Perception of Pain: A Spectrum of Aspects

Armish Hussain*, Kausar Karim **
* Department of Cardiology, North West clinic, United Arab Emirates.
** Aga Khan University Hospital Karachi, Pakistan.
Periodicity:August - October'2019


This paper explores the perception of pain in an individual concerning diverse aspects. As pain is the most common reason for seeking medical attention, the therapist needs to be familiar with the factors that influence pain perception and treatment approaches. The factors discussed in this paper are sociocultural, behavioral, psychological, gender, religion, personality, age, coping, and genetics. In former literature, the pain was only considered to take a physiological form, however, was later revealed to also have psychological factors which could also have an impact on pain perception. Many theories and models supported this idea, one of which was proposed by Skevington in 1995. Hence, healthcare providers must approach a client holistically considering all the factors.


Pain, Perception, Holistic, Diverse Aspects

How to Cite this Article?

Hussain, A., and Karim, K. (2019). Perception of Pain: A Spectrum of Aspects. i-manager's Journal on Nursing, 9(3), 42-47.


[1]. Bartley, E. J., & Fillingim, R. B. (2013). Sex differences in pain: A brief review of clinical and experimental findings. British Journal of Anaesthesia, 111(1), 52-58. 10.1093/bja/aet127
[2]. Belfer, I. (2013). Nature and Nurture of Human Pain. Scientifica, 2013, 1-19. 415279
[3]. Bushnell, M. C., Case, L. K., Ceko, M., Cotton, V. A., Gracely, J. L., Low, L. A., ... & Villemure, C. (2015). Effect of environment on the long-term consequences of chronic pain. Pain, 156(01), S42-S49.
[4]. Bustan, S., Gonzalez-Roldan, A. M., Schommer, C., Kamping, S., Löffler, M., Brunner, M., ... & Anton, F. (2018). Psychological, cognitive factors and contextual influences in pain and pain-related suffering as revealed by a combined qualitative and quantitative assessment approach. PloS One, 13(7), e0199814. 1371/journal.pone.0199814
[5]. Callister, L. C. (2003). Cultural influences on pain perceptions and behaviors. Home Health Care Management & Practice, 15(3), 207-211. 10.1177/1084822302250687
[6]. Davis, F. A. (2013). Taber's Cyclopedic Medical Dictionary Bundle. Retrieved from https://www.barnesand f-a-davis-company/1100756883
[7]. Hadjistavropoulos, T., & Craig, K. D. (Eds.) (2004). Pain psychological perspective. New Jersey, NJ: Lawrence Eralbum Associates. 10609861
[8]. Hadjistavropoulos, T., & Kenneth D. C. (2008). Pain: Psychological Perspectives (1st Ed., p. 183). Psychology Press. Retrieved from Psychological-Perspectives-1st-Edition/Hadjistavropoulos- Craig/p/book/9781410609861
[9]. Jensen, M. P., Turner, J. A., Romano, J. M., & Karoly, P. (1991). Coping with chronic pain: A critical review of the literature. Pain, 47(3), 249-283. 0304-3959(91)90216-k
[10]. Katz, J., & Rosenbloom, B. N. (2015). The golden anniversary of Melzack and Wall's gate control theory of pain: Celebrating 50 years of pain research and management. Pain Research and Management, 20(6), 285-286.
[11]. Keefe, F. J., Abernethy, A. P. C., & Campbell, L. (2005). Psychological approaches to understanding and treating disease-related pain. Annu. Rev. Psychol., 56, 601-630.
[12]. Linton, S. J., & Shaw, W. S. (2011). Impact of psychological factors in the experience of pain. Physical Therapy, 91(5), 700-711. 20100330
[13]. McGrath, P. A. (1994). Psychological aspects of pain perception. Archives of Oral Biology, 39, S55-S62.
[14]. Miaskowski, C. (2000). The impact of age on a patient's perception of pain and ways it can be managed. Pain Management Nursing, 1(3), 2-7. 1053/jpmn.2000.9760
[15]. Nissenbaum, J., Devor, M., Seltzer, Z. E., Gebauer, M., Michaelis, M., Tal, M., ... & Minert, A. (2010). Susceptibility to chronic pain following nerve injury is genetically affected by CACNG2. Genome Research, 20(9), 1180-1190.
[16]. Peacock, S., & Patel, S. (2008). Cultural Influences on Pain. Reviews in Pain, 1(2), 6-9. 4946370800100203
[17]. Quartana, P. J., Campbell, C. M., & Edwards, R. R. (2009). Pain catastrophizing: A critical review. Expert Review of Neurotherapeutics, 9(5), 745-758. 586/ern.09.34
[18]. Racine, M., Tousignant-Laflamme, Y., Kloda, L. A., Dion, D., Dupuis, G., & Choinière, M. (2012). A systematic literature review of 10 years of research on sex/gender and pain perception–Part 2: Do biopsychosocial factors alter pain sensitivity differently in women and men? Pain, 153(3), 619-635.
[19]. Rodriguez, D. (2011). All about pain. Every Day Health, Retrieved from basics.aspx
[20]. Skevington, S. M. (1995). Psychology of Pain. Oxford England: Wiley-Blackwell.
[21]. Walker, S. M., Franck, L. S., Fitzgerald, M., Myles, J., Stocks, J., & Marlow, N. (2009). Long-term impact of neonatal intensive care and surgery on somatosensory perception in children born extremely preterm. PAIN®, 141(1-2), 79-87. 10.012
[22]. Wandner, L. D., Scipio, C. D., Hirsh, A. T., Torres, C. A., & Robinson, M. E. (2012). The perception of pain in others: How gender, race, and age influence pain expectations. The Journal of Pain, 13(3), 220-227. 16/j.jpain.2011.10.014.
[23]. Unruh, A. M. (2007). Spirituality, religion and pain. The Canadian Journal of Nursing Research, 39(2), 66-86.
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