The association between chronic pelvic pain, psychiatric diagnoses, and childhood sexual abuse
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Women with chronic pelvic pain reported higher rates of psychiatric diagnoses, sexual dysfunction, and childhood/adult sexual abuse compared to controls, irrespective of pelvic disease severity.
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Abstract
Twenty-five women with chronic pelvic pain who had undergone diagnostic laparoscopy and 30 women who had laparoscopic examinations for tubal sterilization or infertility investigation were compared psychologically using structured psychiatric and sexual abuse interviews. Results of the fiberoptic pelvic examination were rated independently using the American Fertility Society classification of endometriosis. Compared with controls, the patients with chronic pelvic pain showed significantly greater prevalence of lifetime major depression, current major depression, lifetime substance abuse, adult sexual dysfunction, and somatization. They were also significantly more likely than controls to have been a victim of childhood and adult sexual abuse. There were no significant differences in either the degree or type of pelvic disease between patients with pelvic pain and controls.
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Cited by (43)
- Short review on adverse childhood experiences, pelvic pain and endometriosis 2023
- Chronic Pelvic Pain: a Neuropsychiatric View of the Gynecological Problem 2023
- The Importance of a Multi-Disciplinary Approach to the Endometriotic Patients: The Relationship between Endometriosis and Psychic Vulnerability 2021
- Adverse Childhood Experiences Among Gynecology Patients With Chronic Pelvic Pain 2019
- Chronic Pelvic Pain 2018
- Maltreatment during childhood: a risk factor for the development of endometriosis? 2018
- Sexual and physical abuse and gynecologic disorders 2016
- Chronic pelvic pain: Pathogenesis and validated assessment 2016
- Associations between chronic pelvic pain and psychiatric disorders and symptoms 2015
- When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain 2015
- Assessment and management of chronic pelvic pain 2013
- Entwicklung und Evaluation einer Online-Kasuistik in der Psychosomatischen Gynäkologie und Geburtshilfe 2011
- Psychosomatic Aspects 2011
- Relational Patterns of Couples Living With Chronic Pelvic Pain From Endometriosis 2007
- The Utility of the Beck Depression Inventory in the Evaluation of Chronic Pelvic Pain Patients 2007
- Chronic pelvic pain : prevalence, risk factors and laparoscopic uterosacral nerve ablation. 2006
- Long-term outcomes after surgical and nonsurgical management of chronic pelvic pain: One year after evaluation in a pelvic pain specialty clinic 2006
- Predictors of Chronic Pelvic Pain in an Urban Population of Women With Symptoms and Signs of Pelvic Inflammatory Disease 2005
- Recognition and treatment of irritable bowel syndrome among women with chronic pelvic pain 2005
- Prevalence and Characteristics of Irritable Bowel Syndrome Among Women With Chronic Pelvic Pain 2004
- Documenting the Current Definitions of Chronic Pelvic Pain: Implications for Research 2004
- Quality of Life and Sexual Function After Hysterectomy in Women With Preoperative Pain and Depression 2004
- Lower quality of life among women with chronic pelvic pain after pelvic inflammatory disease*1 2003
- Pelvic pain 2001
- Medical management of chronic pelvic pain 2000
- Psychological and endocrine correlates of chronic pelvic pain associated with adhesions 1999
- Abuse-Related Posttraumatic Stress Disorder and Alterations of the Hypothalamic-Pituitary-Adrenal Axis in Women With Chronic Pelvic Pain 1998
- Verhaltensmedizin bei Frauen mit chronischen Unterbauchbeschwerden 1998
- Laparoscopic and Psychologic Evaluation of Women with Chronic Pelvic Pain 1998
- Chronic pelvic pain: A meta-analytic review 1998
- Endometriosis and Pelvic Pain 1998
- A comparative study of women with chronic pelvic pain, chronic nonpelvic pain and those with no history of pain attending general practitioners 1998
- PATHOPHYSIOLOGY 1997
- THE STRUCTURE AND FUTURE OF ENDOMETRIOSIS RESEARCH 1997
- Chronic pelvic pain: A systemic approach to assessment and treatment. 1997
- OFFICE GYNECOLOGY FOR THE PRIMARY CARE PHYSICIAN, PART II 1996
- The social support experiences of women with endometriosis 1995
- Pathogenesis of Pelvic Pain in Endometriosis 1995
- The pelvic pain syndrome 1993
- Is pelvic endometriosis always associated with chronic pain? A retrospective study of 618 cases diagnosed by laparoscopy 1993
- Chronic pelvic pain 1993
- SURGICAL MANAGEMENT OF CHRONIC PELVIC PAIN 1993
- Relationship of laparoscopic findings to self-report of pelvic pain 1991
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