{"paper_id":"bccb2f6e-a380-4353-b6d8-71b75e36f781","body_text":"Abstract\nPurpose\nTo examine the relationship between quality of life (QoL) and chronic pelvic pain (CPP), including an evaluation of whether differences exist between reported races and coping mechanisms used.\nMethods\nWe used a cross-sectional survey design and analyzed data using descriptive and inferential statistics. We administered two surveys: the World Health Organization Quality of Life–BREF (26 items) and the Impact of Female Chronic Pelvic Pain Questionnaire (8 items). We recruited young adults aged 18–25 who menstruate from college campuses in a large metropolitan area in the Midwest region of the United States, utilizing flyers, online social media platforms, and snowball sampling techniques.\nResults\nOut of the 585 respondents, 153 (26%) reported “yes,” and 95 (16%) were “unsure” they had CPP. Those with CPP and unsure reported using various coping mechanisms for pain. They had lower scores in all four domains (physical health, psychological, social relationship, and environment) and statistically significant lower scores in three domains (physical health, social relationship, and environment) on the World Health Organization Quality of Life—BREF when compared to those who said “no.” Respondents identifying as Black, Indigenous, or People of Color had statistically significantly lower QoL in the physical health and environment domains compared to white respondents.\nConclusion\nYoung adults with CPP experience a significantly lower QoL than those without CPP, and racial differences further widen this gap. Future research should explore coping mechanisms that could benefit young adults’ daily lives.\nSimilar content being viewed by others\nData availability\nData is available at Mendeley. Graeve, Catherine; Gao, Grace; Stephenson, Vera (2024), “CPP and Quality of Life”, Mendeley Data, V1, https://doi.org/10.17632/y9sz6sgrdm.1.\nReferences\nKaton JG, Plowden TC, Marsh EE (2023) Racial disparities in uterine fibroids and endometriosis: a systematic review and application of social, structural, and political context. Fertil Steril 119(3):355–363. https://doi.org/10.1016/j.fertnstert.2023.01.022\nNjoku A, Evans M, Nimo-Sefah L, Bailey J (2023) Listen to the whispers before they become screams: addressing black maternal morbidity and mortality in the United States. Healthcare 11(3):438. https://doi.org/10.3390/healthcare11030438\nHoffman KM, Trawalter S, Axt JR, Oliver MN (2016) Racial bias in pain assessment and treatment recommendations, and false beliefs about biological differences between blacks and whites. Proc Natl Acad Sci 113(16):4296–4301. https://doi.org/10.1073/pnas.1516047113\nSiqueira-Campos VM, de Deus MSC, Poli-Neto OB, Rosa-e-Silva JC, de Deus JM, Conde DM (2022) Current challenges in the management of chronic pelvic pain in women: from bench to bedside. Int J Women’s Health 14:225–244. https://doi.org/10.2147/IJWH.S224891\nToye F, Seers K, Barker K (2014) A meta-ethnography of patients’ experiences of chronic pelvic pain: struggling to construct chronic pelvic pain as ‘real.’ J Adv Nurs 70(12):2713–2727. https://doi.org/10.1111/jan.12485\nLamvu G, Carrillo J, Ouyang C, Rapkin A (2021) Chronic pelvic pain in women: a review. JAMA 325(23):2381. https://doi.org/10.1001/jama.2021.2631\nYosef A, Allaire C, Williams C, Ahmed AG, Al-Hussaini T, Abdellah MS, Wong F, Lisonkova S, Yong PJ (2016) Multifactorial contributors to the severity of chronic pelvic pain in women. Am J Obstet Gynecol 215(6):760.e1-760.e14. https://doi.org/10.1016/j.ajog.2016.07.023\nHuang G, Le A-L, Goddard Y, James D, Thavorn K, Payne M, Chen I (2022) A systematic review of the cost of chronic pelvic pain in women. J Obstet Gynaecol Can 44(3):286-293.e3. https://doi.org/10.1016/j.jogc.2021.08.011\nMathias S (1996) Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstet Gynecol 87(3):321–327. https://doi.org/10.1016/0029-7844(95)00458-0\nSewell M, Churilov L, Mooney S, Ma T, Maher P, Grover SR (2018) Chronic pelvic pain – pain catastrophizing, pelvic pain and quality of life. Scand J Pain 18(3):441–448. https://doi.org/10.1515/sjpain-2017-0181\nAmerican College of Obstetricians and Gynecologists and others (2004) ACOG practice bulletin #51: chronic pelvic pain. Obst Gynecol 103(3):589–605. https://doi.org/10.1097/00006250-200403000-00045\nCagnacci A, Della Vecchia E, Xholli A (2019) Chronic pelvic pain improvement: impact on quality of life and mood. Gynecol Endocrinol 35(6):502–505. https://doi.org/10.1080/09513590.2018.1540571\nSarwar U, Rauf U (2021) Social support, quality of life and mental health problems among females with and without menstruation problems: a comparative study. Khyber Med Univer J 14(4):206–210. https://doi.org/10.35845/kmuj.2021.21373\nSchoep ME, Nieboer TE, van der Zanden M, Braat DDM, Nap AW (2019) The impact of menstrual symptoms on everyday life: A survey among 42,879 women. Am J Obstet Gynecol 220(6):569.e1-569.e7. https://doi.org/10.1016/j.ajog.2019.02.048\nWHOQOL: Measuring Quality of Life. (2024). World Health Organization. https://www.who.int/tools/whoqol\nGraeve CU, Stephenson VI, Helland RL, Gao G (2023) Exploring impact of menstrual symptoms on young adults and implications for nurse practitioners. Women’s Healthc: A Clin J for NPs 11(4):34–41. https://doi.org/10.51256/HC082334\nKalfoss MH, Reidunsdatter RJ, Klöckner CA, Nilsen M (2021) Validation of the WHOQOL-Bref: psychometric properties and normative data for the norwegian general population. Health Qual Life Outcomes 19(1):13. https://doi.org/10.1186/s12955-020-01656-x\nSakthong P (2021) Mapping world health organization quality of life–BREF Onto 5-Level EQ-5D in Thai patients with chronic diseases. Value in Health 24(8):1089–1094. https://doi.org/10.1016/j.jval.2021.03.001\nJones GL, Kennedy SH, Jenkinson C (2002) Health-related quality of life measurement in women with common benign gynecologic conditions: a systematic review. Am J Obstet Gynecol 187(2):501–511. https://doi.org/10.1067/mob.2002.124940\nTripoli TM, Sato H, Sartori MG, de Araujo FF, Girão MJBC, Schor E (2011) Evaluation of quality of life and sexual satisfaction in women suffering from chronic pelvic pain with or without endometriosis. J Sex Med 8(2):497–503. https://doi.org/10.1111/j.1743-6109.2010.01976.x\nLaursen BS, Bajaj P, Olesen AS, Delmar C, Arendt-Nielsen L (2005) Health related quality of life and quantitative pain measurement in females with chronic non-malignant pain. Eur J Pain 9(3):267–267. https://doi.org/10.1016/j.ejpain.2004.07.003\nMiller-Matero LR, Saulino C, Clark S, Bugenski M, Eshelman A, Eisenstein D (2016) When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain. Arch Women’s Mental Health 19(2):349–354. https://doi.org/10.1007/s00737-015-0537-9\nAs-Sanie S, Black R, Giudice LC, Gray Valbrun T, Gupta J, Jones B, Laufer MR, Milspaw AT, Missmer SA, Norman A, Taylor RN, Wallace K, Williams Z, Yong PJ, Nebel RA (2019) Assessing research gaps and unmet needs in endometriosis. Am J Obstet Gynecol 221(2):86–94. https://doi.org/10.1016/j.ajog.2019.02.033\nGin GT, Rosenblum E, Wilkinson LD, Brady PH (2022) Female pelvic conditions: chronic pelvic pain. FP Essentials 515:11–19\nPoli-Neto OB, Tawasha KAS, Romão APMS, Hisano MK, Moriyama A, Candido-dos-Reis FJ, Rosa-e-Silva JC, Nogueira AA (2018) History of childhood maltreatment and symptoms of anxiety and depression in women with chronic pelvic pain. J Psychosom Obstet Gynecol 39(2):83–89. https://doi.org/10.1080/0167482X.2017.1306515\nMonroe P, Campbell JA, Harris M, Egede LE (2023) Racial/ethnic differences in social determinants of health and health outcomes among adolescents and youth ages 10–24 years old: A scoping review. BMC Public Health 23(1):410. https://doi.org/10.1186/s12889-023-15274-x\nWallander JL, Fradkin C, Elliott MN, Cuccaro PM, Tortolero Emery S, Schuster MA (2019) Racial/ethnic disparities in health-related quality of life and health status across pre-, early-, and mid-adolescence: A prospective cohort study. Qual Life Res 28(7):1761–1771. https://doi.org/10.1007/s11136-019-02157-1\nTrent M, Dooley DG, Section on Adolescent Health, County on Community Pediatrics, Committee on Adolsencse, Dougé J, Cavanaugh RM, Lacroix AE, Fanburg J, Rahmandar MH, Hornberger LL, Schneider MB, Yen S, Chilton LA, Green AE, Dilley KJ, Gutierrez JR, Duffee JH, Keane VA, Wallace SB (2019) The impact of racism on child and adolescent health. Pediatrics 144(2):e20191765. https://doi.org/10.1542/peds.2019-1765\nBurke E, Di Renna T, Mustafa N, Ginter C, Carter W, Corkery C, Sheffe S, Wilson R, Lemos N, Bosma R (2024) Empowered management for pelvic pain: The experiences of women with persistent pelvic pain participating in an online self-directed self-management program while they wait for interprofessional care. Women’s Health 20:17455057231224960. https://doi.org/10.1177/17455057231224960\nKatz L, Fransson A, Patterson L (2020) The development and efficacy of an interdisciplinary chronic pelvic pain program. Canadian Urol Assoc J. https://doi.org/10.5489/cuaj.6842\nSpeer LM, Mushkbar S, Erbele T (2016) Chronic Pelvic Pain in Women. Am Fam Phys 93(5):380–387\nAlsowayan N, Yong P, Allaire C, Noga H, Bedaiwy MA, Williams C (2018) Progestin only medications for chronic pelvic pain: Use patterns and causes of discontinuation. Fertil Steril 110(4):e83. https://doi.org/10.1016/j.fertnstert.2018.07.251\nMaiorana A, Maranto M, Restivo V, Gerfo DL, Minneci G, Mercurio A, Incandela D (2023) Evaluation of long-term efficacy and safety of dienogest in patients with chronic cyclic pelvic pain associated with endometriosis. Arch Gynecol Obstet 309(2):589–597. https://doi.org/10.1007/s00404-023-07271-7\nReavey J, Vincent K (2022) Chronic pelvic pain. Obstet Gynaecol Reprod Med 32(1):8–13. https://doi.org/10.1016/j.ogrm.2021.11.002\nCichowski SB, Rogers RG, Komesu Y, Murata E, Qualls C, Murata A, Murata G (2018) A 10 yr analysis of chronic pelvic pain and chronic opioid therapy in the women veteran population. Mil Med 183(11–12):e635–e640. https://doi.org/10.1093/milmed/usy114\nBougie O, Nwosu I, Warshafsky C (2022) Revisiting the impact of race/ethnicity in endometriosis. Reprod Fertil 3(2):R34–R41. https://doi.org/10.1530/RAF-21-0106\nTill SR, Nakamura R, Schrepf A, As-Sanie S (2022) Approach to diagnosis and management of chronic pelvic pain in women. Obstet Gynecol Clin North Am 49(2):219–239. https://doi.org/10.1016/j.ogc.2022.02.006\nWang X, Ding N, Sun Y, Chen Y, Shi H, Zhu L, Gao S, Liu Z (2022) Non-pharmacological therapies for treating chronic pelvic pain in women: a review. Medicine 101(49):e31932. https://doi.org/10.1097/MD.0000000000031932\nAcknowledgements\nThis work was funded by an Academic Excellence Grant (AEG) through the GHR Foundation. The AEG aims to improve societal health and well-being by preparing providers capable of practicing in emerging health-related environments.\nFunding\nThis work was funded by an Academic Excellence Grant (AEG) through the GHR Foundation. The AEG aims to improve societal health and well-being by preparing providers capable of practicing in emerging health-related environments.\nAuthor information\nAuthors and Affiliations\nContributions\nCU Graeve: protocol/project development, data collection or management, data analysis, manuscript writing/editing; G Gao: protocol/project development, data collection or management, data analysis, manuscript writing/editing; VI Stephenson: protocol/project development, data collection or management, manuscript writing/editing; R Helland: protocol/project development, data collection or management, manuscript writing/editing; AD Jeffery: data analysis, manuscript writing/editing.\nCorresponding author\nEthics declarations\nConflict of interest\nThe authors have no relevant financial or non-financial interests to disclose.\nEthical approval\nThis study was approved by the St Catherine University Institutional Review Board.\nConsent to participate\nInformed consent was obtained from all individual participants included in the study.\nConsent to publish\nConsent to publish was obtained as part of the consent to participate.\nAdditional information\nPublisher's Note\nSpringer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.\nRights and permissions\nSpringer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.\nAbout this article\nCite this article\nGraeve, C., Gao, G., Stephenson, V. et al. Impact of chronic pelvic pain on quality of life in diverse young adults. Arch Gynecol Obstet 310, 3147–3156 (2024). https://doi.org/10.1007/s00404-024-07783-w\nReceived:\nAccepted:\nPublished:\nVersion of record:\nIssue date:\nDOI: https://doi.org/10.1007/s00404-024-07783-w","source_license":"CC0","license_restricted":false}