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Pain Intensity and Pain Interference in Male and Female Iraq/Afghanistan-era Veterans.

Publication ,  Journal Article
Naylor, JC; Wagner, HR; Johnston, C; Elbogen, EE; Brancu, M; Marx, CE; VA Mid-Atlantic MIRECC Work Group, ; Strauss, JL ...
Published in: Womens Health Issues
June 25, 2019

BACKGROUND: Chronic pain conditions are common among both male and female Iraq/Afghanistan-era veterans and can have substantial negative impacts on quality of life and function. Although in general women tend to report higher levels of pain intensity than men, findings remain mixed on whether gender differences in pain exist in Iraq/Afghanistan-era veterans. Additionally, the relationships between functional impairment, pain intensity, and gender remain unknown. METHODS: This project examined gender differences in pain intensity and pain interference in 875 male and female Iraq/Afghanistan-era veterans. Nonparametric Wilcoxon rank-tests examined gender differences in pain scores. Multivariable generalized linear regression modeling was used to evaluate the magnitude of pain intensity and interference across levels of chronicity and gender, and to evaluate the role of chronicity in gender effects in measures of pain and function. RESULTS: Pain intensity and interference scores were significantly greater among both male and female veterans reporting chronic pain relative to acute pain. Women veterans endorsed higher levels of pain intensity and pain interference compared with men. Results derived from multivariable analyses implicated pain intensity as a factor underlying gender differences in functional impairment among chronic pain sufferers, indicating that gender differences in functional measures were eliminated after controlling statistically for pain intensity. CONCLUSIONS: Results demonstrate that the effects of functional impairment are impacted by pain intensity, and not by gender.

Duke Scholars

Eric Bradley Elbogen
Author Eric Bradley Elbogen Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...
Jennifer C. Naylor
Author Jennifer C. Naylor Psychiatry, Child & Family Mental Health & Community Psychia ...
Henry Ryan Wagner II
Author Henry Ryan Wagner II Psychiatry, Child & Family Mental Health & Community Psychia ...
Mira Brancu
Author Mira Brancu Psychiatry, Child & Family Mental Health & Community Psychia ...
Christine Elizabeth Marx
Author Christine Elizabeth Marx Psychiatry, Child & Family Mental Health & Community Psychia ...
Jennifer Leigh Strauss
Author Jennifer Leigh Strauss Psychiatry, Child & Family Mental Health & Community Psychia ...
Jean Crowell Beckham
Author Jean Crowell Beckham Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...
Patrick Shields Calhoun
Author Patrick Shields Calhoun Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...
Eric Dedert
Author Eric Dedert Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...
John A. Fairbank
Author John A. Fairbank Psychiatry, Child & Family Mental Health & Community Psychia ...
Jason David Kilts
Author Jason David Kilts Psychiatry, Child & Family Mental Health & Community Psychia ...
Nathan Andrew Kimbrel
Author Nathan Andrew Kimbrel Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...
Scott Daniel Moore
Author Scott Daniel Moore Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychol ...
Larry A. Tupler
Author Larry A. Tupler Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...
Rajendra A. Morey
Author Rajendra A. Morey Psychiatry, Child & Family Mental Health & Community Psychia ...
Elizabeth E. Van Voorhees
Author Elizabeth E. Van Voorhees Psychiatry & Behavioral Sciences, Behavioral Medicine & Neur ...
Megan E Shepherd-Banigan
Author Megan E Shepherd-Banigan Population Health Sciences
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Published In

Womens Health Issues

DOI

EISSN

1878-4321

Publication Date

June 25, 2019

Volume

29 Suppl 1

Start / End Page

S24 / S31

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Sex Factors
  • Sex Distribution
  • Quality of Life
  • Public Health
  • Pain
  • Male
  • Iraq War, 2003-2011
  • Iraq
 

Citation

APA
Chicago
ICMJE
MLA
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Naylor, J. C., Wagner, H. R., Johnston, C., Elbogen, E. E., Brancu, M., Marx, C. E., … Strauss, J. L. (2019). Pain Intensity and Pain Interference in Male and Female Iraq/Afghanistan-era Veterans. Womens Health Issues, 29 Suppl 1, S24–S31. https://doi.org/10.1016/j.whi.2019.04.015
Naylor, Jennifer C., H Ryan Wagner, Cynthia Johnston, Eric E. Elbogen, Mira Brancu, Christine E. Marx, Christine E. VA Mid-Atlantic MIRECC Work Group, Christine E. VA Mid-Atlantic MIRECC Women Veterans Work Group, and Jennifer L. Strauss. “Pain Intensity and Pain Interference in Male and Female Iraq/Afghanistan-era Veterans.Womens Health Issues 29 Suppl 1 (June 25, 2019): S24–31. https://doi.org/10.1016/j.whi.2019.04.015.
Naylor JC, Wagner HR, Johnston C, Elbogen EE, Brancu M, Marx CE, et al. Pain Intensity and Pain Interference in Male and Female Iraq/Afghanistan-era Veterans. Womens Health Issues. 2019 Jun 25;29 Suppl 1:S24–31.
Naylor, Jennifer C., et al. “Pain Intensity and Pain Interference in Male and Female Iraq/Afghanistan-era Veterans.Womens Health Issues, vol. 29 Suppl 1, June 2019, pp. S24–31. Pubmed, doi:10.1016/j.whi.2019.04.015.
Naylor JC, Wagner HR, Johnston C, Elbogen EE, Brancu M, Marx CE, VA Mid-Atlantic MIRECC Work Group, VA Mid-Atlantic MIRECC Women Veterans Work Group, Strauss JL. Pain Intensity and Pain Interference in Male and Female Iraq/Afghanistan-era Veterans. Womens Health Issues. 2019 Jun 25;29 Suppl 1:S24–S31.
Journal cover image

Published In

Womens Health Issues

DOI

EISSN

1878-4321

Publication Date

June 25, 2019

Volume

29 Suppl 1

Start / End Page

S24 / S31

Location

United States

Related Subject Headings

  • Veterans
  • United States
  • Sex Factors
  • Sex Distribution
  • Quality of Life
  • Public Health
  • Pain
  • Male
  • Iraq War, 2003-2011
  • Iraq