Miller-Matero Lisa Renee, Saulino Caroline, Clark Shannon, Bugenski Mary, Eshelman Anne, Eisenstein David
Behavioral Health, Henry Ford Health System, Detroit, MI, USA.
Obstetrics & Gynecology, Henry Ford Health System, Detroit, MI, USA.
Arch Womens Ment Health. 2016 Apr;19(2):349-54. doi: 10.1007/s00737-015-0537-9. Epub 2015 May 5.
Chronic pelvic pain (CPP) is related to psychological distress and interference in daily activities; however, CPP is not as extensively researched as other forms of chronic pain. Therefore, the purpose of this study was to investigate the relationships among pain, psychological distress, and functional impairment in patients with CPP. There were chart reviews conducted of 107 female patients who completed a psychiatric evaluation at a specialty, CPP clinic as a part of a multidisciplinary evaluation. Results suggest that psychological distress and impairment in daily activities are common in CPP patients. Most areas of functional impairment were not associated with pain variables. Rather, several forms of functional impairment were related to higher levels of depression and anxiety. Results from this study suggest the possibility that psychiatric symptoms are contributing to functional impairment in this population. These findings highlight the importance of a multidisciplinary approach in the evaluation and treatment of CPP patients to help decrease functional impairment in these patients.
慢性盆腔疼痛（CPP）与心理困扰及日常活动受干扰有关；然而，与其他形式的慢性疼痛相比，CPP的研究并不广泛。因此，本研究的目的是调查CPP患者的疼痛、心理困扰和功能损害之间的关系。对107名女性患者的病历进行了回顾，这些患者在一家专科CPP诊所完成了精神评估，作为多学科评估的一部分。结果表明，心理困扰和日常活动受损在CPP患者中很常见。大多数功能损害领域与疼痛变量无关。相反，几种形式的功能损害与更高水平的抑郁和焦虑有关。本研究结果表明，精神症状可能导致该人群的功能损害。这些发现凸显了多学科方法在CPP患者评估和治疗中的重要性，以帮助减少这些患者的功能损害。
