Unrecognized association of sleep disorders and depression with chronic pelvic pain.
Assessment of cases of chronic pelvic pain presents a challenging problem, and many physicians overlook the association of sleep disorders and depression with such pain. We examined these linkages in our chronic pelvic pain clinic, using a questionnaire that assists in diagnosis and management of these cases. To date, the cases of 72 patients (both physician- and self-referred) with pelvic pain have been evaluated. Of these patients, 51 of 71 (72%) reported sleep disorders, and 37 of 72 (51%) had clinical depression, as determined by the Beck Depression Inventory. After adjustment for a sleep-related item on the Beck scale, these two measures showed a positive correlation of .355 (P < .01). The scores of pain patients differed significantly from those of a control group of asymptomatic patients on the depression and sleep disorder measures. By being aware and using a simple questionnaire, the clinician may readily identify overlooked factors, such as sleep disorders and depression, when assessing cases of chronic pelvic pain.
Nolan
T E
TE
Department of Obstetrics and Gynecology, Medical College of Georgia, Augusta 30912-3345.
Metheny
W P
WP
Smith
R P
RP
D000328:Adult; D016022:Case-Control Studies; D002908:Chronic Disease; D003863:Depression / Q000150:complications*; D005260:Female; D006801:Humans; D010146:Pain / Q000209:etiology*; D010388:Pelvis; D012893:Sleep Wake Disorders / Q000150:complications*