Gender peculiarities of pain syndrome in older age patients

Abstract

Introduction The study of gender-related peculiarities of vertebral pain syndrome course in order age patients appears to be highly relevant. Objectives Study population included 46 female patients and 38 male patients in the age between 60 and 75 years old; mean age was 67,4±6,6 years old. Methods Pain syndrome intensity was assessed using the visual analogue scale (VAS), vegetative disfunction was assessed using A.M. Wayne Questionnaire; the Toronto Alexithymia Scale Results The conducted comparative study showed that the male patients perceived the pain syndrome as more intense as compared to the female patients in lumbar spine: 4,5 ±0,8 vs 3,6±0,5 scores (р <0,001) and in thoracic spine: 4,1 ±1,0 vs. 3,4±1,0 (р <0,05). On the other hand, in vegetative dysfunction assessment, the male patients demonstrated generally lower score: 43,3±7,5 scores vs. 59,6+10,3 in female patients, р <0,001. The results of correlation analysis pf interrelations between alexithymia and pain intensity revealed the differences between the study groups in emotion recognition accuracy (Mann-Whitney U-test = 109,00, р = 0.09): female patients showed lower scores (60,7 ±3,5) as compared to the male patients (74,2 ±2,1). Conclusions Therefore, the vertebral pain syndrome tends to be more pronounced in older age male patients as compared to the similar population of older age female patients. Therefore, vertebral pain syndrome correction requires multidisciplinary approach, including psychotherapeutic support.

Keywords

• pain
• gender
• vegetative disfunction
• alexithymia.