Psychological profile of women with chronic pelvic pain

Guido Magni, C Andreoli, Diego De Leo, Giovanna Martinotti, Cláudia Rossi
In: Archives of Gynecology · 1986 · vol. 237(3) , pp. 165–168 · doi:10.1007/bf02133860 · PMID:3954451 · W2089301659
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Women with chronic pelvic pain scored higher for somatization than controls, with idiopathic pain patients also showing higher depression scores.

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This study assessed psychological distress in 30 women with chronic pelvic pain who underwent laparoscopy, using the Middlesex Hospital Questionnaire and the Zung Self-Rating Depression Scale, and compared them with 30 matched controls. Women with organic pelvic pain and idiopathic pelvic pain both showed higher somatisation scores than controls, and idiopathic pelvic pain patients had higher depression (Zung SDS) scores than both organic pelvic pain patients and controls; however, no depression difference was found between organic pelvic pain patients and controls. The authors reported no correlations between age or duration of symptoms and somatisation or depression scores. This paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Summary Using the Middlesex Hospital Questionnaire (MHQ) and the Zung Self-Rating Depression Scale (SDS) psychological distress was measured in 30 women who underwent laparoscopy for chronic pelvic pain and in 30 matched controls. Both organic pelvic pain patients (OPPs) and idiopathic pelvic pain patients (IPPs) reported higher scores for somatisation than controls. IPPs scored higher than OPPs and controls on the Zung SDS, while no difference emerged in this scale between OPPs and controls. No correlations were found between age or duration of symptoms and somatisation and depression scores. On the basis of the above reported results the authors suggest that some forms of idiopathic chronic pelvic pain might represent an expression of a depressive disorder. Similar content being viewed by others References Basu HK (1981) Pelvic pain. Br J Hosp Med. 26: 150–159 Blumer D, Heilbronn M (1982) Chronic pain as a variant of depressive disease. J Nerv Ment Dis 170: 381–406 Crown S, Crisp AH (1966) A short clinical diagnostic self-rating scale for psychoneurotic patients. The Middlesex Hospital Questionnaire. Br J Psychiatry 112: 917–923 Duncan CH, Taylor HC (1952) A psychosomatic study of pelvic congestion. Am J Obstet Gynecol 64: 1–12 Hameroff SR, Cork RC, Scharer K, Crago BR, Neuman C, Womble JR, Davis TP (1982) Doxepin effects on chronic pain, depression and plasma oppioids. J Clin Psychiatry 43: 22–26 Lundberg WI, Wall JE, Mathers JE (1973) Laparoscopy in evaluation of pelvic pain. Obstet Gynecol 42: 872–876 Magni G, De Leo D, Grassetto M (1981) Depression and physical illness. Psychother Psychosom 36: 129–131 Magni G, De Bertolini C, Dodi G (1982) Treatment of perineal neuralgia with antidepressants. J R Soc Med 75: 214–215 Magni G, De Bertolini C (1983) Chronic pain as a depressive equivalent. Postgrad Med 73: 79–85 Magni G, Salmi A, De Leo D, Ceola A (1984) Chronic pelvic pain and depression. Psychopathology 17: 132–136 Renaer M (1980) Chronic pelvic pain without obvious pathology in women. Europ J Obstet Gynecol Reprod Biol 10: 415–463 Terenius LY (1980) Biochemical assessment of chronic pain. In: Kosterlitz HW, Terenius LY (eds) Pain and Society. Verlag Chemie, Weinheim Ward NG, Bloom VL, Friedel RO (1979) The effectiveness of tricyclic antidepressants in the treatment of coexisting pain and depression. Pain 7: 331–341 Zung, WWK (1965) A self-rating depression scale. Arch Gen Psychiatry 12: 63–70 Author information Authors and Affiliations Rights and permissions About this article Cite this article Magni, G., Andreoli, C., de Leo, D. et al. Psychological profile of women with chronic pelvic pain. Arch. Gynecol. 237, 165–168 (1986). https://doi.org/10.1007/BF02133860 Received: Accepted: Issue date: DOI: https://doi.org/10.1007/BF02133860

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