Selfe Susan A, Van Vugt Mark, Stones William R
Department of Obstetrics and Gynaecology, University Obstetrics and Gynaecology, F Level, Princess Anne Hospital, Southampton, SO16 5YA, UK Department of Psychology, University of Southampton, Southampton, UK.
Pain. 1998 Aug;77(2):215-225. doi: 10.1016/S0304-3959(98)00104-3.
Women with chronic pelvic pain experience serious distress and lifestyle disruption. Confronted with a difficult condition to diagnose and treat effectively, doctors express a negative perception of this group of 'heartsink' patients. This study aimed to characterise medical attitudes towards the treatment of women with chronic pelvic pain. Tape recorded focus group discussions with gynaecologists, general practitioners and patients were transcribed and analysed using ethnographic software to identify themes. A postal questionnaire was sent to 300 British gynaecologists of which 145 were returned (48%). Principal components analysis identified five factors accounting for 32.4% of the variance, labelled 'efficiency', 'complexity', 'socio-cultural liberalism', 'pathology' and 'communication'. Scores for 'socio-cultural liberalism' were higher among gynaecologists in the younger age groups, women, and those giving their ethnic origin as Caucasian. Scores for 'pathology' were lower among younger gynaecologists. A sex difference just failed to reach statistical significance. Multiple linear regression confirmed significant independent relationships with scores for 'socio-cultural liberalism' and respondent sex, ethnicity and age group under 38 years.
患有慢性盆腔疼痛的女性会经历严重的痛苦和生活方式的紊乱。面对一种难以有效诊断和治疗的疾病，医生们对这群“令人沮丧”的患者表达了负面看法。本研究旨在描述对慢性盆腔疼痛女性治疗的医学态度。与妇科医生、全科医生和患者进行的焦点小组讨论录音被转录，并使用人种学软件进行分析以确定主题。向300名英国妇科医生发送了邮政问卷，其中145份被退回（48%）。主成分分析确定了五个因素，占方差的32.4%，分别标记为“效率”“复杂性”“社会文化自由主义”“病理学”和“沟通”。在年龄较小的群体、女性以及将自己的种族归为白种人的妇科医生中，“社会文化自由主义”得分较高。年轻妇科医生的“病理学”得分较低。性别差异刚刚未达到统计学显著性。多元线性回归证实，与“社会文化自由主义”得分以及受访者的性别、种族和38岁以下年龄组存在显著的独立关系。
