{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,8]],"date-time":"2026-02-08T00:15:59Z","timestamp":1770509759115,"version":"3.49.0"},"reference-count":19,"publisher":"BMJ","issue":"6421","license":[{"start":{"date-parts":[[1984,3,24]],"date-time":"1984-03-24T00:00:00Z","timestamp":448934400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.bmj.com\/company\/legal-information\/terms-conditions\/legal-information\/tdm-licencepolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Br Med J (Clin Res Ed)"],"published-print":{"date-parts":[[1984,3,24]]},"abstract":"<jats:p>Physicians with an interest in pain have long suggested that the poor complain more and have a higher prevalence of neuroticism than do higher social groups. This assumption was tested by analysing the pain patterns in 500 consecutive patients attending a pain relief clinic. Results implied that scores for presenting pain, anxiety, and depression were similar to all social groups. After treatment scores for residual pain were significantly lower in all social classes, with greatest reduction in classes III, IV, and V. Almost identical results were obtained in a subgroup of patients with cancer but not in a subgroup with sciatica. That patients from the lower social classes have a higher perception of pain and are more neurotic than other group is a myth, probably resulting from poor communication between clinicians and patients of dissimilar socioeconomic class.<\/jats:p>","DOI":"10.1136\/bmj.288.6421.883","type":"journal-article","created":{"date-parts":[[2009,4,2]],"date-time":"2009-04-02T11:00:59Z","timestamp":1238670059000},"page":"883-886","source":"Crossref","is-referenced-by-count":10,"title":["The who and why of pain: analysis by social class."],"prefix":"10.1136","volume":"288","author":[{"given":"A G","family":"Larson","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Marcer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[1984,3,24]]},"reference":[{"key":"ref_1","article-title":"Social class and mental illness: a community study","author":"IHollingshead, A.B.; Redlich, F.C.","year":"1958","unstructured":"IHollingshead AB, Redlich FC. Social class and mental illness: a community study. New York: Wiley, 1958."},{"key":"ref_2","first-page":"188","article-title":"Pain and other somatic complaints in a psychiatric clinic","volume":"8","author":"Klee, G.D.; Ozelis, S.; Greenberg, I.; Gallant, L.J.","year":"1959","unstructured":"Klee GD, Ozelis S, Greenberg I, Gallant LJ. Pain and other somatic complaints in a psychiatric clinic. Md State Med)7 1959;8:188-91."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"299","DOI":"10.1016\/0022-3999(65)90055-3","article-title":"Psychiatric patients with persistent pain","volume":"9","author":"Merskey, H.","year":"1965","unstructured":"Merskey H. Psychiatric patients with persistent pain. 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Occupational mortality: the Registrar General's decennial supplement for England and Wales","author":"Office of","year":"1970","unstructured":"Office of Population Censuses and Surveys. Occupational mortality: the Registrar General's decennial supplement for England and Wales. London: HMSO, 1970-72, 1978."},{"key":"ref_11","article-title":"Inequalities in health: report of a research working group","year":"1980","unstructured":"Inequalities in health: report of a research working group. London: DHSS, 1980."},{"key":"ref_12","first-page":"373","article-title":"Chronic pain and the questionable use of the Minnesota Multiphasic Personality Inventory","volume":"62","author":"Rook, J.C.; Pesch, R.N.; Keeler, E.C.","year":"1981","unstructured":"Rook JC, Pesch RN, Keeler EC. Chronic pain and the questionable use of the Minnesota Multiphasic Personality Inventory. 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Adv Psychosom Med 1972;8:180-215.","journal-title":"Adv Psychosom Med"},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1016\/0022-3999(76)90034-9","article-title":"White-collar and blue-collar responses to heart attack","volume":"20","author":"Hackett, T.P.; Cassem, N.H.","year":"1975","unstructured":"Hackett TP, Cassem NH. White-collar and blue-collar responses to heart attack. J Psychosom Res 1975;20:85-95.","journal-title":"J Psychosom Res"},{"issue":"84","key":"ref_15","first-page":"989","article-title":"Social status and subjective perceptions of 250 men after myocardial infarction","volume":"1969","author":"Croog, S.H.; Levine, S.","unstructured":"Croog SH, Levine S. Social status and subjective perceptions of 250 men after myocardial infarction. 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New York: Saunders, 1897.","journal-title":"Br Med; Anomalies and curiosities of medicine"},{"key":"ref_19","author":"Accepted 6_7anuary 1984)","unstructured":"(Accepted 6_7anuary 1984)"}],"container-title":["BMJ"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/data.bmj.org\/tdm\/10.1136\/bmj.288.6421.883","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmj.288.6421.883","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T20:22:10Z","timestamp":1765398130000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.bmj.com\/lookup\/doi\/10.1136\/bmj.288.6421.883"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1984,3,24]]},"references-count":19,"journal-issue":{"issue":"6421","published-online":{"date-parts":[[1984,3,24]]},"published-print":{"date-parts":[[1984,3,24]]}},"alternative-id":["10.1136\/bmj.288.6421.883"],"URL":"https:\/\/doi.org\/10.1136\/bmj.288.6421.883","relation":{},"ISSN":["0007-1447","1468-5833"],"issn-type":[{"value":"0007-1447","type":"print"},{"value":"1468-5833","type":"electronic"}],"subject":[],"published":{"date-parts":[[1984,3,24]]}}}