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Classism in pain assessment and management: the mediating role of female patient dehumanization and perceived life hardship

2021Artigo científico Acesso restrito
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dc.contributor.authorBernardes, Sónia F.
dc.contributor.authorTomé-Pires, Catarina
dc.contributor.authorBrandão, Tânia
dc.contributor.authorCampos, Lúcia
dc.contributor.authorTeixeira, Filipa
dc.contributor.authorGoubert, Liesbet
dc.date.accessioned2022-05-05T15:44:52Z
dc.date.available2022-05-05T15:44:52Z
dc.date.issued2021
dc.description.abstractCompared with racism and sexism, classism in pain assessment and management practices (PAMPs) has been less investigated, and its mediating mechanisms are still unknown. Drawing on a social psychological model of dehumanization, this research aimed to test (1) the effect of patient socioeconomic status (SES; a proxy of social class) on PAMPs and (2) whether patient dehumanization and perceived life hardship mediated these effects. Two online experimental studies were conducted, in which patient SES was manipulated (low vs high) within-subjects. One-hundred sixty-two female medical students (study 1) and 105 female nurses (study 2) were presented with vignettes/images depicting 2 cases of women with chronic low-back pain, followed by videos of them performing a pain-inducing movement. Participants reported on patient dehumanization, perceived life hardship, and PAMPs. The low SES patient was perceived as less pain sensitive (medical students alone) but more disabled, credible, and her pain more attributed to psychological causes (by nurses alone). Medical students recommended less nonpharmacological treatments but prescribed slightly stronger medication. Medical students were less willing to provide individualized care to the low SES patient, whereas nurses showed the opposite pattern. Patient mechanistic dehumanization mediated SES effects on pain disability (medical students alone). Perceived life hardship mediated SES effects on pain disability, credibility (nurses alone), and intentions of providing individualized care (nurses alone). These finding bear novel contributions to the fields of pain, health service research, and social psychology and have important implications to the development of more effective future interventions to reduce classism in PAMPs.pt_PT
dc.description.versioninfo:eu-repo/semantics/publishedVersionpt_PT
dc.identifier.citationBernardes, Sónia F., Tomé-Pires, Catarina, Brandão, Tânia, Campos, Lúcia, Teixeira, Filipa; Goubert, Liesbet (2021). Classism in pain assessment and management: the mediating role of female patient dehumanization and perceived life hardship. Pain, 162(12), pp. 2854-2864pt_PT
dc.identifier.doi10.1097/j.pain.0000000000002278pt_PT
dc.identifier.issn0304-3959
dc.identifier.urihttp://hdl.handle.net/10451/52743
dc.language.isoengpt_PT
dc.peerreviewedyespt_PT
dc.relationPTDC/MHC-PSC/ 2041/2014pt_PT
dc.relation.publisherversionhttps://journals.lww.com/pain/Fulltext/2021/12000/Classism_in_pain_assessment_and_management__the.8.aspxpt_PT
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/pt_PT
dc.titleClassism in pain assessment and management: the mediating role of female patient dehumanization and perceived life hardshippt_PT
dc.typejournal article
dspace.entity.typePublication
oaire.citation.endPage2864pt_PT
oaire.citation.issue12pt_PT
oaire.citation.startPage2854pt_PT
oaire.citation.titlePainpt_PT
oaire.citation.volume162pt_PT
person.familyNameBernardes
person.familyNamePais Brandão
person.familyNameCampos
person.familyNameTeixeira
person.familyNameGoubert
person.givenNameSónia
person.givenNameTânia Raquel
person.givenNameLúcia
person.givenNameFilipa
person.givenNameLiesbet
person.identifier.ciencia-id8B10-FDBD-A18D
person.identifier.ciencia-id961E-2497-EF81
person.identifier.ciencia-id2B16-BFC5-C1CE
person.identifier.orcid0000-0002-6664-4859
person.identifier.orcid0000-0001-7865-2445
person.identifier.orcid0000-0002-7858-9869
person.identifier.orcid0000-0002-7076-3316
person.identifier.scopus-author-id6505784593
rcaap.rightsrestrictedAccesspt_PT
rcaap.typearticlept_PT
relation.isAuthorOfPublicationf269f5d3-f081-460c-baf1-6f94d1c90cac
relation.isAuthorOfPublication0946bbd7-1021-47a5-8a38-474c918d374a
relation.isAuthorOfPublicationbd0e0eec-4db5-4c11-bb3f-769c825c24d2
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relation.isAuthorOfPublicatione74e2e28-effe-4978-8af7-6c48b21448fb
relation.isAuthorOfPublication.latestForDiscoverye74e2e28-effe-4978-8af7-6c48b21448fb

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