A Multidisciplinary Pelvic Pain Clinic: Integrated Health Psychology in a Specialty Care Setting.
J Womens Health (Larchmt)
; 31(11): 1639-1644, 2022 11.
Article
em En
| MEDLINE
| ID: mdl-35704283
ABSTRACT
Purpose:
Chronic pelvic pain (CPP) is a relatively common health problem, impacting around 25 million women globally. This study details the development of a multidisciplinary women's CPP clinic at a major U.S. academic medical center, and examines associations between mood, pain symptoms, and trauma history. Materials andMethods:
Data were collected from 96 subjects, including self-report measures (Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Brief Trauma Questionnaire), pain intensity ratings, psychiatric diagnoses, and relevant medical history.Results:
Most subjects reported at least one traumatic experience. Nearly half of subjects met criteria for an anxiety disorder and/or a depressive disorder. Most subjects were diagnosed with pelvic floor dysfunction, and more than half were referred to physical therapy. Women with abdominal/pelvic surgery history reported more traumatic experiences than women without surgical history. Women with a history of sexual abuse reported trying more medications and seeking care from a greater number of providers. Many reported pain duration of >2 years.Conclusions:
Study findings related to mental health and trauma support a multidisciplinary CPP approach that includes a clinical health psychology component. Future research may investigate the therapeutic processes that apply to this population to identify targeted efficacious interventions.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Medicina do Comportamento
/
Dor Crônica
Tipo de estudo:
Diagnostic_studies
/
Prognostic_studies
Idioma:
En
Revista:
J Womens Health (Larchmt)
Ano de publicação:
2022
Tipo de documento:
Article
País de afiliação:
Estados Unidos