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The meanings given to gender in studies on multimodal rehabilitation for patients with chronic musculoskeletal pain

AHLGREN C; FJELLMAN WIKLUND A; HAMBERG K; JOHANSSON EE; STALNACKE BM
DISABIL REHABIL , 2016, vol. 38, n° 23, p. 2255-2270
Doc n°: 183329
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.3109/09638288.2015.1127435
Descripteurs : AB36 - AUTRES PATHOLOGIES MUSCULAIRES, AD8 - DOULEUR

The purpose of this study is to assess and describe the meanings given
to "gender" in scientific publications that evaluate multidisciplinary,
interdisciplinary or multimodal rehabilitation for patients with chronic
musculoskeletal pain.
METHOD: A systematic literature search for papers
evaluating multimodal rehabilitation was conducted.
The PubMed and EBSCO
databases were searched from 1995 to 2015. Two or three researchers independently
read each paper, performed a quality assessment and coded meanings of gender
using qualitative content analysis. RESULTS: Twenty-seven papers were included in
the review. Gender was used very differently in the MMR studies investigated but
primarily it referred to factual differences between men and women. Only one
paper provided a definition of the concept of gender and how it had been used in
that study. In the content analysis, the meaning of gender formed three
categories: "Gender as a factual difference", "The man is the ideal" and "Gender
as a result of social role expectations". CONCLUSIONS: The meaning of the concept
of gender in multimodal rehabilitation is undefined and needs to be developed
further. The way the concept is used should be defined in the design and
evaluation of multimodal rehabilitation in future studies. Implications for
rehabilitation Healthcare professionals should reflect on gender relations in
encounters with patients, selection of patients into rehabilitation programs and
design of programs. In rehabilitation for chronic pain the patients' social
circumstances and cultural context should be given the same consideration as
biological sex and pain
symptoms.

Langue : ANGLAIS

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