Roth Randy S, Punch Margaret R, Bachman Jan E
Department of Physical Medicine & Rehabilitation, University of Michigan Health System, Ann Arbor, Michigan, USA.
Health Care Women Int. 2011 Aug;32(8):746-61. doi: 10.1080/07399332.2011.555829.
Chronic pelvic pain (CPP) is often attributed to psychogenic causation. To determine if women with CPP possess a unique psychological profile, this study examined the comparative pain experience, psychological functioning, and marital/sexual satisfaction of women with either CPP or chronic migraine headache (CH). Patients with CPP reported greater dissatisfaction with their marriage and greater sexual dysfunction. No differences were obtained for ratings of depression, anxiety, mood factors, or additional personality traits. These data suggest that, in general, when psychological disorders are observed in CPP patients, they most likely reflect the effects of chronic pain rather than be causative to it.
慢性盆腔疼痛(CPP)常被归因于心理因素。为了确定患有CPP的女性是否具有独特的心理特征,本研究调查了患有CPP或慢性偏头痛(CH)的女性的疼痛体验、心理功能以及婚姻/性满意度。患有CPP的患者对其婚姻的不满程度更高,性功能障碍也更严重。在抑郁、焦虑、情绪因素或其他人格特质评分方面未发现差异。这些数据表明,一般来说,当在CPP患者中观察到心理障碍时,它们很可能反映的是慢性疼痛的影响,而非导致慢性疼痛的原因。