Skip navigation
Logo
User training | Reference and search service

Library catalog

Retrievo
EDS
b-on
More
resources
Content aggregators
Please use this identifier to cite or link to this item:

acessibilidade

http://hdl.handle.net/10071/7309
acessibilidade
Title: Engendering pain management practices: the role of physician sex on chronic low-back pain assessment and treatment prescriptions
Authors: Bernardes, S. F.
Costa, M. L.
Carvalho, H.
Keywords: Gender biases
Chronic low-back pain
General practitioners
Pain management practices
Issue Date: Sep-2013
Publisher: Elsevier Inc
Abstract: The impact of physician sex on dimensions of medical care such as treatment prescriptions and referrals has been underexplored, especially in a pain context. Also, few studies have analyzed whether physician sex moderates the influence of patients' or clinical situations' characteristics on pain management practices or its mediating processes. Therefore, our goal was to explore whether physician sex moderates the effects of patient (distressed) pain behaviors and diagnostic evidence of pathology (EP) on treatment prescriptions and referrals for chronic low-back pain, and to explore the mediating role of pain credibility judgments and psychological attributions on these effects. A total of 310 general practitioners (GPs; 72.6% women) participated in a between-subjects design, 2 (patient pain behaviors) × 2 (EP) × 2 (GP sex) × 2 (patient sex). GPs were presented with vignettes depicting a fe(male) chronic low-back pain patient, with(out) distress and with(out) EP (eg, herniated disc). GPs judged the patient's pain and the probability of treatment prescriptions and referrals. Results showed that EP had a larger effect on male than on female physicians' referrals to psychology/psychiatry. Also, GP sex moderated the pain judgments that accounted for the effect of EP and pain behaviors on prescriptions. These findings suggest framing medical decision-making as a process influenced by gender assumptions. PERSPECTIVE: This paper shows that physician sex moderates the influence of clinical cues on pain management practices and the mediating role of pain judgments on these effects. It may potentially increase clinicians' awareness of the influence of gender assumptions on pain management practices and contribute to the development of more gender-sensitive services.
Description: WOS:000324656000005 (Nº de Acesso Web of Science)
Peer reviewed: Sim
URI: http://www.sciencedirect.com/science/journal/15265900
https://ciencia.iscte-iul.pt/public/pub/id/13351
http://hdl.handle.net/10071/7309
ISSN: 1526-5900
Publisher version: The definitive version is available at: http://dx.doi.org/10.1016/j.jpain.2013.03.004
Appears in Collections:CIS-RI - Artigos em revistas científicas internacionais com arbitragem científica
CIES-RI - Artigos em revista científica internacional com arbitragem científica

Files in This Item:
acessibilidade
File Description SizeFormat 
publisher_version_Bernardes, Costa & Carvalho (2013)_JOP.pdf352.66 kBAdobe PDFView/Open    Request a copy


FacebookTwitterDeliciousLinkedInDiggGoogle BookmarksMySpace
Formato BibTex MendeleyEndnote Currículo DeGóis 

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.