Psychological Profile in Women with Chronic Pelvic Pain

López, Mónica Magariños; Rodríguez, María José Lobato; García, Ángela Menéndez; García-Cid, Sophie; Royuela, Ana; Pereira, Augusto

doi:10.3390/jcm11216345

Cited by 4 publications

(2 citation statements)

References 75 publications

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“…Second, openness and extraversion established a negative association with all pain outcomes. This is concordant with prior research documenting the co-occurrence between low extraversion, elevated pain intensity, and emotional interference [ 53 , 54 ]. These findings also emphasize the connection between personality and well-being.…”

Section: Discussionsupporting

confidence: 90%

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Cojocaru,

Popa,

Schenk

et al. 2024

Healthcare

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Background: Chronic pain is associated with increased disability and vulnerability to emotional disorders. Personality and psychological flexibility (PF) describe interindividual differences that shape the adjustment to chronic pain. Specifically, PF was found to be associated with pain, fatigue, anxiety, and depression intensity. Although previous studies established strong correlations between personality and pain outcomes, evidence on the nature of this relationship is scarce. Therefore, the objective of this study is to explore the mediating effect of PF on the relationship between personality and distress. Methods: This transversal study included 108 participants (age M = 56.7, SD = 11.3) diagnosed with musculoskeletal chronic pain. Self-reported measures were administered by the medical care team. Multiple mediation models were performed for estimating the indirect effects on each outcome variable. Results: After controlling for age and gender covariates, we found that PF completely mediated the relationship between personality traits and all pain outcomes and partially mediated the impact of extraversion on anxiety. In addition, emotional stability also had an indirect effect on anxiety through PF. Conclusions: Personality traits and PF are significant predictors of pain outcomes. PF represents a core process mediating the impact of personality traits on the perceived intensity of pain, fatigue, anxiety, and depression in patients with rheumatic disease. These results could facilitate the application of individualized psychological interventions in clinical contexts targeting the reduction of emotional avoidance and in chronic pain patients.

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Section: Discussionsupporting

confidence: 90%

Personality and Pain Outcomes in Rheumatic Disease: The Mediating Role of Psychological Flexibility

Cojocaru,

Popa,

Schenk

et al. 2024

Healthcare

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“…Predisposing risk factors are those that can increase susceptibility to IC. These include genetic vulnerability and family medical and mental health history ( 12 ), personality traits ( 101 ), early (ELA) ( 102 , 103 ) and recent (RLA) life adversities ( 14 ), age, ( 104 ), race ( 105 ), and gender ( 106 ). In cats and rodents, predisposing factors include genetic vulnerability, ELA, personality traits, breed, sex, housing, and RLA (e.g., social conflict) ( 1 , 107 ).…”

Section: Introductionmentioning

confidence: 99%

Interstitial cystitis—an imbalance of risk and protective factors?

Westropp,

Stella,

Buffington

2024

Front. Pain Res.

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Interstitial cystitis (IC) presents as a chronic pain condition with variable combinations of symptoms depending on the species and individual patient. It is diagnosed by the presence of lower urinary tract signs and symptoms in combination with a variety of comorbid health problems, a history of life adversities, and the absence of other conditions that could cause the lower urinary tract signs. IC occurs naturally in humans and cats as a dimensional condition, with patients presenting with mild, moderate, and severe symptoms. Most patients appear to recover without specific treatment. A number of rodent models of IC have been used to study its causes and treatments. Unfortunately, current therapies generally fail to ameliorate IC symptoms long-term. The recent classification of IC as a chronic primary pain disorder calls for a rethinking of current clinical and research approaches to it. Beginning when a patient encounters a clinician, precipitating, perpetuating, and palliating risk factors can be addressed until a cause or reliably effective therapy is identified, and identifying predisposing and preventive factors can inform epidemiological studies and health promotion interventions. Predisposing, precipitating, and perpetuating risk factors, including environmental, psychological, and biological, increase the activity of the central threat response system (CTRS), which plays a clinically important role in IC symptoms. Studies in cats and rodent models have revealed that environmental enrichment (EE), in the absence of bladder-directed therapies, leads to amelioration of IC symptoms, implying a central role for the CTRS in symptom precipitation and perpetuation. Conceptually moving the source of IC pain to the brain as a motivational state rather than one resulting from peripheral nociceptive input offers both clinicians and researchers novel opportunities to improve care for patients with IC and for researchers to use more ecologically valid rodent models. It may even be that IC results from an excess of risk to protective factors, making this imbalance a targetable cause rather than a consequence of IC.

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