Trauma and Posttraumatic Stress Disorder in Women With Chronic Pelvic Pain

Meltzer‐Brody, Samantha; Leserman, Jane; Zolnoun, Denniz; Steege, John F.; Green, Emily; Teich, Alice

doi:10.1097/01.aog.0000258296.35538.88

Cited by 117 publications

(82 citation statements)

References 51 publications

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“…From these, five studies [24][25][26][27][28] used an observational descriptive design and the remaining 13 8,20,21,[29][30][31][32][33][34][35][36][37][38] used a case-control design. Most of the studies were conducted in the United States (n = 6) and Brazil (n = 5).…”

Section: Resultsmentioning

confidence: 99%

“…The most frequent inclusion criteria for the clinical groups were duration of pain symptoms 8,20,21,[24][25][26][27]29,[31][32][33][34][35][36] , which ranged from three to six months, and specificities related to the etiology of pain 21,27,[31][32][33][34]36,37 , for example, pain resulting from pelvic adhesions. It is noteworthy that not all studies strictly followed the international criteria for the diagnosis of CPP, which require a minimum duration of six months for pain symptoms [9][10][11][12][13] .…”

Section: Resultsmentioning

confidence: 99%

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Associations between chronic pelvic pain and psychiatric disorders and symptoms

Neto¹,

Crippa²,

Hallak³

et al. 2015

Arch. Clin. Psychiatry (São Saulo)

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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.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Neto¹,

Crippa²,

Hallak³

et al. 2015

Arch. Clin. Psychiatry (São Saulo)

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“…This scale has been widely used; subjects experiencing more trauma in all categories have been shown to have higher rates of medical conditions, poorer health, and psychological dysfunction. [83][84][85][86] Patient Health Questionnaire (Brief). The original Patient Health Questionnaire (PHQ) was developed as a fully selfadministered version of a DSM-IV based clinician evaluation guide to common psychiatric disorders.…”

Section: Edinburgh Postnatal Depression Scale (Epds)mentioning

confidence: 99%

Eating Disorders and Trauma History in Women with Perinatal Depression

Meltzer‐Brody

Zerwas

Leserman

et al. 2011

Journal of Women's Health

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Objective: Although the prevalence of perinatal depression (depression occurring during pregnancy and postpartum) is 10%, little is known about psychiatric comorbidity in these women. We examined the prevalence of comorbid eating disorders (ED) and trauma history in women with perinatal depression. Methods: A research questionnaire was administered to 158 consecutive patients seen in a perinatal psychiatry clinic during pregnancy (n = 99) or postpartum (n = 59). Measures included Structured Clinical Interview for DSM (SCID) IV-based questions for lifetime eating psychopathology and assessments of comorbid psychiatric illness including the State/Trait Anxiety Inventory (STAI), Patient Health Questionnaire (PHQ-9), Edinburgh Postnatal Depression Scale (EPDS), and Trauma Inventory. Results: In this cohort, 37.1% reported a putative lifetime ED history; 10.1% reported anorexia nervosa (AN), 10.1% reported bulimia nervosa (BN), 10.1% reported ED not otherwise specified-purging subtype (EDNOS-P), and 7.0% reported binge eating disorder (BED). Women with BN reported more severe depression (EPDS score, 19.1, standard deviation [SD 4.3], p = 0.02; PHQ-severity 14.5, SD 7.4, p = 0.02) than the referent group of women with perinatal depression and no ED history (EPDS 13.3, SD = 6.1; PHQ 9.0, SD = 6.2). Women with AN were more likely to report sexual trauma history than the referent group (62.5% vs. 29.3%, p < 0.05), and those with BN were more likely report physical (50.0%, p < 0.05) and sexual (66.7%, p < 0.05) trauma histories. Conclusions: ED histories were present in over one third of admissions to a perinatal psychiatry clinic. Women with BN reported more severe depression and histories of physical and sexual trauma. Screening for histories of eating psychopathology is important in women with perinatal depression.

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“…For example, while the likelihood of intimate partner violence increases among women over the lifecourse (3), physical abuse appears more common among men (3) and sexual abuse is more common among women (5,6). Medically, abuse has been strongly associated with a range of gastroenterological and genitourinary symptoms (7)(8)(9)(10)(11)(12)(13)(14)(15), pain (16), and worse daily functioning due to poor health (17). Abuse has also been associated with a range of mental health outcomes, including depression and post-traumatic stress disorder (18)(19)(20)(21)(22)(23)(24)(25)(26)(27)(28) as well as substance abuse (29).…”

Section: Introductionmentioning

confidence: 99%

An examination of the association of abuse (physical, sexual, or emotional) and female sexual dysfunction: results from the Boston Area Community Health Survey

Lutfey

Link

Litman

et al. 2008

Fertility and Sterility

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Study objective-To examine associations between abuse (physical, sexual, and emotional) in childhood and adolescence/adulthood and sexual activity and dysfunction (FSD) in women.Design-We analyzed data from the Boston Area Community Health (BACH) Survey, a community-based epidemiologic study of urologic and sexual symptoms and risk factors in a racially/ ethnically diverse random sample of women aged 30-79 (N=3,205 women). Setting-Boston Area communityPatients-Participants were community residents.Interventions-Data were observational; no interventions were made.Main outcome measure-Sexual activity and dysfunction rates (FSD) were assessed by means of a validated questionnaire: the Female Sexual Function Index (FSFI).Results-Abuse history was not significantly associated with likelihood of sexual activity. Among those who were sexually active with a partner, a history of each of three types of abuse approximately doubles the risk of FSD. Specifically, childhood emotional (OR 2.13, 95% CI 1.28, 3.56), adult sexual (OR 1.94, 95% CI 1.23, 3.08), and adult emotional abuse (OR 1.86, 95% CI 1.15, 3.01) were all significantly and positively associated with sexual dysfunction (p < .05) after adjusting for covariates (including depression). Analyses of the six FSD domains showed that the relationships were strongest for pain (p = .006) and satisfaction (p < .001).Conclusions-These findings extend previous literature by identifying an association between FSD and multiple types of abuse, even after adjusting for depression.

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Trauma and Posttraumatic Stress Disorder in Women With Chronic Pelvic Pain

Abstract: II.

Cited by 117 publications

References 51 publications

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Eating Disorders and Trauma History in Women with Perinatal Depression

An examination of the association of abuse (physical, sexual, or emotional) and female sexual dysfunction: results from the Boston Area Community Health Survey

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