Characterizing Chronic Pain and Adverse Childhood Experiences in the Lesbian, Gay, Bisexual, Transgender, or Queer Community
Main finding · Chronic pain ratings and association with high ACE scoresResult — go to the resultMean difference −2.22 95% CI −1.2 to −0.0Authors' conclusion
Childhood adversity and chronic pain's dose-dependent relationship among our LGBTQ+ sample indicates a need to explore trauma's role in perceived pain.
Study context
- Population
- LGBTQ+ identifying adults (≥18 years) with chronic pain, surveyed via LGBTQ+ listservs and social media, August–November 2022analysed
- Participants
- 136 participants
- Exposure
- High vs lower ACE scores; Transgender and gender diverse (TGD) vs cisgender participants
- TGDn = 75
- Outcome
- Chronic pain ratings and association with high ACE scores
Methodological detailselectronic survey
- Electronic survey
Main finding
As reported in the abstract
Mean difference
−2.22
95% CI −1.2 to −0.0
P = 0.028
By group
High ACE
6.27
SD 1.79
- Mean average pain rating, last 6 months (of 10)
- 5.9
- Worst pain rated ≥7 of 10
- 80%
- High ACE scores
- 47%
Observational data: associations, not effects.
Further findings
| Outcome | High ACE | TGD | Cisgender | Estimate | P value |
|---|---|---|---|---|---|
| Perceived current pain rating, high ACEHigh ACE vs Lower ACE | 4.53 (SD 2.16) | — not stated in the abstract | — not stated in the abstract | mean difference −2.78 (95% CI −1.9 to −0.3) | P = 0.007 |
| Current pain scores, TGD vs cisgender | — not stated in the abstract | 3.9 (SD 1.8) | 3.0 (SD 1.9) | (95% CI 0.0–0.3) | P = 0.009 |
— not stated in the abstract
- Current pain scores, TGD vs cisgender — TGD ACE score
- 3.91 ± 1.78
Sexual trauma history and pelvic chronic pain
- History of any sexual trauma prevalence
- 36.7%
- Association with pelvic pain, effect size estimate 0.21
- P = 0.016
Forced sexual and touch encounters and fibromyalgia diagnosis
- Forced sexual encounters, effect size estimate 0.31
- P = 0.008
- Forced touch encounters, effect size estimate 0.31
- P = 0.037
Original publication
Characterizing Chronic Pain and Adverse Childhood Experiences in the Lesbian, Gay, Bisexual, Transgender, or Queer Community. Anesth Analg. Published 27 February 2024. doi:10. 1213/ ane. 0000000000006922
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