Psychosocial aspects of chronic pelvic pain, with special reference to sexual abuse. A study of 164 women

Fry, Richard; Crisp, A. H.; Beard, R. W.; McGuigan, Sean

doi:10.1136/pgmj.69.813.566

Cited by 42 publications

(18 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…It should be noted, however, that many studies had inconclusive results because of the methodology or design adopted, and that the role played by emotional factors in the onset and maintenance of the condition remains largely unknown 8,20,22,23 .…”

Section: Introductionmentioning

confidence: 99%

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Neto¹,

Crippa²,

Hallak³

et al. 2015

Arch. Clin. Psychiatry (São Saulo)

View full text Add to dashboard Cite

Background: Chronic pelvic pain (CPP) is a complex condition wich is associated with emotional factors, specially depression and anxiety. Objectives: To make a systematic review to provide a detailed summary of relevant literature on the association between CPP and different psychiatric disorders/symptoms. Methods: A systematic review of articles in the international literature published between 2003 and 2014 was performed in the electronic databases PubMed, PsycINFO, LILACS, and SciELO using the terms (chronic pelvic pain) AND (psychiatry OR psychiatric OR depression OR anxiety OR posttraumatic stress OR somatoform). The searches returned a total of 529 matches that were filtered according to predefined inclusion and exclusion criteria. A total of 18 articles were selected. Results: The investigations focused mainly on the assessment of depression and anxiety disorders/symptoms, with rather high rates (17-38.6%). Depression and anxiety symptoms were more prevalent among women with CPP compared to healthy groups. Comparisons between groups with CPP and with specific pathologies that also have pain as a symptom showed that depression indicators are more frequent in CPP. Depressive symptoms tend to be more common in CPP and have no particular association with pain itself, the core feature of CPP. Discussion: Other aspects of CPP seem to play a specific role in this association. Anxiety and other psychiatric disorders require further investigation so that their impact on CPP can be better understood.

show abstract

Section: Introductionmentioning

confidence: 99%

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Neto¹,

Crippa²,

Hallak³

et al. 2015

Arch. Clin. Psychiatry (São Saulo)

View full text Add to dashboard Cite

show abstract

“…Moreover, other forms of abuse need to be identified since there was a significantly greater incidence of childhood physical abuse in patients with CPP compared with patients with other pain or with controls. 32 Rapkin et al 19 reported that 39% of patients with CPP had been physically abused during childhood and in this study physical abuse was more common than sexual abuse in the majority of these cases. However, many studies have failed to adopt comparative groups of patients with pain of equivalent chronicity.…”

Section: Somatisation Disordersmentioning

confidence: 46%

Chronic pelvic pain: clinical dilemma or clinician's nightmare

Ghaly

2000

Sexually Transmitted Infections

View full text Add to dashboard Cite

Chronic pelvic pain is a common problem presenting a major challenge to healthcare professionals. This is partly due to the lack of understanding of the aetiology and natural history of the disease. This condition is best managed using a multidisciplinary approach. In recent years, the emphasis in the clinical management has tended towards psychosocial or psychosexual involvement after organic disease has been excluded. (Sex Transm Inf 2000;76:419-425) Keywords: pelvic pain Introduction Chronic pelvic pain (CPP) is a serious problem aVecting the lives of many women during their child bearing years. It is a recognised long term morbidity of sexually transmitted infections and pelvic inflammatory disease. The diVerential diagnosis of the underlying aetiology often involves both psychological and organic factors. The management of CPP constitutes a major challenge to the clinician mainly because of our lack of understanding of its natural history, aetiology, and pathogenesis.The aim of this descriptive review is to identify the wide range of aetiological factors for CPP in order to illustrate the dilemma facing clinicians in investigating and managing this condition.

show abstract

“…There was no other contact with the gynaecologist, but patients did undergo investiga tion (at 1 or 2 appointments) between these times, and if severely affected by pain and worried, they could contact the clinic nurse by telephone. This group formed a part of a larger study of 164 consecu tive referrals whose demographic, gynaecological and psychological characteristics have been reported elsewhere [17].…”

Section: Methodsmentioning

confidence: 99%

“…This tested for a second time the patient's view of the initial gynaeco logical consultation and served as a measure of reproducibility of the patient questionnaire. As part of the research interview the HDHQ was administered together with other instruments as previously reported [17]. The extent of pain was assessed both at the research interview (tl) and after the follow-up consultation (t2) using visual analogue scales completed by the patient for the worst pain experi enced during the previous 4 weeks and for the usual level of pain during the previous 4 weeks.…”

Section: Methodsmentioning

confidence: 99%

Hostility and Doctor-Patient Interaction in Chronic Pelvic Pain

Fry

Stones

1996

Psychother Psychosom

View full text Add to dashboard Cite

Background: Interaction in medical consultations is of interest for many reasons and has long been thought an important variable in determining outcomes. Relatively few methods or instruments exist that attempt to access this phenomenon. The design, validation and possible application of a simple instrument to assess doctor-patient interaction are reported. Rapport and hostility may be related and we hypothesised that interaction between doctor and patient would be related in part to hostility. Methods: A simple instrument to assess doctor-patient interaction was designed based on 4 areas related to interaction and perception of’the other’. These were the areas of communication, rapport, trust and sense of ease. The instrument was compared with an external previously validated measure of hostility. Data were obtained from 74 women attending initial and follow-up consultations for chronic pelvic pain during the course of a larger study. Results: The instrument had acceptable reliability and a single-factor structure. Patients’ assessment of the initial consultation as unsatisfactory correlated with inwardly directed hostility (Spearman correlation coefficient, r = 0.30, p = 0.011). Patients’ tendency to rate the consultation worse than the doctor was correlated with inwardly directed hostility (r = 0.42, p < 0.001). Pain outcomes were not directly related to the variables studied. Conclusions: This instrument offers a simple method of assessing some interactional aspects of a medical consultation.

show abstract

Psychosocial aspects of chronic pelvic pain, with special reference to sexual abuse. A study of 164 women

Cited by 42 publications

References 32 publications

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Chronic pelvic pain: clinical dilemma or clinician's nightmare

Hostility and Doctor-Patient Interaction in Chronic Pelvic Pain

Contact Info

Product

Resources

About