Pain medicine

Characterizing Chronic Pain and Adverse Childhood Experiences in the Lesbian, Gay, Bisexual, Transgender, or Queer Community

Anesth AnalgPublished Cross-sectional study

Main finding · Chronic pain ratings and association with high ACE scoresResult — go to the resultMean difference −2.22 95% CI −1.2 to −0.0

Authors' 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

OutcomeHigh ACETGDCisgenderEstimateP value
Perceived current pain rating, high ACEHigh ACE vs Lower ACE4.53 (SD 2.16)— not stated in the abstract— not stated in the abstractmean difference −2.78 (95% CI −1.9 to −0.3)P = 0.007
Current pain scores, TGD vs cisgender— not stated in the abstract3.9 (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

Composed by AI from the published abstract and checked against it. How Briefs are made →

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