van Os-Bossagh Purana, Pols Trudy, Hop Wim C J, Nelemans Ton, Erdmann Wilhelm, Drogendijk Aat C, Bohnen Arthur M
Research Group Social Health (OMG/GAK), P.O. Box 213, 3000 AE, Rotterdam, The Netherlands.
Eur J Obstet Gynecol Reprod Biol. 2002 Jul 10;103(2):173-8. doi: 10.1016/s0301-2115(02)00041-6.
No standard screening instrument is available enabling physicians to assign the diagnosis chronic pelvic pain (CPP) to women with lower abdominal pain. Therefore, our aim was to evaluate an easy-to-use questionnaire, which can be applied as a validated primary screening test for diagnosing CPP.
From the general female population, 577 women completed a questionnaire addressing chronic symptoms in the pelvic region. Included were (amongst others) questions on lower abdominal pain, low back pain, voiding symptoms, dyspareunia, pelveo-perineal dysesthetic feelings and evacuation problems. Serious chronic lower abdominal pain of unknown origin was considered as CPP. Three criteria were applied to validate the questionnaire: construct validity, comparison with results of a previous study and content validity. In addition, the internal consistency was checked to ascertain the reliability of the questionnaire.
All items, with the exception of those concerning voiding symptoms and dyspareunia, withstood the validity tests applied, were interrelated and occurred significantly more often in women with CPP than those without. There were no significant differences in the frequency of the occurrence of low back pain, dyspareunia and evacuation problems between CPP women in the current community study and outpatients diagnosed with CPP in an earlier study performed at the University Hospital Rotterdam. Compared to our current study group, pelveo-perineal dysesthesia (PPD) and voiding symptoms were significantly more often reported by the CPP outpatients.
The CPP questionnaire can be considered as a validated tool for primary screening of CPP.
目前尚无标准的筛查工具可使医生对下腹部疼痛的女性做出慢性盆腔疼痛（CPP）的诊断。因此，我们的目的是评估一种易于使用的问卷，它可作为诊断CPP的经过验证的初步筛查测试。
从一般女性人群中，577名女性完成了一份关于盆腔区域慢性症状的问卷。其中包括（除其他外）关于下腹部疼痛、腰痛、排尿症状、性交困难、盆腔 - 会阴感觉异常和排便问题的问题。不明原因的严重慢性下腹部疼痛被视为CPP。应用三个标准来验证该问卷：结构效度、与先前研究结果的比较以及内容效度。此外，检查内部一致性以确定问卷的可靠性。
除了关于排尿症状和性交困难的项目外，所有项目均通过了所应用的效度测试，它们相互关联，并且在患有CPP的女性中出现的频率明显高于未患CPP的女性。在当前社区研究中的CPP女性与鹿特丹大学医院早期研究中诊断为CPP的门诊患者之间，腰痛、性交困难和排便问题的发生频率没有显著差异。与我们当前的研究组相比，CPP门诊患者报告盆腔 - 会阴感觉异常（PPD）和排尿症状的频率明显更高。
CPP问卷可被视为用于CPP初步筛查的经过验证的工具。
