Skip to main content
Log in

Gender Differences in Pain Perception: The Mediating Role of Self-Efficacy Beliefs

  • Published:
Sex Roles Aims and scope Submit manuscript

Abstract

The purpose of this study was to assess the extent to which the gender differences in response to the cold pressor test (CPT) are mediated by self-efficacy beliefs. One hundred twelve college undergraduates (69 women and 43 men) engaged in CPT and completed self-report measures of demographic information, physical self-efficacy (i.e., expectations about one's overall physical capabilities), and task-specific self-efficacy (i.e., beliefs about one's ability to cope successfully with the upcoming CPT). In addition, participants provided subjective ratings of pain intensity every 30 s during CPT and were evaluated for tolerance during CPT (up to 4 min). Consistent with past research, men reported lower average subjective ratings of pain intensity and showed higher tolerance for CPT. Path analyses indicated that associations between gender and pain perception were fully mediated by self-efficacy beliefs. Men reported greater physical self-efficacy and task-specific self-efficacy than women did. In turn, higher task-specific self-efficacy ratings predicted increases in tolerance for pain and lower ratings of average pain intensity. Findings indicate that self-efficacy beliefs are one factor that accounts for gender differences in responses to painful stimulation. Future researchers should evaluate conditions under which heightened self-efficacy may be beneficial and harmful, and they should employ experimental designs that incorporate opportunities for use of both communal–interpersonal and individualistic coping strategies in light of possible gender differences in preferred approaches to coping with pain.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

REFERENCES

  • Baker, S., & Kirsh, I. (1991). Cognitive mediators of pain perception and tolerance. Journal of Personality and Social Psychology, 61 504-511.

    Google Scholar 

  • Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.

    Google Scholar 

  • Bandura, A., O'Leary, A., Taylor, C., Gauthier, J., & Gossard, D. (1987). Perceived self-efficacy and pain control: Opioid and nonopioid mechanisms. Journal of Personality and Social Psychology, 53 563-571.

    Google Scholar 

  • Bendelow, G. (1993). Pain perceptions, emotions, and gender. Sociology of Health and Illness, 15 273-293.

    Google Scholar 

  • Bussey, K., & Bandura, A. (1999). Social cognitive theory of gender development and differentiation. Psychological Review, 106 676-713.

    Google Scholar 

  • Darlington, R. B. (1990). Regression and linear models. New York: McGraw-Hill.

    Google Scholar 

  • Dolce, J. J., Doleys, D., Raczynski, J., & Lossie, J. (1986). The role of self-efficacy expectancies in the prediction of pain tolerance. Pain, 27 261-272.

    Google Scholar 

  • Faull, C., & Nichol, A. R. (1986). Temperament and behaviour in six-year-olds with recurrent abdominal pain: A follow up. Journal of Child Psychiatry and Allied Disciplines, 27 539-544.

    Google Scholar 

  • Fillingim, R. B. (2000). Sex, gender, and pain: Progress in pain re-search and management. Seattle: International Association for the Study of Pain.

    Google Scholar 

  • Gijsbers, K., & Niven, C. A. (1995). Women and the experience of pain. In C. A. Niven & D. Carroll (Eds.), The health psychology of women (pp. 43-57). Philadelphia: Harwood.

    Google Scholar 

  • Godin, G., & Shephard, R. J. (1985). Gender differences in perceived physical self-efficacy among older individuals. Perceptual and Motor Skills, 60 599-602.

    Google Scholar 

  • Holroyd, K., Penzien, D., Hursey, K., Tobin, D., Rogers, L., et al. (1984). Change mechanisms in EMG biofeedback training: Cognitive changes underlying improvements in tension headache. Journal of Consulting and Clinical Psychology, 52 1039-1053.

    Google Scholar 

  • Jackson, T., Pope, L., Nagasaka, T., Fritch, A., Iezzi, T., & Lim, B. (2002). The impact of threat appraisal on pain tolerance and coping. Manuscript submitted for publication.

  • Keefe, F. J., Lefebyre, J. C., Egert, J. F., Affleck, G., Sullivan, M. J., & Caldwell, D. S. (2000). The relationship of gender to pain, pain behavior, and disability in osteoarthritis patients: The role of catastrophizing. Pain, 87 325-334.

    Google Scholar 

  • Lackner, J. M., Carosella, A., & Feuerstein, M. (1996). Pain expectancies, pain, and functional self-efficacy as determinants of disability in patients with chronic low back disorders. Journal of Consulting and Clinical Psychology, 64 212-220.

    Google Scholar 

  • Lautenbacher, S., Moeltner, A., & Strian, F. (1991). Psychophysical features of the transition from pure heat perception to heat pain perception. Perception and Psychophysics, 52 685-690.

    Google Scholar 

  • Lazarus, R. S. (1999). Stress and emotion: A new synthesis. New York: Springer.

    Google Scholar 

  • Lester, N., Lefebre, J. C., & Keefe, F. J. (1994). Pain in young adults: I. Relationship to gender and family pain history. Clinical Journal of Pain, 10 282-289.

    Google Scholar 

  • Levine, F., & de Simone, L. (1991). The effects of experimenter gender on pain report in male and female subjects. Pain, 44 69-72.

    Google Scholar 

  • Litt, M. D. (1988). Self-efficacy and perceived control: Cognitive mediators of pain tolerance. Journal of Personality and Social Psychology, 54 149-160.

    Google Scholar 

  • Lyons, R., & Sullivan, M. (1998). Curbing loss in illness and dis-ability: A relationship perspective. In J. H. Harvey (Ed.), Perspectives on personal and interpersonal loss (pp. 137-152). New York: Taylor and Francis.

    Google Scholar 

  • Melzack, R., & Wall, P. (1965). Pain mechanisms—A new theory. Science, 150 971-979.

    Google Scholar 

  • Riley, J. L., Robinson, M. F., Wise, E. A., Myers, C. D., & Fillingim, R. B. (1998). Sex differences in the perception of noxious experimental stimuli: A meta-analysis. Pain, 74 181-187.

    Google Scholar 

  • Robinson, M. E., Riley, J. F., & Myers, C. D. (2000). Psychosocial contributions to sex-related differences in pain responses. In R. B. Fillingim (Ed.), Sex, gender, and pain: Progress in pain research and management (pp. 41-68). Seattle: International Association for the Study of Pain.

    Google Scholar 

  • Rollman, G. B., Lautenbacher, S., & Jones, K. S. (2000). Sex and gen-der differences in responses to experimentally induced pain. In R. B. Fillingim (Ed.), Sex, gender, and pain. Progress in pain research and management (pp. 165-190). Seattle: International Association for the Study of Pain.

    Google Scholar 

  • Rosenstiel, A., & Keefe, F. J. (1983). The use of coping strategies in chronic low back pain patients. Relationships to patient characteristics and current adjustment. Pain, 17 33-44.

    Google Scholar 

  • Ryckman, R. M., Robbins, M. A., Thornton, B., & Cantrell, P. (1982). Development and validation of a Physical Self-Efficacy Scale. Journal of Personality and Social Psychology, 42 891-900.

    Google Scholar 

  • Stevens, M. J., Ohlwein, A. L., & Catanzaro, S. J. (2000). Further evidence that self-efficacy predicts acute pain. Imagination, Cognition, and Personality, 19 185-194.

    Google Scholar 

  • Sullivan, M., Bishop, S., & Pivik, J. (1995). The Pain Catastrophizing Scale: Development and validation. Psychological Assessment, 7 524-532.

    Google Scholar 

  • Sullivan, M., Rouse, D., Bishop, S., & Johnston, S. (1997). Thought suppression, catastrophizing, and pain. Cognitive Therapy and Research, 21 555-568.

    Google Scholar 

  • Sullivan, M. J., Tripp, D. A., & Santor, D. (2000). Gender differences in pain and pain behavior: The role of catastrophizing. Cognitive Therapy and Research, 24 121-134.

    Google Scholar 

  • Taylor, S. E. (2002). The tending instinct. New York: Times Books.

    Google Scholar 

  • Unruh, A. M. (1996). Gender variations in clinical pain experience. Pain, 65 123-167.

    Google Scholar 

  • Weisenberg, M., Tepper, I., & Schwarzwald, J. (1995). Humor as a cognitive technique for increasing pain tolerance. Pain, 63 207-212.

    Google Scholar 

  • Williams, S. L., & Kinney, P. (1991). Performance and nonperformance strategies for coping with acute pain: The role of perceived self-efficacy, expected outcomes, and attention. Cognitive Therapy and Research, 15 1-19.

    Google Scholar 

  • Wittig, A. F., Duncan, S. L., & Schurr, K. T. (1987). The relationship of gender, gender-role endorsement, and perceived physical self-efficacy to sport competition anxiety. Journal of Sport Behavior, 10 192-199.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jackson, T., Iezzi, T., Gunderson, J. et al. Gender Differences in Pain Perception: The Mediating Role of Self-Efficacy Beliefs. Sex Roles 47, 561–568 (2002). https://doi.org/10.1023/A:1022077922593

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1023/A:1022077922593

Navigation