The Role of the Mental Health Professional in the Management of Chronic Pelvic Pain

Chronic pelvic pain (CPP), defined as pelvic pain that is noncyclic and has persisted for more than 6 months, can be frustrating and demoralizing for the patient and is often a particularly enigmatic problem for the medical team. There are a number of gynecological conditions that can contribute to pelvic pain (e.g., endometriosis, pelvic adhesions, vulvovaginitis, vulvar vestibulitis, adenomyosis, and pelvic relaxation) as well as nongynecological conditions (e.g., irritable bowel syndrome, interstitial cystitis, urethral syndrome, and myofascial syndrome). Some patients will alternatively present with chronic pelvic pain but the medical workup may fail to determine a clear-cut etiology. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

Engel GL. “Psychogenic” pain and the pain-prone patient. Am J Med 1959; 26: 899–918. Gidro-Frank L, Gordon T, Taylor HC Jr. Pelvic pain and female identity. Am J Obstet Gynecol 1960; 79: 1184–202. Kashima KJ, McCreary CP. Sex differences in chronic low back pain patients. (August 1998). Paper presented at the annual meeting of the American Psychological Association, New York, NY. Melding PS. Psychosocial aspects of chronic pain and the elderly. I ASP Newsletter 1992; 2–4. Beers TM, Karoly P. Cognitive strategies, expectancy, and coping style in the control of pain. J Consult Clin Psychol 1979; 47; 179–80. McCaul KD, Malott JM. Distraction and coping with pain. Psychol Bull 1984; 95: 516–33. Jensen MP, Turner JA, Romano JM, et al. Coping with chronic pain: a critical review of the literature. Pain 1991; 47: 249–83. Turk DC, Rudy TE. Assessment of cognitive factors in chronic pain: a worthwhile enterprise? J Consult Clin Psychol 1986; 54: 760–68. Haythornthwaite JA, Sieber WJ, Kerns RD. Depression and the chronic pain experience. Pain 1991; 46: 177–84. Sachem S, Dar R, Cleeland CS. The relationship of mood state to the severity of clinical pain. Pain 1984; 18: 187–97. Timmermans G, Sternback RA. Factors of human chronic pain: an analysis of personality and pain reaction variables. Science 1974; 184: 806–808. Atkinson JH, Slater MA, Patterson TL, et al. Prevalence, onset, and risk of psychiatric disorders in men with chronic low back pain: a controlled study. Pain 1991; 45: 111–21. Weickgenant AL, Slater MA, Patterson TL, et al. Coping activities in chronic low back pain: Relationship with depression. Pain 1993; 53: 95–104. Flor H, Turk DC, Scholz OB. Impact of chronic pain on the spouse: marital, emotional and physical consequences. J Psychosom Res 1987; 31: 63–71. Thomas M, Roy R. Pain patients and marital relations. Clin J Pain 1989; 5: 255–59. Rapkin AJ, Kames LD. The pain management approach to chronic pelvic pain. J Reprod Med 1987; 32: 323–27. Fordyce WE. Pain and suffering: a reappraisal. Am Psychol 1988: 43: 276–83. Kerns RD, Jacob MC. Toward an integrative diathesis-stress model of chronic pain. In Goreczny AJ, ed. Handbook of health and rehabilitation psychology. Plenum, New York, 1995, pp 325–40. Jacob MC. Psychological aspects of chronic pelvic pain in women with endometrio-sis. In Nezhat CR, Berger GS, Nezhat FR, et al. Endometriosis: advanced management and surgical techniques. Springer-Verlag, New York, 1995, pp 267–74. Kerns RD, Payne A. Treating families of chronic pain patients. In Gatchel RJ, Turk DC, ed. Psychological approaches to pain management: a practitioner’s handbook. New York, Guilford Press, 1996, pp 283–404. Hanson RW, Gerber KE. Coping with chronic pain: a guide to self-management. Guilford Press, New York, 1990. Schover LR, Youngs DD, Cannata R. Psychosexual aspects of the evaluation and management of vulvar vestibulitis. Am J Obstet Gynecol 1992; 167: 630–36. Gross R, Doerr H, Caldirola G, et al. Borderline syndrome and incest in chronic pelvic pain patients. Int J Psychiatry Med 1980; 10: 79–86. Rapkin AJ, Kames LD, Darke LL, et al. History of physical and sexual abuse in women with chronic pelvic pain. Obstet Gynecol 1990; 76: 92–96. Reiter RC, Gambone JC. Demographic and historical variables in women with idiopathic chronic pelvic pain. Obstet Gynecol 1990; 75: 428–31. Walling MK, O’Hara MW, Reiter RC, et al. Abuse history and chronic pain in women. II. A multivariate analysis of abuse and psychological morbidity. Obstet Gynecol 1994; 84: 200–206. Walling MK, Reiter RC, O’Hara MW, et al. Abuse history and chronic pain in women. I. Prevalences of sexual abuse and physical abuse. Obstet Gynecol 1994; 84: 193–99. Haber JD, Roos C. Effects of spouse abuse and/or sexual abuse in the development and maintenance of chronic pain in women. In: Fields HL, et al. ed. Advances in pain research and therapy. Raven Press, New York, 1985, pp 889–95. Domino JV, Haber JD. Prior physical and sexual abuse in women with chronic headache; clinical correlates. Headache 1987; 27: 310–14. Drossman DA, Leserman J, Nachman G, et al. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Ann Intern Med 1990; 113: 828–33. Leserman J, Drossman DA, Li Z, et al. Sexual and physical abuse history in gastroenterology practice: how types of abuse impact health status. Psychosom Med 1996; 58: 4–15. Walker EA, Gelfand AN, Gelfand MD, et al. Medical and psychiatric symptoms in female gastroenterology clinic patients with histories of sexual victimization. Gen Hosp Psychiatry 1995; 17: 85–92. Drossman DA. Physical and sexual abuse and gastrointestinal illness: What is the link: [Editorital]. Am JMed 1994; 97: 105–107. Fry R. Adult physical illness and childhood sexual abuse. J Psychosom Res 1993; 37: 89–103. Leserman J, Drossman DA, Li Z. The reliability and validity of a sexual and physical abuse history questionnaire in female patients with gastrointestinal disorders. Behav med 1995; 21: 141–50. Kerns RD, Turk DC. Depression and chronic pain: the mediating role of the spouse. J Marriage Fam 1984; 46: 845–52. Lindsay PG, Wyckoff M. The depression-pain syndrome and its response to anti-depressants. Psychosomatics 1981; 22: 571–77. Kramlinger KG, Swanson DW, Murata T. Are patients with chronic pain depressed? Am J Psychiatry 1983; 140: 747–49. Wilson WP, Blazer DG, Nashold BS. Observations on pain and suffering. Psychosomatics 1976; 17: 73–76. Rudy TE, Kerns RD, Turk DC. Chronic pain and depression: toward a cognitive-behavioral mediation model. Pain 1988; 35: 129–40. Portenoy RK. Chronic opiod therapy for persistent noncancer pain: can we get past the bias? APS Bulletin 1991; 1: 1–5. Turk DC, Brody MC, Okifuji EA. Physicians’ attitudes and practices regarding the long-term prescribing of opiods for non-cancer pain. Pain 1994; 59: 201–208. Turk DC, Brody MC. Chronic opiod therapy for persistent noncancer pain: panacea or oxymoron? APS Bulletin 1991; 1: 1, 4–7. Schofferman J. Long-term use of opiod analgesics for the treatment of chronic pain on nonmalignant origin. J Pain Symp Man 1993; 8: 279–88. Gildenberg PL, DeVaul RA. The chronic pain patient: evaluation and management. S Karger, Basel, Switzerland, 1985. Egbunike IG, Chaffee BJ. Antidepressants in the management of chronic pain syndromes. Pharmacotherapy 1990; 10: 262–70. Hyman SE, Arana GW, Rosenbaum JF. Handbook of psychiatric drug therapy. Third ed.Little, Brown, Boston, 1995. Gitlin MJ. The psychotherapist’s guide to psychopharmacology. Free Press, New York, 1990. Goodkin K, Guillion CM. Antidepressants for the relief of chronic pain: do they work? Ann Behav Med 1989; 11: 83–101. Magni G. The use of antidepressants in the treatment of chronic pain. Drugs 1991; 42: 730–48. Merskey H. Traditional individual psychotherapy and psychopharmacology. In Holzman AD, Turk DC, ed. Pain management: a handbook of psychological treatment approaches. Pergamon, New York, 1986, pp 51–70. Kerns RD, Hegel MT. Chronic benign pain: cognitive-behavorial treatment and support groups. In Seligman M, Marshak LE, ed. Group psychotherapy: interventions with special populations. Allyn & Bacon, Needham Heights, MA, 1990, pp 105–26. Linton SJ, Melin L. Applied relaxation in the management of chronic pain. Behav Psychother 1983; 11: 337–50. Keefe FJ, Schapira B, Williams RB, et al. EMG-assisted relaxation training in the management of chronic low back pain. Am J Clin Biofeedback 1981; 4: 93–103. Anonymous Hypnosis and suggestion in the treatment of pain. W.W. Norton & Company, New York, 1996. Barber J. Hypnotic analgesia. In Holzman AD, Turk DC, ed. Pain management: a handbook of psychological treatment approaches. Pergamon Press, New York, 1986, pp 151–67. Kabat-Zinn J, Lipworth L, Burney R. The clinical use of mindfulness meditation for the self-regulation of chronic pain. J Behav Med 1985; 8: 163–90. Editor information Editors and Affiliations Rights and permissions Copyright information © 1998 Springer Science+Business Media New York About this chapter Cite this chapter Greenfeld, D.A., Jacob, M.C. (1998). The Role of the Mental Health Professional in the Management of Chronic Pelvic Pain. In: Blackwell, R.E., Olive, D.L. (eds) Chronic Pelvic Pain. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1752-7_12 Download citation DOI: https://doi.org/10.1007/978-1-4612-1752-7_12 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-7265-6 Online ISBN: 978-1-4612-1752-7 eBook Packages: Springer Book Archive

These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.