Chronic pelvic pain in New Zealand: prevalence, pain severity, diagnoses and use of the health services

Grace, Victoria; Zondervan, Krina T.

doi:10.1111/j.1467-842x.2004.tb00446.x

Cited by 137 publications

(146 citation statements)

References 16 publications

Supporting

Mentioning

124

Contrasting

Unclassified

Order By: Relevance

“…International and Brazilian studies report prevalence rates of CPP ranging between 4% and 25.4% 1,[4][5][6][7][8] . Although there is no complete agreement about the definition of CPP, the condition is characterized by the presence of continuous or intermittent pain in the lower abdomen (below the navel) and/or in the pelvis, persistent for at least six months, not exclusively associated with menstruation, sexual intercourse or neoplastic disease, severe enough to cause disability or functional impairment, and requiring clinical and/or surgical treatment [9][10][11][12][13] .…”

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

“…2 Chronic pelvic pain is not a disease; rather, it is a condition associated with dysfunction in one or usually more of the following body systems: gynecological, urological, gastrointestinal, musculoskeletal, and neurological (Table). 2 The community prevalences of CPP in the United States, United Kingdom, and New Zealand are estimated to be 14.7%, 24%, and 25%, respectively, [3][4][5] and an estimated prevalence of CPP in primary care of 3.7% is comparable to those for low back pain (4.1%) and asthma (3.8%). 6 A recent study estimated the annual costs of endometriosis alone in 2002 to be $22 billion.…”

mentioning

confidence: 99%

Psychological Factors in Chronic Pelvic Pain in Women: Relevance and Application of the Fear-Avoidance Model of Pain

Alappattu

Bishop

2011

Physical Therapy

View full text Add to dashboard Cite

Chronic pelvic pain in women is a debilitating, costly condition often treated by physical therapists. The etiology of this condition is multifactorial and poorly understood, given the complex interplay of muscles, bones, and soft tissue that comprise the pelvis. There are few guidelines directing treatment interventions for this condition. In the last decade, several investigators have highlighted the role of psychological variables in conditions such as vulvodynia and painful bladder syndrome. Pain-related fear is the focus of the fear-avoidance model (FAM) of pain, which theorizes that some people are more likely to develop and maintain pain after an injury because of their emotional and behavioral responses to pain. The FAM groups people into 2 classes on the basis of how they respond to pain: people who have low fear, confront pain, and recover from injury and people who catastrophize pain-a response that leads to avoidance/escape behaviors, disuse, and disability. Given the presence of pain-related cognitions in women with chronic pelvic pain, including hypervigilance, catastrophizing, and anxiety, research directed toward the application of the FAM to guide therapeutic interventions is warranted. Isolated segments of the FAM have been studied to theorize why traditional approaches (ie, medications and surgery) may not lead to successful outcomes. However, the explicit application of the FAM to guide physical therapy interventions for women with chronic pelvic pain is not routine. Integrating the FAM might direct physical therapists' clinical decision making on the basis of the pain-related cognitions and behaviors of patients. The aims of this article are to provide information about the FAM of musculoskeletal pain and to provide evidence for the relevance of the FAM to chronic pelvic pain in women.

show abstract

“…CPP affects 14.7% of U.S. women 2 and 19% of adults in Europe 3 . Slightly higher rates are found in the UK (24%) 4 and in New Zealand (25.4%) 5 . Chronic pain is known to causes peripheral nerve hypersensitization 6 .…”

Section: Introductionmentioning

confidence: 94%

Efficacy of paraspinal anesthetic block in patients with chronic pelvic pain refractory to drug therapy: a randomized clinical trial

Rosa¹,

Amantéa²,

Santos³

et al. 2015

Rev. Bras. Ginecol. Obstet.

View full text Add to dashboard Cite

Efficacy of paraspinal anesthetic block in patients with chronic pelvic pain refractory to drug therapy: a randomized clinical trial Abstract PURPOSE: To determine whether paraspinal block reduces pain scores compared to placebo in women with chronic pelvic pain refractory to drug therapy. METHODS: Subjects with chronic pelvic pain due to benign conditions and refractory to drug therapy were invited to participate in a randomized, double blind, superiority trial at a tertiary reference center. Subjects were randomly allocated to receive paraspinal anesthetic block with 1% lidocaine without epinephrine or placebo (control). Lidocaine was injected along the spinal process of the painful segment in the supra-and interspinal ligaments using a 25G X 2" needle. Placebo consisted of introduction of the needle in the same segment without injecting any substance. The main outcome measured was the pain score based on a visual analog scale at T0 (baseline), T1 (within 15 min after the procedure) and T2 (one week after the procedure). Data were statistically analyzed by ANOVA and the 95% confidence interval (95%CI). RESULTS: Mean age was similar for both groups, i.e., 51.2 (paraspinal anesthetic block) and 51.8 years (control). A blind examiner measured the degree of pain according to the visual analog scale from 0 (no pain) to 10 (worst pain imaginable). Based on the visual analog scale, the mean pain scores of the paraspinal anesthetic block group at T0, T1 and T2 were 5.50 (SD=2.92; 95%CI 3.84-7.15), 2.72 (SD=2.10; 95%CI 1.53-3.90), and 4.36 (SD=2.37; 95%CI 1.89-6.82), respectively. The difference between T0 and T1 was statistically significant, with p=0.03. CONCLUSIONS: Paraspinal anesthetic block had a small effect on visual analog scale pain score immediately after the injections, but no sustained benefit after one week. Further studies are needed to determine the efficacy of paraspinal anesthetic block with different lidocaine doses for the treatment of visceral pain of other causes.

show abstract

Chronic pelvic pain in New Zealand: prevalence, pain severity, diagnoses and use of the health services

Abstract: Chronic pelvic pain (CPP) in women is often debilitating and isolating. Problems with diagnosis continue to make CPP one of the most perplexing conditions in gynaecology, and one of the most difficult to treat.

Cited by 137 publications

References 16 publications

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Associations between chronic pelvic pain and psychiatric disorders and symptoms

Psychological Factors in Chronic Pelvic Pain in Women: Relevance and Application of the Fear-Avoidance Model of Pain

Efficacy of paraspinal anesthetic block in patients with chronic pelvic pain refractory to drug therapy: a randomized clinical trial

Contact Info

Product

Resources

About