Unrecognized Association of Sleep Disorders and Depression With Chronic Pelvic Pain
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This study evaluated 72 chronic pelvic pain patients, finding that 72% reported sleep disorders and 51% had depression, with significant correlations between these conditions.
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Abstract
Assessment of cases of chronic pelvic pain presents a challenging problem, and many physicians overlook the association of sleep disorders and depression with such pain. We examined these linkages in our chronic pelvic pain clinic, using a questionnaire that assists in diagnosis and management of these cases. To date, the cases of 72 patients (both physician- and self-referred) with pelvic pain have been evaluated. Of these patients, 51 of 71 (72%) reported sleep disorders, and 37 of 72 (51%) had clinical depression, as determined by the Beck Depression Inventory. After adjustment for a sleep-related item on the Beck scale, these two measures showed a positive correlation of .355 (P < .01). The scores of pain patients differed significantly from those of a control group of asymptomatic patients on the depression and sleep disorder measures. By being aware and using a simple questionnaire, the clinician may readily identify overlooked factors, such as sleep disorders and depression, when assessing cases of chronic pelvic pain.
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Cited by (19)
- The Psychology of Pelvic Pain 2025
- Chronic Pelvic Pain 2021
- Sleep quality and endometriosis: A group comparison study 2020
- Pelvic Pain: Clinical Features 2019
- Risk of psychiatric disorders following pelvic inflammatory disease: a nationwide population-based retrospective cohort study 2016
- When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain 2015
- Limiar de dor, prevalência de fibromialgia, qualidade de vida e de sono em mulheres com endometriose 2014
- Pain threshold and sleep quality in women with endometriosis 2014
- Entwicklung und Evaluation einer Online-Kasuistik in der Psychosomatischen Gynäkologie und Geburtshilfe 2011
- EAU Guidelines on Chronic Pelvic Pain 2009
- Physical therapy in the management of women with chronic pelvic pain 2007
- Documenting the Current Definitions of Chronic Pelvic Pain: Implications for Research 2004
- Quality of life instruments in studies of chronic pelvic pain: a systematic review 2004
- The community prevalence of chronic pelvic pain in women and associated illness behaviour. 2001
- Causes of chronic pelvic pain 2000
- Clinical knots Chronic pelvic pain: clinical dilemma or clinician's nightmare 2000
- Chronic pelvic pain: clinical dilemma or clinician's nightmare 2000
- Chronic pelvic pain 1993
- SURGICAL MANAGEMENT OF CHRONIC PELVIC PAIN 1993
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