Prentice Hall.

    Google Scholar 

  • Berkley, K., Hoffman, G., Holdcroft, A., & Murphy, A. (2002). Pain: Sex/gender differences. In D. Pfaff, A. Arnold, A. Etgen, S. Fahrbach, & R. Rubin (Eds.), Hormones, brain, and behavior (Vol. 5, pp. 409–442). London: Academic Press.

    Chapter  Google Scholar 

  • Bernardes, S. F., Keogh, E., & Lima, M. L. (2008). Bridging the gap between pain and gender research: A selective literature review. European Journal of Pain, 12, 427–440.

    PubMed  Google Scholar 

  • Deaux, K. (1985). Sex and gender. Annual Review of Psychology, 36, 49–81.

    Article  Google Scholar 

  • Defrin, R., Shramm, L., & Eli, I. (2009). Gender role expectations of pain is associated with pain tolerance limit but not with pain threshold. Pain, 145, 230–236.

    Article  PubMed  Google Scholar 

  • Fagot, B. I. (1977). Consequences of moderate cross-gender behavior in preschool children. Child Development, 48, 902–907.

    Article  Google Scholar 

  • Fagot, B. I., & Hagon, R. (1991). Observations of parent reactions to sex-stereotyped behaviors: Age and sex effects. Child Development, 62, 617–628.

    Article  PubMed  CAS  Google Scholar 

  • Festinger, L. (1957). A theory of cognitive dissonance. Stanford, CA: Stanford University Press.

    Google Scholar 

  • Fillingim, R. B. (2000). Sex, gender, and pain: Women and men really are different. Current Review of Pain, 4, 24–30.

    PubMed  CAS  Google Scholar 

  • Fillingim, R. B., Browning, A. D., Powell, T., & Wright, R. (2002). Sex differences in perceptual and cardiovascular responses to pain: The influence of a perceived ability manipulation. The Journal of Pain, 6, 439–445.

    Article  Google Scholar 

  • Fillingim, R. B., & Maixner, W. (1995). Gender differences in the responses to noxious stimuli. Pain Forum, 4, 209–221.

    Google Scholar 

  • Geers, A. L., Weiland, P. E., Kosbab, K., Landry, S. J., & Helfer, S. G. (2005). Goal activation, expectations, and the placebo effect. Journal of Personality and Social Psychology, 89, 143–159.

    Article  PubMed  Google Scholar 

  • Geers, A. L., Wellman, J. A., Helfer, S. G., Fowler, S. L., & France, C. R. (2008). Dispositional optimism and thoughts of well-being determine sensitivity to an experimental pain task. Annuals of Behavioral Medicine, 36, 304–313.

    Article  Google Scholar 

  • Holdcroft, A. I., & Berkley, K. J. (2005). Sex and gender differences in pain and its relief. In S. B. McMahon, M. Koltzenburg, P. D. Wall, & R. Melzack (Eds.), Wall and Melzack’s textbook of pain (3rd ed., pp. 1181–1197). Edinburgh: Elsevier Churchill Livingstone.

    Google Scholar 

  • Keogh, E., & Eccleston, C. (2006). Sex differences in adolescent chronic pain and pain-related coping. Pain, 123, 275–284.

    Article  PubMed  Google Scholar 

  • Maixner, W., & Humphrey, C. (1993). Gender differences in pain and cardiovascular responses to forearm ischemia. Clinical Journal of Pain, 8, 16–25.

    Article  Google Scholar 

  • Mechanic, D. (1964). The influence of mothers on their children’s health attitudes and behavior. Pediatric, 33, 444–453.

    CAS  Google Scholar 

  • Meier-Pesti, K., & Penz, E. (2008). Sex or gender? Expanding the sex-based view by introducing masculinity and femininity as predictors of financial risk taking. Journal of Economic Psychology, 29, 180–196.

    Article  Google Scholar 

  • Melzack, R. (1987). The short form of the McGill pain questionnaire. Pain, 30, 191–197.

    Article  PubMed  CAS  Google Scholar 

  • Mogil, J. S., Chesler, E. J., Wilson, S. G., Juraska, J. M., & Sternberg, W. F. (2000). Sex differences in thermal nociception and morphine antinociception in rodents depend on genotype. Neuroscience and Biobehavioral Reviews, 24, 375–389.

    Article  PubMed  CAS  Google Scholar 

  • Myers, C. D., Riley, J. L., III, & Robinson, M. E. (2003). Psychosocial contributions to sex-correlated differences in pain. Clinical Journal of Pain, 19, 225–232.

    Article  PubMed  Google Scholar 

  • Myers, C. D., Riley, J. L., III, Robinson, M. E., & Sheffield, D. (2001). Cardiovascular reactivity and gender-role: Contributions to experimental pain report. Psychosomatic Medicine, 63, 545–550.

    PubMed  CAS  Google Scholar 

  • Myers, C. D., Tsao, J. C. I., Glover, D. A., Kim, S. C., Turk, N., & Zelter, L. K. (2006). Sex, gender, and age: Contributions to laboratory pain responding in children and adolescence. The Journal of Pain, 7, 556–564.

    Article  PubMed  Google Scholar 

  • Ni, H., Wu, C., Prineas, R., Shea, S., Lui, K., Kronmal, R., et al. (2006). Comparison of Dinamap PRO-100 and mercury sphygmomanometer blood pressure measurements in a population-based study. American Journal of Hypertenion, 19, 353–360.

    Article  Google Scholar 

  • Ortner, T. M., & Sieverding, M. (2008). Where are the gender differences? Male priming boosts spatial skills in women. Sex Roles, 59, 274–281.

    Article  Google Scholar 

  • Otto, M. W., & Dougher, M. J. (1985). Sex differences and personality factors in responsivity to pain. Perceptual Motor Skills, 61, 383–39032.

    CAS  Google Scholar 

  • Peckerman, A., Huritz, B., Saab, P. G., Llabre, M. M., McCabe, P. M., & Schneiderman, N. (1994). Stimulus components of the cold pressor test and associated patterns of cardiovascular response. Psychophysiology, 31, 282–290.

    Article  PubMed  CAS  Google Scholar 

  • Peckerman, A., Saab, P. G., McCabe, P. M., Skyler, J. S., Winters, R. W., Llabre, M. M., et al. (1991). Blood pressure reactivity and perception of pain during the forehead cold-pressor task. Psychophysiology, 28, 485–495.

    Article  PubMed  CAS  Google Scholar 

  • Pennebaker, J. W., & Francis, M. E. (1999). Linguistic inquiry and word count (LIWC): A computerized text analysis software program. Mahwah, NJ: Lawrence Erlbaum Associates, Inc.

    Google Scholar 

  • Riley, J. L., III, Robinson, M. E., Wise, E. A., Myers, C. D., & Fillingim, R. B. (1998). Sex differences in the perception of noxious experimental stimuli: A meta-analysis. Pain, 74, 181–188.

    Article  PubMed  Google Scholar 

  • Robinson, M. E., Gagnon, C. M., Riley, J. L., III, & Price, D. D. (2003). Altering gender role expectations: effects on pain tolerance, pain threshold, and pain ratings. Journal of Pain, 4, 284–288.

    Article  PubMed  Google Scholar 

  • Rosenkrantz, P., Vogel, S., Bee, H., Broverman, I., & Broverman, D. (1968). Sex-role stereotypes and self-concepts in college students. Journal of Consulting and Clinical Psychology, 32, 287–295.

    Article  PubMed  CAS  Google Scholar 

  • Sanford, S., Kersh, B., Thorn, B., Rich, M., & Ward, L. (2002). Psychosocial mediators of sex differences in pain responsivity. Journal of Pain, 3, 58–64.

    Article  PubMed  Google Scholar 

  • Spence, J. T., Helmreich, R., & Stapp, J. (1974). The personal attributes questionnaire: A measure of sex role stereotypes and masculinity-femininity. Journal Supplement Abstract Service Catalog of Selected Documents in Psychology, 4, 43–44.

    Google Scholar 

  • Trudeau, K., Danoff-Burg, S., Revenson, T., & Paget, S. (2003). Agency and communication in people with rheumatoid arthritis. Sex Roles, 49, 303–311.

    Article  Google Scholar 

  • Unger, R. K. (1979). Toward a redefinition of sex and gender. American Psychology, 34, 1085–1094.

    Article  Google Scholar 

  • Unruh, A. (1996). Gender variations in clinical pain experience. Pain, 65, 123–167.

    Article  PubMed  CAS  Google Scholar 

Download references

Acknowledgments

This research was supported by National Institutes of Health grant R03 NS051687. We thank Jillian Auxter and Kimberly Kross for their assistance with data collection.

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Correspondence to Stephanie L. Fowler.

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Fowler, S.L., Rasinski, H.M., Geers, A.L. et al. Concept priming and pain: an experimental approach to understanding gender roles in sex-related pain differences. J Behav Med 34, 139–147 (2011). https://doi.org/10.1007/s10865-010-9291-7

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  • DOI: https://doi.org/10.1007/s10865-010-9291-7

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