Qualitative research as the basis for a biopsychosocial approach to women with chronic pelvic pain

Paula Patricia Souza, Adriana Salata Romão, Júlio César Rosa e Silva, Julio Cesar Rosa-E-Silva, Francisco Candido dos Reis, Francisco José Cândido dos Reis, Antonio Alberto Nogueira, Antônio Alberto Nogueira, Omero Benedicto Poli‐Neto, Omero Benedicto Poli-Neto
Journal of psychosomatic obstetrics and gynaecology · 2011 · vol. 32(4) , pp. 165–172 · doi:10.3109/0167482x.2011.607523 · PMID:21919820 · W2106543819
Systematic review / meta-analysis OA: green CC0 ⤵ 15 in-corpus citations
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This metasynthesis of seven qualitative studies identified four key themes—coping versus secondary gain, determining pain cause, doctor-patient relationships, and gender issues—to support a biopsychosocial approach for women with chronic pelvic pain.

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Abstract

Chronic pelvic pain (CPP) is a highly prevalent clinical condition and is recognized as a public health problem. Although the number of qualitative studies related to the topic is increasing, it is essential that this knowledge be presented in a synthesized manner, grounded in the context of the care provided to patients with CPP, in order to increase the clinical and research applicability of the findings. Little attention is given to CPP in undergraduate courses and in meetings for the continuing education of health professionals, the approach to CPP typically being based on the biomedical model. We believe that qualitative research can provide insights into CPP and form the basis for a biopsychosocial approach to the condition, which can in turn lead to better results, including resolution of the pain and greater patient/health professional satisfaction. Therefore, we conducted a metasynthesis of seven qualitative studies of CPP, the principal themes of which were as follows: (a) coping with CPP versus secondary gain; (b) the great importance of determining the cause of the pain; (c) expectations regarding the doctor-patient relationship; and (d) gender issues. We hope that the present study can aid in restoring the humanistic aspects of CPP treatment.

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Condition tags

chronic_pelvic_pain

MeSH descriptors

Adaptation, Psychological Attitude to Health Pelvic Pain Physician-Patient Relations Psychophysiologic Disorders Chronic Disease Female Humans Pelvic Pain Pelvic Pain Pelvic Pain Psychophysiologic Disorders Psychophysiologic Disorders Psychophysiologic Disorders Qualitative Research

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