Pelvic pain

In: Cambridge Handbook of Psychology, Health and Medicine · 2001 · pp. 811–814 · doi:10.1017/cbo9780511543579.212 · W54551400
book-chapter OA: closed CC0
Full text JSON View on OpenAlex View at publisher
AI-generated summary by claude@2026-06, 2026-06-07

This chapter reviews psychosocial factors in chronic pelvic pain, highlighting the broad, poorly-defined nature of CPP and the lack of anatomical and physical pathology information in prior studies.

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

AI-generated deep summary by claude@2026-06, 2026-06-07 · read from full text

This chapter examines psychosocial factors in chronic pelvic pain (CPP), focusing on pelvic-region pain lasting at least 6 months, and discusses how research has often failed to define pain anatomy or whether physical pathology is present, despite CPP being common in women. It reviews prevalent definitions of CPP that may ignore etiology and critiques categorizations that separate “organic” from “non-organic” pain, noting that affect is included in the International Association for the Study of Pain definition and helps blur this distinction. The chapter’s major limitation is that it is an overview relying on published studies with substantial definitional inconsistency and incomplete characterization of pathology. Relevance to endometriosis: the chapter is included in the corpus due to its coverage of chronic pelvic pain (a condition that overlaps clinically with endometriosis-associated pain), though endometriosis is not explicitly discussed in the provided excerpt.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Because of the dearth of research examining the involvement of psychosocial factors in acute pelvic pain, this chapter focuses on chronic pain in the pelvic region, excluding abdominal pain. Although remarkably common in the female population, chronic pelvic pain (CPP) constitutes a broad and poorly-defined diagnostic category. Indeed, a recent survey of published studies noted that over 90% of investigators did not specify anatomical locations of pain beyond noting that it was ‘in the pelvic region’, and approximately three-quarters of published CPP studies included no information on whether physical pathology was present (Williams et al., 2004).
Full text 16,246 characters · extracted from oa-doi-fallback · click to expand
- Frontmatter - Contents - List of contributors - Preface - Psychology, health and illness - Medical topics - Abortion - Accidents and unintentional injuries - Acne - Alcohol abuse - Allergies to drugs - Allergies to food - Allergies: general - Amnesia - Amputation and phantom limb pain - Anaesthesia and psychology - Antenatal care - Aphasia recovery, treatment and psychosocial adjustment - Asthma - Back pain - Blindness and visual disability - Blood donation - Breastfeeding - Burn injuries: psychological and social aspects - Cancer: breast - Cancers of the digestive tract - Cancer: general - Cancer: gynaecologic - Cancer: head and neck - Cancer: Hodgkin's and non-Hodgkin's lymphoma - Cancer: leukaemia - Cancer: lung - Cancer: prostate - Cancer: skin - Carotid artery disease and treatment - Chemotherapy - Child abuse and neglect - Chromosomal abnormalities - Chronic fatigue syndrome - Chronic obstructive pulmonary disease (COPD): chronic bronchitis and emphysema - Cleft lip and palate - Cold, common - Complementary medicine - Contraception - Coronary heart disease: impact - Coronary heart disease: cardiac psychology - Coronary heart disease: heart failure - Coronary heart disease: rehabilitation - Coronary heart disease: surgery - Cystic fibrosis - Acquired hearing loss - Dementias - Diabetes mellitus - Domestic violence, intimate partner violence and wife battering - Drug dependency: benzodiazepines - Drug dependence: opiates and stimulants - Drugs: beta-blockers - Drugs: psychotropic medication - Dyslexia - Eating disorders - Eczema - Endocrine disorders - Enuresis - Epilepsy - Epstein–Barr virus infection - Facial disfigurement and dysmorphology - Fetal wellbeing: monitoring and assessment - Gastric and duodenal ulcers - Growth retardation - Haemophilia - Head injury - Headache and migraine - Herpes - HIV/AIDS - Hormone replacement therapy - Hospital acquired infection - Huntington's disease - Hyperactivity - Hypertension - Hyperthyroidism - Hyperventilation - Hysterectomy - Immunization - Incontinence - Infertility - Inflammatory bowel disease - Intensive care unit - Intimate examinations - Irritable bowel syndrome - Lymphoedema - Malaria - Mastalgia (breast pain) - Meningitis - Menopause and postmenopause - MMR vaccine - Motor neurone disease - Multiple sclerosis - Myasthenia gravis - Neurofibromatosis - Non-cardiac chest pain - Obesity - Oral care and hygiene - Osteoarthritis - Osteoporosis - Parkinson's disease - Pelvic pain - Post-traumatic stress disorder - Postnatal depression - Pregnancy and childbirth - Premature babies - Premenstrual syndrome - Psoriasis - Radiotherapy - Rape and sexual assault - Reconstructive and cosmetic surgery - Renal failure, dialysis and transplantation - Repetitive strain injury - Rheumatoid arthritis - Road traffic accidents: human factors - Screening: antenatal - Screening: cancer - Screening: cardiac - Screening: genetic - Self-examination: breasts, testicles - Sexual dysfunction - Sexually transmitted infections - Sickle cell disease - Skin disorders - Sleep apnoea - Sleep disorders - Spina bifida - Spinal cord injury - Sterilization and vasectomy - Stroke - Stuttering - Suicide - Tinnitus - Tobacco use - Toxins: environmental - Transplantation - Urinary tract symptoms - Vertigo and dizziness - Vision disorders - Voice disorders - Volatile substance abuse - Vomiting and nausea - Index - References from Medical topics Published online by Cambridge University Press: 18 December 2014 Book contents - Frontmatter - Contents - List of contributors - Preface - Psychology, health and illness - Medical topics - Abortion - Accidents and unintentional injuries - Acne - Alcohol abuse - Allergies to drugs - Allergies to food - Allergies: general - Amnesia - Amputation and phantom limb pain - Anaesthesia and psychology - Antenatal care - Aphasia recovery, treatment and psychosocial adjustment - Asthma - Back pain - Blindness and visual disability - Blood donation - Breastfeeding - Burn injuries: psychological and social aspects - Cancer: breast - Cancers of the digestive tract - Cancer: general - Cancer: gynaecologic - Cancer: head and neck - Cancer: Hodgkin's and non-Hodgkin's lymphoma - Cancer: leukaemia - Cancer: lung - Cancer: prostate - Cancer: skin - Carotid artery disease and treatment - Chemotherapy - Child abuse and neglect - Chromosomal abnormalities - Chronic fatigue syndrome - Chronic obstructive pulmonary disease (COPD): chronic bronchitis and emphysema - Cleft lip and palate - Cold, common - Complementary medicine - Contraception - Coronary heart disease: impact - Coronary heart disease: cardiac psychology - Coronary heart disease: heart failure - Coronary heart disease: rehabilitation - Coronary heart disease: surgery - Cystic fibrosis - Acquired hearing loss - Dementias - Diabetes mellitus - Domestic violence, intimate partner violence and wife battering - Drug dependency: benzodiazepines - Drug dependence: opiates and stimulants - Drugs: beta-blockers - Drugs: psychotropic medication - Dyslexia - Eating disorders - Eczema - Endocrine disorders - Enuresis - Epilepsy - Epstein–Barr virus infection - Facial disfigurement and dysmorphology - Fetal wellbeing: monitoring and assessment - Gastric and duodenal ulcers - Growth retardation - Haemophilia - Head injury - Headache and migraine - Herpes - HIV/AIDS - Hormone replacement therapy - Hospital acquired infection - Huntington's disease - Hyperactivity - Hypertension - Hyperthyroidism - Hyperventilation - Hysterectomy - Immunization - Incontinence - Infertility - Inflammatory bowel disease - Intensive care unit - Intimate examinations - Irritable bowel syndrome - Lymphoedema - Malaria - Mastalgia (breast pain) - Meningitis - Menopause and postmenopause - MMR vaccine - Motor neurone disease - Multiple sclerosis - Myasthenia gravis - Neurofibromatosis - Non-cardiac chest pain - Obesity - Oral care and hygiene - Osteoarthritis - Osteoporosis - Parkinson's disease - Pelvic pain - Post-traumatic stress disorder - Postnatal depression - Pregnancy and childbirth - Premature babies - Premenstrual syndrome - Psoriasis - Radiotherapy - Rape and sexual assault - Reconstructive and cosmetic surgery - Renal failure, dialysis and transplantation - Repetitive strain injury - Rheumatoid arthritis - Road traffic accidents: human factors - Screening: antenatal - Screening: cancer - Screening: cardiac - Screening: genetic - Self-examination: breasts, testicles - Sexual dysfunction - Sexually transmitted infections - Sickle cell disease - Skin disorders - Sleep apnoea - Sleep disorders - Spina bifida - Spinal cord injury - Sterilization and vasectomy - Stroke - Stuttering - Suicide - Tinnitus - Tobacco use - Toxins: environmental - Transplantation - Urinary tract symptoms - Vertigo and dizziness - Vision disorders - Voice disorders - Volatile substance abuse - Vomiting and nausea - Index - References Introduction Because of the dearth of research examining the involvement of psychosocial factors in acute pelvic pain, this chapter focuses on chronic pain in the pelvic region, excluding abdominal pain. Although remarkably common in the female population, chronic pelvic pain (CPP) constitutes a broad and poorly-defined diagnostic category. Indeed, a recent survey of published studies noted that over 90% of investigators did not specify anatomical locations of pain beyond noting that it was ‘in the pelvic region’, and approximately three-quarters of published CPP studies included no information on whether physical pathology was present (Williams et al., 2004). The most commonly utilized definition of CPP; ‘recurrent or constant pain in the lower abdominal region that has lasted for at least 6 months’, ignores aetiology (Zondervan & Barlow, 2000). The International Association for the Study of Pain (IASP) has also promulgated a definition for CPP without obvious pathology, but such terms have been criticized for drawing an artificial distinction between organic and non-organic pain (Grace, 2000). Current conceptualizations of pain generally utilize the IASP's definition of pain as ‘an unpleasant sensory and emotional experience associated with actual or potential tissue damage or described in terms of such damage’ (International Association for the Study of Pain, 1979). This inclusion of affect in the definition of pain has largely abolished old distinctions between ‘organic’ and ‘functional’ pain. - Type - Chapter - Information - Cambridge Handbook of Psychology, Health and Medicine , pp. 811 - 814Publisher: Cambridge University PressPrint publication year: 2007 American College of Gynaecologists (ACOG) (2004). Practice Bulletin No. 51. Chronic pelvic pain. Obstetrics and Gynecology, 103, 589–605. 2001). A randomized comparison of group cognitive-behavioral therapy, surface electromyographic biofeedback, and vestibulectomy in the treatment of dyspareunia resulting from vulvar vestibulitis. Pain, 91, 297–306.Google Scholar , , et al. (2003). Mental health care providers: resource rather than last resort in patients with chronic pelvic pain. Clinical Obstetrics & Gynecology, 46, 804–10.Google Scholar , & (1999). Chronic pelvic pain as a somatoform disorder. Psychotherapy and Psychosomatics, 68, 87–94.Google Scholar , & (1998). A randomized, double-blind crossover trial of sertraline in women with chronic pelvic pain. Journal of Psychosomatic Research, 44, 2003–7.CrossRefGoogle Scholar , , , & (1992). Efficacy of multidisciplinary pain treatment centers: a meta-analytic review. Pain, 49, 221–30.Google Scholar , & (1997). Sociopsychological factors in chronic pelvic pain: a review. Journal of Psychosomatic Research, 42, 1–15.CrossRefGoogle Scholar , & (2000). Pitfalls of the medical paradigm in chronic pelvic pain. Baillièr's best practice & research. Clinical obstetrics & gynaecology, 14, 525–39.Google Scholar (2003). Evoked pain measures in fibromyalgia. Best Practice & ResearchClinical Rheumatology, 17, 593–609.CrossRefGoogle Scholar , & (2002). Enhancement of the perception of systemic pain in women with vulvar vestibulitis. BJOG: An International Journal of Obstetrics and Gynaecology, 109, 863–6.CrossRefGoogle Scholar , , & (2001). Pain perception in women with dysmenorrhea (1). Obstetrics and Gynecology, 98, 407–11.Google Scholar , , et al. (2004). Association between quantitative sensory testing, treatment choice, and subsequent pain reduction in vulvar vestibulitis syndrome. The Journal of Pain, 5, 226–32.Google Scholar , , , & (1988). The association between chronic pelvic pain, psychiatric diagnoses and childhood sexual abuse. Obstetrics and Gynecology, 71, 589–94.Google Scholar , , , , & (International Association for the Study of Pain (1979). Pain terms: a list with definitions and notes on usage. Pain, 6, 249–52. 1996). The prevalence of dysmenorrhea, dyspareunia, pelvic pain, and irritable bowel syndrome in primary care practices. Obstetrics and Gynecology, 87, 55–8.CrossRefGoogle Scholar & (1997). The association of sexual abuse with pelvic pain complaints in a primary care population. American Journal of Obstetrics and Gynecology, 177, 1408–12.Google Scholar & (1996). Uterine leiomyomas. Racial differences in severity, symptoms and age at diagnosis. The Journal of Reproductive Medicine, 41, 483–90.Google Scholar , , , & (1993). Appraisal and response to pain may be a function of its bodily location. Journal of Psychosomatic Research, 37, 661–70.Google Scholar , & (2003). Chronic pain syndromes and their relation to childhood abuse & stressful life events. Journal of Psychosomatic Research, 54, 361–7.CrossRefGoogle Scholar , , et al. (2000). Chronic pelvic pain and previous sexual abuse. Obstetrics and Gynecology, 96, 929–33.Google Scholar , , et al. (2003). Interstitial cystitis: understanding the syndrome. Alternative Medicine Review, 8, 426–37.Google Scholar (1996). Chronic pelvic pain: prevalence, health-related quality of life, and economic correlates. Obstetrics and Gynecology, 87, 321–7.CrossRefGoogle Scholar , , , & (1998). Chronic pelvic pain: a meta-analytic review. Psychology and Health, 13, 937–51.CrossRefGoogle Scholar , & (2001). Biopsychosocial approaches to the treatment of chronic pain. The Clinical Journal of Pain, 17, S114–27.CrossRefGoogle Scholar & (1991). A randomized clinical trial to compare two different approaches in women with chronic pelvic pain. Obstetrics and Gynecology, 77, 740–4.Google Scholar , , et al. (2000). Quality of life, pain, and psychological well-being in women suffering from gynecological disorders. Journal of women's health & gender-based medicine, 9, 897–903.Google Scholar , , & (2001). Childhood victimization and pain in adulthood: a prospective investigation. Pain, 92, 283–93.Google Scholar , & (2000). Psychosocial and sexual functioning in women with vulvodynia and chronic pelvic pain. A comparative evaluation. Journal of Reproductive Medicine, 45, 624–32.Google Scholar , , et al. (1998). Evidence-based management of chronic pelvic pain. Clinical obstetrics and gynecology, 41, 422–35.Google Scholar (2001). Educational achievement and pain disability among women with chronic pelvic pain. Journal of Psychosomatic Research, 51, 563–9.CrossRefGoogle Scholar , & (2002). The effect of antidepressant treatment on chronic back pain: a meta-analysis. Archives of Internal Medicine, 162, 19–24.CrossRefGoogle Scholar , & (2000). Psychosocial and economic impact of chronic pelvic pain. Baillièr's best practice & research. Clinical obstetrics & gynaecology, 14, 415–31.Google Scholar , , & (2002). Psychological factors in chronic pain: evolution and revolution. Journal of consulting clinical psychology, 70, 678–90.Google Scholar & (1991). An open trial of nortriptyline in women with chronic pelvic pain. International journal of psychiatry in medicine, 21, 245–52.CrossRefGoogle Scholar , , & (1994). Abuse history and chronic pain in women: I. Prevalences of sexual abuse and physical abuse see comments. Obstetrics and Gynecology, 84, 193–9.Google Scholar , , et al. ( , & ( 2004). Documenting the current definitions of chronic pelvic pain: implications for research. Obstetrics and Gynecology, 103, 686–91.Google Scholar , & (2000). Epidemiology of chronic pelvic pain. Baillièr's best practice & research. Clinical obstetrics & gynaecology, 14, 403–14.Google Scholar & (1998). The prevalence of chronic pelvic pain in women in the United Kingdom: a systematic review. British journal of obstetrics and gynaecology, 105, 93–9.CrossRefGoogle Scholar , , et al. (Accessibility compliance for the PDF of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - Pelvic pain - - Book: Cambridge Handbook of Psychology, Health and Medicine - Online publication: 18 December 2014 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox. - Pelvic pain - - Book: Cambridge Handbook of Psychology, Health and Medicine - Online publication: 18 December 2014 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - Pelvic pain - - Book: Cambridge Handbook of Psychology, Health and Medicine - Online publication: 18 December 2014

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 (34)

Source provenance

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