Multifactorial contributors to the severity of chronic pelvic pain in women

Yosef, Ali; Allaire, Catherine; Williams, Christina; Ahmed, Abdel Ghaffar M.; Al-Hussaini, Tarek K.; Abdellah, Mohamad S.; Wong, Fabian; Lisonkova, Sarka; Yong, Paul J.

doi:10.1016/j.ajog.2016.07.023

Cited by 134 publications

(142 citation statements)

References 26 publications

Supporting

Mentioning

120

Contrasting

Unclassified

Order By: Relevance

“…The variables tested were: age, BMI, POP-Q stage of anterior compartment, parity, previous vacuum delivery, previous forceps delivery, sexual activity, use of local estrogen as well as chronic disease causing pain, fatigue or increased intra-abdominal pressure. The latter, represented by entities such as fibromyalgia, chronic fatigue syndrome, irritable bowel syndrome or chronic obstructive lung syndrome was included as independent variable because others have found such conditions to be closely correlated with pelvic pain [19]. Assumptions for linear regression analyses were adequately met.…”

Section: Methodsmentioning

confidence: 99%

Levator ani defects and the severity of symptoms in women with anterior compartment pelvic organ prolapse

et al. 2017

View full text Add to dashboard Cite

show abstract

Section: Methodsmentioning

confidence: 99%

Levator ani defects and the severity of symptoms in women with anterior compartment pelvic organ prolapse

et al. 2017

View full text Add to dashboard Cite

show abstract

“…The latter also expose women to not inconsiderable risks, without guarantee of any benefit. [3][4][5] For the more than 50% of women in the current sample presenting with both CPP and severe pain catastrophising, biomedical treatment alone risks not only failure to alleviate their pain-related suffering, but may in fact worsen their pain experience and further entrench catastrophic worry.…”

Section: Discussionmentioning

confidence: 99%

“…Further, pain severity is not correlated with pain-related disability, which is now widely accepted to be driven by psychosocial factors. [5][6][7][8][9][10][11] Psychosocial factors are cognitive, emotional, behavioural, social, and contextual factors that influence how an individual understands, experiences and manages pain. These include beliefs about pain, pain behaviours such as excessive rest or avoidance, and even how the individual's social network responds to their pain.…”

mentioning

confidence: 99%

Unmet treatment needs in patients with chronic pelvic pain in a New Zealand gynaecology service

Joseph

Mills

2019

Aust NZ J Obst Gynaeco

View full text Add to dashboard Cite

BACKGROUNDChronic pelvic pain (CPP) is defined as continuous or intermittent pain in the abdomen and/or pelvis lasting for at least six months. 1 Current prevalence estimates suggest one in every four to six women experience CPP, making it relatively common. 2,3 For many of these women, CPP is accompanied by high levels of distress, disability, and reduced quality of life. 2,3 The high levels of distress experienced by these women have resulted in strong lobbying for increased treatments to alleviate CPP. 2 The mainstay of such treatments has been based on traditional biomedical perspectives of pain directed toward the end Background: Chronic pelvic pain, which carries a high burden of disability and distress, is a common presentation to gynaecology clinics. While there is increasing acknowledgment of the complexity of chronic pelvic pain, and the benefits of providing management from a multidisciplinary team within a sociopsychobiomedical framework, the mainstay of management in gynaecology outpatient clinics remains within a single clinician biomedical-focused model. This model of care is only sufficient for women who present with minimal psychosocial complexity to their pain. Aims: To estimate the proportion of women attending the gynaecology outpatient clinic at a public women's hospital in New Zealand referred with chronic pelvic pain who have needs unmet by the current biomedical model of care. Informed by international research, pain catastrophising was used as a psychosocial correlate of this complexity. Methods: An audit was undertaken of 100 consecutive pre-appointment questionnaires of women, referred to a gynaecology outpatient clinic for review of pelvic pain of duration over six months, with no red flags in their referral history. Results:An unexpectedly high level of catastrophic thoughts about pain was reported. Seventy-seven percent of the women scored in the high or severe range, with 55% endorsing clinically significant scores for helpless catastrophising.Conclusions: The Pain Catastrophising Scores in this cohort were found to be higher than those in similar groups in the published international literature and also than in patients referred to the local tertiary level pain management centre, further reinforcing the need for investment into appropriate services for women with chronic pelvic pain. K E Y W O R D Scatastrophising, chronic pain, endometriosis, pain management, pelvic pain

show abstract

“…5 We Endometriosis is not the only cause of chronic pelvic pain and nor does endometriosis exist in isolation.…”

Section: Sirmentioning

confidence: 99%

Re: Surgical removal of superficial peritoneal endometriosis for managing women with chronic pelvic pain: time for a rethink?

Leonardi

Singh

Condous

2019

BJOG

View full text Add to dashboard Cite

Multifactorial contributors to the severity of chronic pelvic pain in women

Cited by 134 publications

References 26 publications

Levator ani defects and the severity of symptoms in women with anterior compartment pelvic organ prolapse

Levator ani defects and the severity of symptoms in women with anterior compartment pelvic organ prolapse

Unmet treatment needs in patients with chronic pelvic pain in a New Zealand gynaecology service

Re: Surgical removal of superficial peritoneal endometriosis for managing women with chronic pelvic pain: time for a rethink?

Contact Info

Product

Resources

About