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On the Pains of Social Standing: Understanding the Role of Patient Social Status on Pain Assessment and Management Practices_SOS_PAIN

ISCTE - Instituto Universitário de Lisboa (ISCTE-IUL)
Project classification

Scientific area

3.3 Health sciences


Health care sciences and services (including hospital administration, health care financing)

Project description

Project title

On the Pains of Social Standing: Understanding the Role of Patient Social Status on Pain Assessment and Management Practices_SOS_PAIN

Scientific Coordinator's name:

Sónia Bernardes

Scientific Coordinator's e-mail:

Principal R&D Unit:

Centro de Investigação e Intervenção Social do Instituto Universitário de Lisboa (CIS-IUL)

Other R&D Units involved in the project:

Other R&D units involved in the project

Project keyword(s)

Pain evaluation and management, Sicual Status, Dehumanization, Representations of the body

Short abstract and comments

CP is a worldwide silent epidemic, with serious consequences for the individuals, their families and representing a heavy and expensive burden for societies. Studies consistently show that members of low social status (LSS) groups have a higher risk of developing CP than members of high social status (HSS) groups. In other words, individuals’ social status (SS) seems to be related to their chances of having CP. SS inequalities in pain assessment and management practices (PAMP) may be one of the multiple factors accounting for this pattern of findings. Evidence shows that, as compared to members of HSS groups, pain reported by members of LSS groups is more often under-assessed and under-treated. However, studies that directly analyse the relationship between SS and PAMP are scarce and do not try to understand any of the psychosocial processes that may account for sugh effects. Hence, by drawing upon an integrative analysis of different theories on social psychosocial processes, we will propose and test two theoretical models: (1) The SS effect and its psychosocial accounts model and (2) The SS buffer effect model. Model 1 hypothesises a patient SS effect on PAMP and, based on the conceptual and empirical backgrounds oh Dehumanization (Dh) and Social Representations Theories, suggests two, potentially related, mediators: Dh and body representations. Drawing upon the Contextual Model of Gender biases in PAMP, model 2, in turn, predicts that patient SS may moderate the influence of contextual cues on PAMP.

Potential uses/indications

Potential uses/indications



Partner Status: Seeking Partners?


Grant number (QREN, FP7, Eureka, etc)


Last edited on

2017-04-03 16:55:01

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