Psychosomatic Aspects of Chronic Pelvic Pain
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Women with chronic pelvic pain, regardless of socioeconomic status or organic pathology, exhibit significant psychopathology and often experience symptom substitution after hysterectomy.
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Abstract
Three groups of women of different socioeconomic extraction, some with and some without chronic pelvic pain, were studied gynecologically and psychiatrically. Regardless of the presence or absence of organic pelvic pathology, pelvic pain patients showed considerable psychopathology clinically and by psychological testing, mainly mixed character disorders with predominant schizoid features. They usually were eager to undergo hysterectomy. Those who received a hysterectomy generally became pain-free, but often they seemingly substituted for it other symptoms (mostly psychological). Pelvic pain patients of different socioeconomic extraction had similar psychological characteristics. A central conclusion is that chronic pelvic pain appears more closely related to the presence of psychiatric disturbance, which is a constant finding, than to the presence of organic pelvic pathology, which is an inconstant finding.
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Cited by (20)
- Entwicklung und Evaluation einer Online-Kasuistik in der Psychosomatischen Gynäkologie und Geburtshilfe 2011
- Chronic Pelvic Pain 2007
- <F45> Klinisch-psychologische Diagnostik und Behandlung von chronischen Unterbauchbeschwerden 2006
- Chronic pelvic pain : prevalence, risk factors and laparoscopic uterosacral nerve ablation. 2006
- Quality of life instruments in studies of chronic pelvic pain: a systematic review 2004
- Chronic pelvic pain: A meta-analytic review 1998
- Chronic pelvic pain (CPP) - gynaecologic and psychosocial factors 1998
- Sociopsychological factors in chronic pelvic pain: A review 1997
- The psychological and physical benefits of pelvic ultrasonography in patients with chronic pelvic pain and negative laparoscopy. A random allocation trial 1994
- A psychological profile of endometriosis patients in comparison to patients with pelvic pain of other origins 1993
- Psychosocial aspects of endometriosis: A review 1991
- Relationship of laparoscopic findings to self-report of pelvic pain 1991
- Idiopathic pelvic pain 1989
- Chronic pelvic pain 1986
- The frustrations of chronic pelvic pain 1985
- Chronic Pelvic Pain Without Obvious Pathology in Women 1982
- Diagnosis and Treatment of Chronic Pelvic Pain in Female Patients by Multidisciplinary Approach 1982
- Borderline Syndrome and Incest in Chronic Pelvic Pain Patients 1981
- Psychological aspects of chronic pelvic pain in women 1979
- Reactions to Hysterectomy: Fact or Fiction? 1976
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