Randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers

Background and aims: This randomized cross-over study in healthy volunteers was designed primarily to evaluate the potential impact of investigator gender on electrical pain threshold (EPT) and corresponding pain intensity levels, and secondly to evaluate potential differences in those interventions...

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Autores principales: Sellgren Engskov, Anna, Lejbman, Ilja, Åkeson, Jonas
Formato: article
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EN
Publicado: German Medical Science GMS Publishing House 2021
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Acceso en línea:https://doaj.org/article/528961554861448abfe7cb7b2212d250
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spelling oai:doaj.org-article:528961554861448abfe7cb7b2212d2502021-12-02T07:40:01ZRandomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers1612-317410.3205/000301https://doaj.org/article/528961554861448abfe7cb7b2212d2502021-11-01T00:00:00Zhttp://www.egms.de/static/en/journals/gms/2021-19/000301.shtmlhttps://doaj.org/toc/1612-3174Background and aims: This randomized cross-over study in healthy volunteers was designed primarily to evaluate the potential impact of investigator gender on electrical pain threshold (EPT) and corresponding pain intensity levels, and secondly to evaluate potential differences in those interventions between female and male study participants.Methods: Forty adult volunteers (22 females) were included. An electrical stimulation device was used to determine EPT levels (in pain magnitude scores) in series of three in each study participant – once by a female, and once by a male investigator – according to a predefined cross-over design schedule. Corresponding levels of pain intensity were scored on a visual analog scale (VAS) slide ruler.Results: Study data was obtained and analysed in all participants. Stly higher EPT levels were determined by the female investigr compared with the male investigator (median 22 (IQR 12–31) vs. 6–10) pain magnitude scores; <0.0001), despite similar levels of reported pain intensity (1.9 (1.2–3.0) vs. 2.0 (1.1–3.4) VAS units; >0.300). There were no differences in EPT levels between female and male subjects evaluated by female (>0.300) and male (=0.125) investigators, or between the first and second series of stimulation (>0.300).Conclusions: Our finding of significantly higher EPT levels when study participants of both genders – despite no difference in reported pain intensity – were evaluated by a female than by a male investigator, indicates a potential impact of investigator gender on the individual perception of pain.Implications: By contributing to a better understanding of how individual pain threshold levels are potentially influenced by investigator gender, this study might facilitate future evaluation of pain conditions in both preclinical and clinical settings.Sellgren Engskov, AnnaLejbman, IljaÅkeson, JonasGerman Medical Science GMS Publishing Housearticleexperimentergender identityhumanspain measurementsexvisual analog scaleMedicineRDEENGMS German Medical Science, Vol 19, p Doc14 (2021)
institution DOAJ
collection DOAJ
language DE
EN
topic experimenter
gender identity
humans
pain measurement
sex
visual analog scale
Medicine
R
spellingShingle experimenter
gender identity
humans
pain measurement
sex
visual analog scale
Medicine
R
Sellgren Engskov, Anna
Lejbman, Ilja
Åkeson, Jonas
Randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers
description Background and aims: This randomized cross-over study in healthy volunteers was designed primarily to evaluate the potential impact of investigator gender on electrical pain threshold (EPT) and corresponding pain intensity levels, and secondly to evaluate potential differences in those interventions between female and male study participants.Methods: Forty adult volunteers (22 females) were included. An electrical stimulation device was used to determine EPT levels (in pain magnitude scores) in series of three in each study participant – once by a female, and once by a male investigator – according to a predefined cross-over design schedule. Corresponding levels of pain intensity were scored on a visual analog scale (VAS) slide ruler.Results: Study data was obtained and analysed in all participants. Stly higher EPT levels were determined by the female investigr compared with the male investigator (median 22 (IQR 12–31) vs. 6–10) pain magnitude scores; <0.0001), despite similar levels of reported pain intensity (1.9 (1.2–3.0) vs. 2.0 (1.1–3.4) VAS units; >0.300). There were no differences in EPT levels between female and male subjects evaluated by female (>0.300) and male (=0.125) investigators, or between the first and second series of stimulation (>0.300).Conclusions: Our finding of significantly higher EPT levels when study participants of both genders – despite no difference in reported pain intensity – were evaluated by a female than by a male investigator, indicates a potential impact of investigator gender on the individual perception of pain.Implications: By contributing to a better understanding of how individual pain threshold levels are potentially influenced by investigator gender, this study might facilitate future evaluation of pain conditions in both preclinical and clinical settings.
format article
author Sellgren Engskov, Anna
Lejbman, Ilja
Åkeson, Jonas
author_facet Sellgren Engskov, Anna
Lejbman, Ilja
Åkeson, Jonas
author_sort Sellgren Engskov, Anna
title Randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers
title_short Randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers
title_full Randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers
title_fullStr Randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers
title_full_unstemmed Randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers
title_sort randomized cross-over evaluation of investigator gender on pain thresholds in healthy volunteers
publisher German Medical Science GMS Publishing House
publishDate 2021
url https://doaj.org/article/528961554861448abfe7cb7b2212d250
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