When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain

In: Archives of Women's Mental Health · 2015 · vol. 19(2) , pp. 349–354 · doi:10.1007/s00737-015-0537-9 · W2003171482
article OA: closed CC0 ⤵ 31 in-corpus citations
Full text JSON View on OpenAlex View at publisher
AI-generated summary by claude@2026-06+body, 2026-06-08

This study examined 107 female patients with chronic pelvic pain and found that psychological distress and functional impairment are common, with impairment often linked to depression and anxiety rather than pain itself.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

Abstract

Chronic pelvic pain (CPP) is related to psychological distress and interference in daily activities; however, CPP is not as extensively researched as other forms of chronic pain. Therefore, the purpose of this study was to investigate the relationships among pain, psychological distress, and functional impairment in patients with CPP. There were chart reviews conducted of 107 female patients who completed a psychiatric evaluation at a specialty, CPP clinic as a part of a multidisciplinary evaluation. Results suggest that psychological distress and impairment in daily activities are common in CPP patients. Most areas of functional impairment were not associated with pain variables. Rather, several forms of functional impairment were related to higher levels of depression and anxiety. Results from this study suggest the possibility that psychiatric symptoms are contributing to functional impairment in this population. These findings highlight the importance of a multidisciplinary approach in the evaluation and treatment of CPP patients to help decrease functional impairment in these patients.
Full text 6,956 characters · extracted from oa-doi-fallback · 2 sections · click to expand

Abstract

Chronic pelvic pain (CPP) is related to psychological distress and interference in daily activities; however, CPP is not as extensively researched as other forms of chronic pain. Therefore, the purpose of this study was to investigate the relationships among pain, psychological distress, and functional impairment in patients with CPP. There were chart reviews conducted of 107 female patients who completed a psychiatric evaluation at a specialty, CPP clinic as a part of a multidisciplinary evaluation. Results suggest that psychological distress and impairment in daily activities are common in CPP patients. Most areas of functional impairment were not associated with pain variables. Rather, several forms of functional impairment were related to higher levels of depression and anxiety. Results from this study suggest the possibility that psychiatric symptoms are contributing to functional impairment in this population. These findings highlight the importance of a multidisciplinary approach in the evaluation and treatment of CPP patients to help decrease functional impairment in these patients. Similar content being viewed by others

References

Bjelland I, Dahl AA, Haug TT, Neckelmann D (2002) The validity of the hospital anxiety and depression scale: an updated literature review. J Psychosom Res 52(2):69–7 Blyth FM, March LM, Brnabic AJM, Jorm LR, Williamson M, Cousins MJ (2001) Chronic pain in Australia: a prevalence study. Pain 89(2-3):127–134 Campbell J, Jones AS, Dienemann J, Kub J, Schollenberger J, O’campo P, Gielen AC, Wynne C (2002) Intimate partner violence and physical health consequences. Arch Intern Med 162(10):1157–1163 Cano A, Gillis M, Heinz W, Geisser M, Foran H (2004) Marital functioning, chronic pain, and psychological distress. Pain 107:99–106 Cox L, Ayers S, Nala K, Penny J (2007) Chronic pelvic pain and quality of life after laparoscopy. Eur J Obstet Gynecol Reprod Biol 132(2):214–219 Currie SR, Wang J (2004) Chronic back pain and major depression in the general Canadian population. Pain 107(1-2):54–60 Friggi Sebe Petrelluzzi K, Garcia MC, Petta CA, Ribeiro DA, de Oliveira Monteiro NR, Céspedes IC, Spadari RC (2012) Physical therapy and psychological intervention normalize cortisol levels and improve vitality in women with endometriosis. J Psychosomatic Obstet Gynecol 33(4):191–198 Gomide L, de Souza Montenegro MLL, Nogueira AA, poli Poli OB, e Silva JCR, dos Reis FJC (2012) Lower pain thresholds in women with chronic pelvic pain: recognizing the role of anxiety and depression as part of person-centered approaches to treatment. Int J Person Cent Med 2(2):271–278 Harrop-Griffith J, Katon W, Walker E, Holm L, Russo J, Hickok L (1988) The association between chronic pelvic pain, psychiatric diagnoses, and childhood sexual abuse. Obstet Gynecol 71(4):589–594 Helm C, Ehlert U, Hamker J (1998) Abuse-related posttraumatic stress and alterations of the hypothalamic-pituitary-adrenal axis in women with chronic pelvic pain. Psychosom Med 309–318 Jakobsson U, Klevsgard R, Westergren A, Hallberg IR (2003) Old people in pain: a comparative study. J Pain Symptom Manag 26(1):625–636 Kames LD, Rapkin AJ, Naliboff BD, Afifi S, Ferrer-Brechner T (1990) Effectiveness of an interdisciplinary pain management program for the treatment of chronic pelvic pain. Pain 41(1):41–46 Michael YL, Kawachi I, Stampfer MJ, Colditz GA, Curhan GC (2000) Quality of life among women with interstitial cystitis. J Urol 164(2):423–427 Miller LR, Cano A (2009) Comorbid chronic pain and depression: who is at risk? J Pain 10(6):619–627 Miller LR, Cano A, Wurm LH (2013) A motivational therapeutic assessment improves pain, mood, and relationship satisfaction in couples with chronic pain. J Pain 14(5):525–537 Nnoaham KE, Hummelshoj L, Webster P, d’Hooghe T, de Cicco Nardone F, de Cicco Nardone C, Jenkinson C, Kennedy SH, Zondervan KT (2011) Impact of endometriosis on quality of life and work productivity: a multicenter study across ten countries. Fertil Steril 96(2):366–373, e368 Nolan TE, Metheny WP, Smith RP (1992) Unrecognized association of sleep disorders and depression with chronic pelvic pain. South Med J 85(12):1181–1183 Peters A, Van Dorst E, Jellis B, Van Zuuren E, Hermans J, Trimbos J (1991) A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstet Gynecol 77(5):740–744 Randolph ME, Reddy DM (2006) Sexual functioning in women with chronic pelvic pain: the impact of depression, support, and abuse. J Sex Res 43(1):38–45 Reed BD, Haefner HK, Punch MR, Roth RS, Gorenflo DW, Gillespie BW (2000) Psychosocial and sexual functioning in women with vulvodynia and chronic pelvic pain. A comparative evaluation. J Reprod Med 45(8):624–632 Romão A, Gorayeb R, Romao G, Poli‐Neto O, Dos Reis F, Rosa‐e‐Silva J, Nogueira A (2009) High levels of anxiety and depression have a negative effect on quality of life of women with chronic pelvic pain. Int J Clin Pract 63(5):707–711 Stones RW, Selfe SA, Fransman S, Horn SA (2000) Psychosocial and economic impact of chronic pelvic pain. Best Pract Res Clin Obstet Gynaecol 14(3):415–431 Ter Kuile MM, Weijenborg P, Spinhoven P (2010) ORIGINAL RESEARCH—PAIN: sexual functioning in women with chronic pelvic pain: the role of anxiety and depression. J Sex Med 7(5):1901–1910 Verhaak PFM, Kerssens JJ, Dekker J, Sorbi MJ, Bensing JM (1998) Prevalence of chronic benign pain disorder among adults: a review of the literature. Pain 77:231–239 Verit FF, Verit A, Yeni E (2006) The prevalence of sexual dysfunction and associated risk factors in women with chronic pelvic pain: a cross-sectional study. Arch Gynecol Obstet 274(5):297–302 Walling MK, Reiter RC, O’Hara MW, Milburn AK, Lilly G, Vincent SD (1994) Abuse history and chronic pain in women: I. Prevalences of sexual abuse and physical abuse. Obstet Gynecol 84(2):193–199 Williamson GM, Schulz R (1995) Activity restriction mediates the association between pain and depressed affect: a study of younger and older adult cancer patients. Psychol Aging 10(3):369 Compliance with ethical standards This study has been approved by the appropriate ethics committee and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments. Informed consent was waived by the Institutional Review Board due to the nature of data collection through chart review. Conflict of interest The authors declare that they have no conflict of interest. Author information Authors and Affiliations Corresponding author Rights and permissions About this article Cite this article Miller-Matero, L.R., Saulino, C., Clark, S. et al. When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain. Arch Womens Ment Health 19, 349–354 (2016). https://doi.org/10.1007/s00737-015-0537-9 Received: Accepted: Published: Issue date: DOI: https://doi.org/10.1007/s00737-015-0537-9

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

Condition tags

chronic_pelvic_pain

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (28)

Cited by (31)

Source provenance

openalex
last seen: 2026-06-10T17:14:06.276822+00:00
License: CC0 · commercial use OK