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前往多学科慢性盆腔疼痛诊所就诊的女性的心理特征:心理功能障碍程度高及其对临床实践的影响

The psychological profile of women presenting to a multidisciplinary clinic for chronic pelvic pain: high levels of psychological dysfunction and implications for practice.

作者信息

Bryant Christina, Cockburn Rebecca, Plante Anne-Florence, Chia Angela

机构信息

Centre for Women's Mental Health, Royal Women's Hospital, Parkville; Melbourne School of Psychological Sciences, University of Melbourne.

Centre for Women's Mental Health, Royal Women's Hospital, Parkville.

出版信息

J Pain Res. 2016 Nov 16;9:1049-1056. doi: 10.2147/JPR.S115065. eCollection 2016.

Abstract

OBJECTIVE

Chronic pelvic pain (CPP) is widely acknowledged as a common problem with significant consequences for those diagnosed with this condition. There is a lack of studies with good sample size that provide a comprehensive psychological profile of women presenting to specialist chronic pain clinics. Therefore, the objective of this study was to describe the psychological profile of a representative sample of women presenting with CPP at a tertiary referral center.

DESIGN

This was a cross-sectional study. Women were asked to complete a questionnaire assessing symptoms of anxiety and depression, pain severity and interference, pain self-efficacy and catastrophizing beliefs, and sexual functioning.

METHODS

One-hundred and seventy-five women with CPP were recruited when they attended their initial assessment at a specialist CPP clinic of the Royal Women's Hospital, a public hospital in Melbourne, Australia.

RESULTS

Over 75% of the participants had experienced pain for longer than 2 years. Fifty-three percent of women experienced either moderate or severe anxiety, and 26.7% experienced moderate-to-severe depression. There were strong correlations between depressive symptoms and pain interference, pain catastrophizing and self-efficacy beliefs.

CONCLUSION

Our findings confirm previous evidence for high levels of psychological distress and functional impairment associated with this condition, and extend these findings by including measures that are highly relevant to treatment planning, such as thinking styles and pain self-efficacy. Therefore, treatment of this complex condition needs to be holistic, and a multidisciplinary approach is likely to be the best way to achieve this.

摘要

目的

慢性盆腔疼痛(CPP)是一个普遍公认的常见问题,对被诊断为此病的患者会产生重大影响。目前缺乏样本量充足的研究来全面呈现前往专科慢性疼痛诊所就诊的女性的心理状况。因此,本研究的目的是描述在一家三级转诊中心就诊的患有CPP的女性代表性样本的心理状况。

设计

这是一项横断面研究。要求女性完成一份问卷,评估焦虑和抑郁症状、疼痛严重程度及干扰、疼痛自我效能感和灾难化信念,以及性功能。

方法

175名患有CPP的女性在澳大利亚墨尔本一家公立医院皇家妇女医院的专科CPP诊所进行首次评估时被招募。

结果

超过75%的参与者经历疼痛的时间超过2年。53%的女性经历了中度或重度焦虑,26.7%经历了中度至重度抑郁。抑郁症状与疼痛干扰、疼痛灾难化和自我效能信念之间存在强相关性。

结论

我们的研究结果证实了先前关于与该疾病相关的高水平心理困扰和功能损害的证据,并通过纳入与治疗计划高度相关的指标(如思维方式和疼痛自我效能感)扩展了这些发现。因此,这种复杂疾病的治疗需要全面综合,多学科方法可能是实现这一目标的最佳途径。

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