History of childhood maltreatment and symptoms of anxiety and depression in women with chronic pelvic pain

Omero Benedicto Poli‐Neto, Kalil Antonio Salotti Tawasha, Adriana Peterson Mariano Salata Romão, Marcel Kawashima Hisano, Aska Moriyama, Francisco José Cândido dos Reis, Júlio César Rosa e Silva, Antônio Alberto Nogueira
In: Journal of Psychosomatic Obstetrics & Gynecology · 2017 · vol. 39(2) , pp. 83–89 · doi:10.1080/0167482x.2017.1306515 · PMID:28351202 · W2600848799
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Women with chronic pelvic pain reported higher rates of emotional neglect and had correlations between maltreatment and anxiety/depression symptoms, though only unemployment was independently associated with the condition.

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Abstract

Objective: To determine the prevalence of physical, sexual and emotional abuse and physical and emotional neglect suffered by women with chronic pelvic pain (CPP) during childhood and whether these occurrences are associated with symptoms of pain, anxiety and depression.Methods: A case–control study was conducted on 154 women older than 18 years, 77 of them healthy and 77 with CPP. A history of sexual, physical, and emotional abuse and physical and emotional neglect was determined using the Childhood Trauma Questionnaire (CTQ). Anxiety and depression symptoms were determined using the Hospital Anxiety and Depression (HAD) scale. Pain intensity was determined using a visual analog scale (VAS). The quantitative variables were compared by the Wilcoxon test, and the qualitative variables were compared by the Chi-square test or exact Fisher test when appropriate. Correlation between the CTQ, HAD and VAS scores was estimated by the Spearman’s p coefficient. Independent association of the variables with the presence of CPP was determined by logistic multiple regression analysis.Results: The prevalence of childhood maltreatment was 77.9% and 64.9%, respectively, for women with CPP and healthy women (p = 0.07). Emotional neglect was more frequent among women with CPP than among healthy women (58.4% versus 41.5%, p = 0.04). There was a moderate correlation between anxiety and depression symptoms and CTQ scores for women with CPP. Unemployment (OR = 4.15, 95% CI 1.73–9.94; ORadj = 3.30, 95% CI 1.26–8.55) was independently associated with the presence of CPP.Conclusions: Women with CPP reported emotional neglect abuse more frequently than healthy women. There was a direct correlation between maltreatment scores and anxiety and depression scores. On the other hand, CPP was independently associated only with unemployment.

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Outcome instruments

VAS-pain

Condition tags

chronic_pelvic_pain

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