Impact Of Chronic Pelvic Pain Research Articles

Impact of chronic pelvic pain on quality of life in diverse young adults.

To examine the relationship between quality of life (QoL) and chronic pelvic pain (CPP), including an evaluation of whether differences exist between reported races and coping mechanisms used. We used a cross-sectional survey design and analyzed data using descriptive and inferential statistics. We administered two surveys: the World Health Organization Quality of Life-BREF (26 items) and the Impact of Female Chronic Pelvic Pain Questionnaire (8 items). We recruited young adults aged 18-25 who menstruate from college campuses in a large metropolitan area in the Midwest region of the United States, utilizing flyers, online social media platforms, and snowball sampling techniques. Out of the 585 respondents, 153 (26%) reported "yes," and 95 (16%) were "unsure" they had CPP. Those with CPP and unsure reported using various coping mechanisms for pain. They had lower scores in all four domains (physical health, psychological, social relationship, and environment) and statistically significant lower scores in three domains (physical health, social relationship, and environment) on the World Health Organization Quality of Life-BREF when compared to those who said "no." Respondents identifying as Black, Indigenous, or People of Color had statistically significantly lower QoL in the physical health and environment domains compared to white respondents. Young adults with CPP experience a significantly lower QoL than those without CPP, and racial differences further widen this gap. Future research should explore coping mechanisms that could benefit young adults' daily lives.

Impact of chronic pelvic pain and painful bladder syndrome on the Pittsburgh Sleep Quality Index on women with deep endometriosis: a cross-sectional study.

Painful bladder syndrome (PBS) is frequently associated with deep endometriosis (DE), and both conditions cause chronic pelvic pain (CPP), which often impairs sleep quality. This study was aimed at analyzing the impact of CPP plus PBS in women with DE on the global sleep quality index using the Pittsburgh Sleep Quality Index (PSQI) and subsequently examine each sleep dimension. One hundred and forty women with DE were included and answered the PSQI and the O'Leary-Sant Interstitial Cystitis Symptoms and Problem Index questionnaires with or without CPP. Women were categorized into good or poor sleepers using the PSQI cutoff; subsequently, a linear regression model was used to analyze the PSQI score and a logistic regression model for each questionnaire's sleep component. Only 13% of women with DE had a good sleep. Approximately 20% of those with DE but no/mild pain were good sleepers; 138 women with DE (88.5%), 94% with PBS, and 90.5% with moderate/severe pain were poor sleepers. For PSQI components, CPP worsened the subjective sleep quality by more than threefold (p = 0.019), increased sleep disturbances by nearly sixfold (p = 0.03), and decreased the sleep duration by practically sevenfold (p = 0.019). Furthermore, PBS increased sleep disturbances by nearly fivefold (p < 0.01). The addition of PBS to CPP in women with DE is devastating for overall sleep quality, probably because it impacts some sleep dimensions unaffected by CPP and amplifies the problem in those already affected by pain.

Chronic Pelvic Pain, Health-related Quality of Life and Laparoscopic Adhesiolysis

Objective: The purposes of this study were to assess the impact of chronic pelvic pain on quality of life, and to test the hypothesis of whether laparoscopic adhesiolysis leads to significant pain relief and improvement in quality of life (QoL) in patients with chronic pelvic pain (CPP). Methods: This was an intervention study, parallel design inter-subject and intra-subject variabilities, conducted in the hospital of Obstetrics and Gynecology, Damascus University over 2 years. The participants in this study were 70 women with chronic pelvic pain (CPP) who underwent laparoscopic adhesiolysis. The women were assessed at 0, 3, and 6 months by Numerical Rating Scale (NRS), Quality of life (QoL) measure (SF-36), and the Hospital Anxiety and Depression Scale (HADS). All these test scores were correlated together using paired t test. Results: Out of total 70 women who underwent laparoscopy, 62 were qualified to take part in this study. The results are expressed in mean. There was a significant correlation between the baseline average pain score, the baseline score of QoL measure, and the baseline score of HADS. NRS scores decrease from (5.53) prior to surgery to (3.46) and (3.94) at 3 and 6 months of follow-up. SF-36 survey analysis revealed that the greatest increases linked to physical domains, that is, bodily pain, from (55.56) to (71.28) and (70.31) at 3 and 6 months of follow-up, and RP which increased from (66.06) to (78.01) and (76.20) at 3 and 6 months of follow-up. Among the mental domains the most favorable results involved vitality (V), which increased from (46.58) to (57.93) and (58.66) at 3 and 6 months of follow-up, and RE which increased from (60.92) to (71.68) and (72.24) at 3 and 6 months, respectively. There was a significant improvement in HADS scores, the HADS-D decreased from (10.107) to (8.393) and (7.847) at 3 and 6 months of follow-up, and the HADS-A decreased from (9.607) to (8.607) and (8.849) at 3 and 6 months of follow-up. In 6 months, changes in all tests are correlated significantly with the change in average pain. Conclusions: A selected population of women having adhesions, presenting to gynecological clinic, are suffering from chronic pelvic pain. Laparoscopic adhesiolysis improves this pelvic pain, their quality of life, anxiety and depression in non-psychiatric, chronic pelvic pain populations.

Long-term impact of chronic pelvic pain on quality of life in women with and without endometriosis

Background: Chronic pelvic pain (CPP) has a significant impact on patients’ health-related quality of life (HRQoL). Endometriosis is a common cause of CPP. Data is lacking on long-term HRQoL outcomes in patients with endometriosis-associated chronic pelvic pain (EACPP) versus other causes of chronic pelvic pain (OCPP). Methods: In this retrospective single-survey study, 198 patients completed the EHP-30 and the patient-reported outcomes measurement information system (PROMIS) Global Health validated questionnaires to assess health-related quality of life (HRQoL) 8–10 years after index surgery. Results: Demographic comparison revealed significant differences in racial demographics and disability status between the EACPP and OCPP groups. There was no significant difference in EHP-30, PROMIS Global Physical, or Global Mental scores between the two groups. Patients with lower stage endometriosis (stage I/II) reported diminished HRQoL in the EHP-30 and Global Physical scores as compared to patients with higher stage (stage III/IV) endometriosis or OCPP. Additionally, no differences were found between incidence of abuse history and EHP-30 and PROMIS scores between the two groups. Higher age and higher PROMIS Global Physical scores were associated with lower pain and higher HRQoL scores on the EHP-30. Persistently high rates of sexual dysfunction were seen across both groups. Discussion: This study demonstrates that women with EACPP and OCPP appear to have similar natural histories and quality of life on long term follow-up. Race, age, disability, and physical health status may play key roles in perceived quality of life. The high rate of persistent sexual dysfunction is concerning and requires increased clinician intervention.

Endometriosis and chronic pelvic pain have similar impact on women, but time to diagnosis is decreasing: an Australian survey

Chronic pelvic pain (CPP) affects a significant number of women worldwide. Internationally, people with endometriosis report significant negative impact across many areas of their life. We aimed to use an online survey using the EndoCost tool to determine if there was any difference in the impact of CPP in those with vs. those without a confirmed diagnosis of endometriosis, and if there was any change in diagnostic delay since the introduction of clinical guidelines in 2005. 409 responses were received; 340 with a diagnosis of endometriosis and 69 with no diagnosis. People with CPP, regardless of diagnosis, reported moderate to severe dysmenorrhea and non-cyclical pelvic pain. Dyspareunia was also common. Significant negative impact was reported for social, academic, and sexual/romantic relationships in both cohorts. In the endometriosis cohort there was a mean diagnostic delay of eight years, however there was a reduction in both the diagnostic delay (p < 0.001) and number of doctors seen before diagnosis (p < 0.001) in those presenting more recently. Both endometriosis and CPP have significant negative impact. Whilst there is a decrease in the time to diagnosis, there is an urgent need for improved treatment options and support for women with the disease once the diagnosis is made.

The Impact of Female Chronic Pelvic Pain Questionnaire (IF-CPPQ): A Validation Study.

The aim of this study was to assess the validity, reliability, and factor structure of the Impact of Female Chronic Pelvic Pain Questionnaire (IF-CPPQ). This was a cross-sectional questionnaire study that was administered online. To be eligible to participate, women had to have experienced chronic pelvic pain for a minimum of 6 months and be at least 18 years of age. A total of 969 women (mean age: 35.4 y, SD=12.0) took part. The main outcome measure was the IF-CPPQ. Additional validated measures that assessed related constructs were also administered. Principal axis factor analysis was used to assess the factor structure of the IF-CPPQ. Internal consistency was assessed using Cronbach α. Convergent and discriminant validity was assessed using Pearson correlations between factor scores on the IF-CPPQ and measures of related constructs. The consistency and model fit of the resulting factor structure was assessed using confirmatory factor analysis. The final 26-item questionnaire comprised 5 factors (Psychological Impact, Sexual Impact, Relationship Impact, Occupational Impact, and Emotional Impact). Findings suggested good convergent and discriminant validity and internal consistency. The findings indicate that the IF-CPPQ is a reliable and valid measure of the impact of chronic pelvic pain on women. While the IF-CPPQ has the potential for multiple uses within research and clinical practice, further research is needed to determine the questionnaire's ability to detect clinically meaningful changes with treatment.

A Comparative Study of the Impact of Chronic Pelvic Pain on Quality of Life in Women With and Without Endometriosis [34A

INTRODUCTION: Few studies have examined the differing natural histories and quality of life in women with endometriosis-associated chronic pelvic pain (EACPP) versus other chronic pelvic pain (OCPP) in the years following surgery. In this study, we compared pain and quality of life scores in women with EACPP vs OCPP after surgery. METHODS: Women with CPP who had gynecologic surgery at the Cleveland Clinic between 2008 and 2010 with surgically confirmed endometriosis versus other CPP without endometriosis completed the EHP-30 and PROMIS validated quality of life questionnaires. Demographics and scores were compared between EACPP (N=84) versus OCPP (N=105) groups. RESULTS: Significant differences in racial demographics were seen between the two groups, with more African American patients in the OCPP group. The EACPP group had lower current disability than the OCPP group (3.6% vs 13.5%, P=.019). No significant difference was found in EHP-30 scores between groups. The PROMIS Global Health survey revealed no significant difference in Global Physical scores, however, the EACPP group had a lower mean Global Mental score compared to the OCPP group (12.5±3.4 vs 13.6±3.6, P=.057), a finding which approached significance. In exploratory regression models, higher age and higher Global Physical score were associated with lower EHP-30 scores (better health status) across all quality of life scales. CONCLUSION: Reported pain and quality of life are similar between women with EACPP vs OCPP. However, racial representation and disability status are different between groups. Furthermore, multivariable regression models indicated that higher age and physical health ratings may be associated with better quality of life.

The Impact of Chronic Pelvic Pain and Its Associated Symptoms on Women'S Quality of Life in a TERTiary Care Hospital in Brazil

Introduction Chronic pelvic pain (CPP) is a common manifestation of multiple diseases, and might be related to gynecological, musculoskeletal and gastrointestinal causes. CPP is often associated with reduced quality of life (QOL). Objective To investigate whether pain intensity correlates negatively with the QOL in Brazilian women with CPP. Methods We recruited women with CPP referred to our outpatient service from December 2014 to December 2015. QOL was assessed using the Short Form Health Survey (SF-36) while clinical and demographic data were obtained using a standardized form. Statistics included Spearman's rank coefficient test and chi-square test. Results The total SF-36 score correlated negatively with pain intensity as measured by visual analog scale (rho = -0.46). Significant correlations were seen in the role-physical (rho = -0.596), physical functioning (rho = -0.463), role-emotional (rho = -0.402) and bodily pain (rho = -0.471) domains, but not in the other SF-36 domains. There was a positive association between presence of acyclic chronic pain and history of being at emergency rooms for pain control (p = 0.026, chi-square test). Conclusions Pain intensity correlates negatively with QOL in Brazilian women with CPP, but different QOL domains are affected in a heterogeneous fashion. Further research is needed in order to determine the specific reasons behind such differences.

The Impact of Chronic Pelvic Pain in Women

Chronic pelvic pain (CPP) is a prevalent condition with a significant impact on the personal, social, professional and marital life of women. It is a complex condition that may have no specific causal diagnosis or may be associated with multiple diagnoses, frequently involving treatment failure. The definition of health care strategies fundamentally depends on the way women live with this condition. Thus, the objective of the present study is to learn how women with CPP experience their diagnosis and the meaning they attribute to it. A qualitative study was conducted by interviewing a focus group of 11 women. The content of the interviews was recorded and fully transcribed, and the speeches were interpreted by Bardin’s content analysis. The topics most frequently dealt with in the interview were diagnosis, beginning of pain, worsening and improving factors, marital and interpersonal relationships, interference with daily activities, association with emotional aspects, and perspectives for the future. It could be perceived how much these women need to be better heard and how much the association between psychic and physical questions must be visualized by the professionals who provide care for them. The approach used by professionals from different areas, when properly structured, can minimize the problem of the division of a sick person into separate parts. Psychological care is very important, especially in relation to the discovery of more effective strategies for living with pain.

Chronic Pelvic Pain and Quality of Life in Women with and without Endometriosis

Purpose To determine the impact of chronic pelvic pain on quality of life in women with or without endometriosis Methods A total of 162 women with chronic pelvic pain were enrolled in a cross-sectional study and divided into two groups: 84 with endometriosis, 78 without endometriosis. Assessment of dysmenorrhea, non -menstrual pain, dyspareunia and diffuse abdominal pain by a visual analog scale, assessment of quality of life by SF-36. Results The endometriosis group showed more dysmenorrhea but less dyspareunia and non-menstrual pain than women affected by other diseases. Pain had a negative influence on quality of life in both groups, but the endometriosis group showed a greater negative impact in all areas of SF-36, yet only in three (physical role, physical pain and mental role) was the difference statistically significant. Conclusions Endometriosis impacts quality of life more than other forms of chronic pelvic pain. Interventions aimed at improving quality of life specifically designed for patients with chronic pelvic pain in general, and with endometriosis in particular, should be developed, tested, and integrated into the routine care regimen provided for these patients.

Impact of Chronic Pelvic Pain on Female Sexual Function

The objective of the present study was to determine the prevalence of sexual dysfunction and depression in women with chronic pelvic pain (CPP). A case-control study was conducted on 66 women, 36 of them with CPP and 30 without this diagnosis. Depression was evaluated using the Beck Depression Inventory (BDI) and sexual dysfunction was evaluated using the Female Sexual Function Index (FSFI). Data were analyzed statistically by the Mann-Whitney test, Fisher exact test, chisquare test, and Spearman correlation test. Regarding sociodemographic data, no significant differences were detected between populations with respect to the variables studied (age, schooling, number of children, income, salary, and marital status), indicating group homogeneity and thus increasing the reliability of the data. A cut-off of 26.55 points was used to calculate the total score for sexual function. In the group of women with CPP, 94.4% were at high risk for sexual dysfunction. Comparison of FSFI scores showed that the domains of sexual function, such as orgasm, lubrication and pain differed significantly between women with and without CPPP. Correlations were detected between the following items: orgasm × age (r = -0.01904), orgasm × number of children (r =-0. 00947), orgasm × body mass index (BMI) (r =-0.00 955), relationship × age (r = 0.03952), income × relationship (r =-0.014680), relationship × number of children (r =-0.03623), depression × relationship (r =-0.16091), desire × age (r = -0.45255), desire × number of children (r = -0.01824), lubrication × excitement (r = 0.04198), and lubrication × BMI (r = -0.01608). The prevalence of depression detected in the present study was 38.9% among women with pain and 3.3% among control women. It was observed that women with CPP suffer a negative interference regarding sexual function compared to controls. Thus, it can be seen that a specific approach related to sexuality is extremely important within the context of women with CPP. Depression was clearly associated with CPP and therefore an interdisciplinary approach is fundamental in order to solve this problem.

A cognitive behavioural based assessment of women with chronic pelvic pain

From population-based surveys, chronic pelvic pain (CPP) in women is a common condition with a spectrum of associated disability and distress. Those seen by gynaecologists in a referral setting often have substantial impairment of function and mood disturbance. Because in most cases, the aetiology of CPP cannot be explained and the range of effective interventions remains limited, treatment of CPP might easily result in a sense of frustration not only for the patient but also for the gynaecologist. To avoid this situation in clinical practice, a structured assessment of women suffering from CPP using a cognitive behavioural model, is suggested. This type of assessment provides information about the impact of CPP on a particular patient's daily life. It also facilitates referral for pain management. Future studies are needed to show further evidence of benefit of this approach for women with CPP.

Chronic Pelvic Pain in Women in New Zealand: Comparative Well-Being, Comorbidity, and Impact on Work and Other Activities

This article reports the findings of a population-based study in New Zealand that investigated comparative well-being, comorbidity, and the impact of chronic pelvic pain (CPP) on activities. Chronic pelvic pain was defined as lower abdominal pain that is associated with neither the menstrual cycle nor sexual activity. A postal questionnaire was administered to a random sample resulting in a study group of 1,160. The negative impact of CPP on women's general well-being is significant. They were more likely than women without CPP to have other long-standing illnesses, other unspecified conditions involving pain or fatigue, and sleep patterns were more seriously disturbed. Pain restricted their activities. Comparisons with the limited data available from other studies are made.

Management of chronic pelvic pain: evidence from randomised controlled trials

Chronic pelvic pain is a common condition in women and rates of consultation in general practice are similar to those for asthma and migraine. USA and UK population-based studies, together with data from UK hospital settings, demonstrate a substantial impact of chronic pelvic pain on health related quality of life. In this review we examine the current evidence for treatment of the condition, focusing on randomised controlled trials and including some insights from studies of women with dysmenorrhoea.

Der chronische Unterbauchschmerz der Frau und seine Komorbidität

Fragestellung: Da repräsentative Angaben zur Prävalenz von chronischen Unterbauchschmerzen von Frauen in der Bevölkerung bislang fehlen, wurden Häufigkeit, Altersverteilung und Komorbidität erhoben.

Psychosocial and economic impact of chronic pelvic pain

According to a population-based estimate, chronic pelvic pain (CPP) affects approximately 15% of women aged 18–50. The psychosocial impact of CPP is reflected in mood disturbance, disruption of normal activity and relationships as well as pain. Identification of psychosocial factors as cause or effect remains problematic. Results of a study of 105 women with CPP using the British version of the SF-36 Health Survey Questionnaire are presented, together with analyses of face validity and reliability. While generally reflecting health status, specific problems with the questionnaire are identified related to the episodic nature of pelvic pain, and avoidance as a means of preventing pain exacerbations. Health economic analyses relating to CPP are reviewed and the implications for future directions in treatment strategy are discussed in the context of limited options of proven efficacy.