A Critical Analysis of Psychological Factors in the Management and Treatment of Chronic Pelvic Pain

1983 ◽  
Vol 12 (2) ◽  
pp. 129-139 ◽  
Author(s):  
Anthony E. Reading
Keyword(s):  
Treatment Response ◽  
Pelvic Pain ◽  
Prospective Studies ◽  
Psychological Factors ◽  
Critical Analysis ◽  
Chronic Pelvic Pain ◽  
Psychological Characteristics ◽  
Future Research ◽  
Contextual Data ◽  
Methodological Considerations

Chronic pelvic pain is a common presenting complaint in gynecology clinics. In a proportion of cases no pathology or sufficient pathology can be found to account for the level of complaint. This paper reviews the evidence on the psychological characteristics of patients presenting with chronic pelvic pain without obvious pathology. Methodological considerations are identified in order to guide future research. There is a need for prospective studies, in which women with pelvic pain of whatever etiology are evaluated, in order to provide contextual data and to identify predictors of treatment response.

How Might We Screen for Psychological Factors in People With Pelvic Pain? An e-Delphi Study

2021 ◽  
Author(s):  
Angela Pontifex ◽  
Caris Savin ◽  
Caitlin Park ◽  
Alina Filipe Nunes ◽  
K Jane Chalmers ◽  
...  
Keyword(s):  
Focus Group ◽  
Pelvic Pain ◽  
Delphi Method ◽  
Delphi Study ◽  
Psychological Factors ◽  
Clinical Utility ◽  
Delphi Process ◽  
Future Research ◽  
Exclusion Criteria ◽  
Group Design

Abstract Objective Persistent pelvic pain is a complex condition often influenced by psychological factors that can alter treatment outcomes. These factors are potentially modifiable; however, currently there is no instrument to screen for them in these individuals. The purpose of this study was to determine (1) which psychological factors should be screened in individuals with persistent pelvic pain and (2) the most appropriate statements to represent these psychological factors. Methods The study used a focus group design followed by an electronic-Delphi (e-Delphi) process. A focus group consisting of 8 experts was conducted to determine the relevant psychological factors to screen. These results informed round 1 of the e-Delphi process, consisting of a panel of 14 pain/pelvic pain experts. The e-Delphi process consisted of 3 rounds of online surveys and 2 teleconference discussions to establish consensus on the most appropriate statement to screen for each of the psychological factors. Results The focus group identified 13 relevant psychological factors. During the e-Delphi process, relevant screening statements were assessed using a 100-point allocation system. Experts could reword and suggest new statements. Statements were assessed for consensus and stability and were eliminated as the rounds progressed if they met the exclusion criteria. At the termination of round 3, there were 15 statements remaining. Conclusions The final list of 15 statements will assist clinicians in screening for psychological factors and is an important step for clinicians in providing psychologically informed care to people with persistent pelvic pain. Future research should determine the psychometric properties of the statements to determine their clinical utility as a questionnaire. Impact This study has refined a list of statements to help screen for psychological factors in individuals with persistent pelvic pain. Developed robustly using an e-Delphi method, this list is an important first step forward for clinicians to provide psychologically informed care to these individuals.

Psychosomatic Aspects of Chronic Pelvic Pain

1970 ◽  
Vol 1 (2) ◽  
pp. 109-126 ◽  
Author(s):  
Pietro Castelnuovo-Tedesco ◽  
Boyd M. Krout
Keyword(s):  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Psychological Testing ◽  
Psychological Characteristics ◽  
Psychiatric Disturbance ◽  
Psychosomatic Aspects ◽  
Pain Patients

Three groups of women of different socioeconomic extraction, some with and some without chronic pelvic pain, were studied gynecologically and psychiatrically. Regardless of the presence or absence of organic pelvic pathology, pelvic pain patients showed considerable psychopathology clinically and by psychological testing, mainly mixed character disorders with predominant schizoid features. They usually were eager to undergo hysterectomy. Those who received a hysterectomy generally became pain-free, but often they seemingly substituted for it other symptoms (mostly psychological). Pelvic pain patients of different socioeconomic extraction had similar psychological characteristics. A central conclusion is that chronic pelvic pain appears more closely related to the presence of psychiatric disturbance, which is a constant finding, than to the presence of organic pelvic pathology, which is an inconstant finding.

Mind/Body Dualism in Medicine: The Case of Chronic Pelvic Pain without Organic Pathology

1998 ◽  
Vol 28 (1) ◽  
pp. 127-151 ◽  
Author(s):  
Victoria M. Grace
Keyword(s):  
Pelvic Pain ◽  
Critical Analysis ◽  
Chronic Pelvic Pain ◽  
Multidisciplinary Approach ◽  
Integrative Model ◽  
Medical Terms ◽  
Change In Practice ◽  
Real Change ◽  
Mind And Body ◽  
Medical Paradigm

Chronic pelvic pain in the absence of organic pathology identifiable in medical terms is considered one of the most perplexing conditions that gynecologists confront. A critical analysis of the medical, psychiatric, and psychological literature on chronic pelvic pain without organic pathology reveals that the dichotomous construct of mind and body underpinning medical research and understanding is a barrier to the successful diagnosis and treatment of this condition, and indeed to the productive engagement of the health professional with the patient. The strict duality of the condition's etiology being understood in either physiological or psychogenic terms has been questioned at times over the last 40 years, but only recently has an “integrative model” been proposed. However, it is argued here that although the development of a multidisciplinary approach is important, only a radical deconstruction of the medical paradigm will truly address the problem and enable a real change in practice.

scholarly journals Patient with urethral pain syndrome: psychological portrait

2021 ◽  
Vol 11 (1) ◽  
pp. 15-26
Author(s):  
Mariya E. Khalak ◽  
Muhammad Molvi ◽  
Valery F. Lazukin ◽  
Elena D. Bozhkova ◽  
Olga S. Streltsova
Keyword(s):  
Personality Traits ◽  
Pelvic Pain ◽  
Chronic Pelvic Pain ◽  
Chronic Pelvic Pain Syndrome ◽  
Pain Syndrome ◽  
Psychological Characteristics ◽  
Pelvic Pain Syndrome ◽  
Psychological Scales ◽  
Urethral Pain

The article discusses the psychological characteristics of the patient with chronic pelvic pain syndrome, in particular with its component urethral pain syndrome. The main specific personality traits inherent in such a patient are highlighted; the factors of development of chronic pelvic pain syndrome are determined, including psychological. Doctors were given recommendations for the management of such patients, in particular, the use of psychological scales and questionnaires directed at identifying markers and specific features.

Sign in / Sign up

Export Citation Format

Share Document