Associations between chronic pelvic pain and psychiatric disorders and symptoms

Neto, Omero Benedicto Poli; Crippa, José Alexandre de Souza; Hallak, Jaime Eduardo Cecílio; Osório, Flávia de Lima

doi:10.1590/0101-60830000000042

Cited by 19 publications

(17 citation statements)

References 32 publications

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“…These results are consistent with studies which have suggested that women with CPP conditions have higher rates of depression and anxiety in comparison to general population samples. 10,17 Depression Depression was found to be higher in participants with increased pain severity, presence of stabbing pain, pain as a child and a prior experience of distressing sexual events. The findings support the results of Yosef et al 24 who found that increased depression scores on the PHQ-9 were associated with higher pain severity.…”

Section: Discussionmentioning

confidence: 98%

“…[12][13][14][15][16] Furthermore, CPP has been shown to significantly impact on this psychological well-being of women, with elevated distress, hopelessness, depression, anxiety seen across CPP samples in the research literature. 4,7,9,10,12,15,17 Despite the demonstrated psychological impact of CPP, there is no strong evidence to advocate the use of psychological interventions as an adjunct to medical intervention for women with these conditions. This is concerning, as psychological interventions may have the potential to manage and treat the CPP related concerns.…”

Section: Introductionmentioning

confidence: 99%

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<p>Predictors of Depression, Anxiety and Stress Indicators in a Cohort of Women with Chronic Pelvic Pain</p>

Brooks¹,

Sharp²,

Evans³

et al. 2020

JPR

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Establishing predictors of mental health outcomes is a crucial precursor to the development and assessment of psychological interventions for women with chronic pelvic pain (CPP). The objective of this study was to identify predictors of depression, anxiety and stress in a cohort of women with CPP. Design: Cross-sectional analytic study. Methods: Pre-treatment questionnaires were collected from 212 women with CPP, who had attended a private specialist pelvic pain clinic over a period of 18 months. Multivariate linear regression with backwards elimination was used to determine the best joint predictors of depression, anxiety and stress scores on the Depression, Anxiety and Stress Scale-21 item (DASS 21). Results: Of 19 potential predictor variables, seven key predictors of depression, anxiety and stress indicators were identified. Higher depression scores were associated with higher current pain severity, a history of stabbing pains, prior experience of a sexually distressing event, having experienced pain as a child, and never having been pregnant before. Higher anxiety scores were associated with higher current pain severity, a history of stabbing pains, prior experience of a sexually distressing event, younger age of menarche, and younger age. Predictors of high-stress scores were higher current pain severity, a history of stabbing pains, prior experience of a sexually distressing event, and being younger. Conclusion: We have identified several important predictors of mental health in women with CPP. Using this information, psychological assessment and treatment for these women may be better tailored to client needs.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

<p>Predictors of Depression, Anxiety and Stress Indicators in a Cohort of Women with Chronic Pelvic Pain</p>

Brooks¹,

Sharp²,

Evans³

et al. 2020

JPR

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“…The main results in the current study pointed out significant differences in the prevalence of current Major Depressive Episodes between women with and without CPP. The recent review conducted by Carvalho et al[ 11 ] highlighted the link between depressive symptomatology and CPP. However, the present study advanced in the knowledge about this association since it used the gold standard diagnostic interview and a control group paired by age, school level and economic status to assess the presence of depressive disorders.…”

Section: Discussionmentioning

confidence: 99%

“…However, these authors state that the associations between sexual abuse and CPP are more prevalent in low methodological quality studies; thus, it is worth being careful at the time to interpret the results. There are also evidences about the association between depression and anxiety symptoms, and CPP[ 11 ]. Nevertheless, one of the weakest points to these evidences is the quality of the studies, most of them are descriptive and just assess the symptoms rather than confirming the disorder.…”

Section: Introductionmentioning

confidence: 99%

Chronic pelvic pain, psychiatric disorders and early emotional traumas: Results of a cross sectional case-control study

Osório¹,

Carvalho²,

Donadon³

et al. 2016

WJP

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AIMTo compare the prevalence of psychiatric disorders and early emotional traumas between women with chronic pelvic pain (CPP) and healthy women.METHODSOne hundred women in reproductive age, 50 of them had CPP (according to the criteria set by the International Association for Study of Pain), and 50 were considered healthy after the gynecological evaluation. The eligibility criteria were defined as follows: chronic or persistent pain perceived in the pelvis-related structures (digestive, urinary, genital, myofascial or neurological systems). Only women in reproductive age with acyclic pain for 6 mo, or more, were included in the present study. Menopause was the exclusion criterion. The participants were grouped according to age, school level and socio-economic status and were individually assessed through DSM-IV Structured Clinical Interview (SCID-I) and Early Trauma Inventory Self-report - short form (ETISR-SF Brazilian version). Descriptive statistics, group comparison tests and multivariate logistics regression were used in the data analysis.RESULTSThe early emotional traumas are highly prevalent, but their prevalence did not differ between the two groups. The current Major Depressive Disorder was more prevalent in women with CPP. The CPP was associated with endometriosis in 48% of the women. There was no difference in the prevalence of disorders when endometriosis was taken into account (endometriosis vs other diseases: P > 0.29). The current Major Depressive Disorder and the Bipolar Disorder had greater occurrence likelihood in the group of women with CPP (ODDS = 5.25 and 9.0).CONCLUSIONThe data reinforce the link between mood disorders and CPP. The preview evidences about the association between CPP and early traumas tended not to be significant after a stronger methodological control was implemented.

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“…Endometriosis-associated infertility has negative impacts on both marital relationships and social activities (15). Painful sex and sexual dysfunction (consequences of endometriosis) also negatively affect the quality of life, marital relationships and self-confidence leading to development of mental disorders including depression, anxiety, mood disorders and mental diseases (16,17). Other endometriosis-associated symptoms including dysuria, dysmenorrhea, dyspareunia, and pelvic pain reduce mental health of the patients (18,19).…”

mentioning

confidence: 99%

The effect of self-care counseling on depression and anxiety in women with Endometriosis: a randomized controlled trial.

Farshi

Hasanpour

Mirghafourvand

et al. 2020

Preprint

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Background: Considering the prevalence of endometriosis and depression and anxiety caused by this disease and its effect on the body, mind and quality of life of patients, this study was performed to determine the effect of self-care counseling on depression and anxiety (primary outcome), and quality of life of women with endometriosis (secondary outcome). Method: This randomized controlled clinical trial was conducted on 76 women with endometriosis who were treated in Al-Zahra Teaching and Treatment Center of Tabriz between2017-2019. The patients were divided into intervention (counselling) and control groups using random blocking method. For the intervention group, self-care group counseling was held weekly for 7 sessions. The control group received routine care. The Socio-demographic Questionnaire, Beck Depression Inventory, Spline Berger Anxiety Inventory and SF36 Quality of Life Questionnaire were completed by the researcher through an interview before and four weeks after the intervention. Results: No statistically significant difference was found between the intervention and control groups in terms of socio-demographic characteristics (p>0.05). After intervention mean scores of state anxiety (mean difference: -0.12, 95% confidence interval: -9.6 to -14.4, p<0.001) and trait anxiety (mean difference: -10.9: 95% confidence interval: -9.1 to -12.7, p=0.001) were significantly lower than control group and mean score of depression in counseling group was less than control group but it was not significant (p=0/565). Mean score of quality of life in terms of physical health (mean difference= 17.2, 95% confidence interval: 13.8 to 20.5, p<0.001) and in terms of mental health mean difference = 12.0, 95% confidence interval: 9.0 to 14.9, p<0.001) were significantly upper in counselling group. Conclusion: Self-care counselling is effective on anxiety and quality of life of women with endometriosis. So in addition to other therapies, this method is recommended to improve the mental health of patients with this disease. Trial Registration: IRCT Registration Number: IRCT 20111219008459N13, registered 10 February 2019, https://irct.ir/user/trial/35915

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Associations between chronic pelvic pain and psychiatric disorders and symptoms

Cited by 19 publications

References 32 publications

<p>Predictors of Depression, Anxiety and Stress Indicators in a Cohort of Women with Chronic Pelvic Pain</p>

<p>Predictors of Depression, Anxiety and Stress Indicators in a Cohort of Women with Chronic Pelvic Pain</p>

Chronic pelvic pain, psychiatric disorders and early emotional traumas: Results of a cross sectional case-control study

The effect of self-care counseling on depression and anxiety in women with Endometriosis: a randomized controlled trial.

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