title: Coping with emotions and abuse history in women with chronic pelvic pain.
abstract: OBJECTIVE
  The purpose of this study was to investigate whether past abuse and the tendency to repress or suppress unwanted thoughts and emotions contribute to the experience of pain in patients with chronic pelvic pain (CPP).
  
  
  METHODS
  A group of CPP patients without endometriosis and a group with endometriosis were compared with a pain-free control group. Participants completed measures of pain, emotional repression, suppression of unwanted thoughts and emotions, and past abuse history.
  
  
  RESULTS
  Both CPP groups were more likely to be emotional suppressors when compared with the control group and reported significantly higher levels of thought suppression and abuse. Endometriosis patients were also more likely to be repressors of emotions when compared with controls. Suppression but not repression was related to higher levels of abuse and pain.
  
  
  CONCLUSIONS
  Suppression of unwanted thoughts and emotions and past abuse distinguishes CPP patients from healthy controls. Assisting patients to express distressing emotions may impact on pain levels.
authors.affiliation: Department of Psychological Medicine, Faculty of Medical and Health Sciences, The University of Auckland, Auckland, New Zealand.
authors.forename: Ethne
authors.initials: E
authors.lastname: Thomas
authors.forename: Rona
authors.initials: R
authors.lastname: Moss-Morris
authors.forename: Cindy
authors.initials: C
authors.lastname: Faquhar
mesh_terms: D000223:Adaptation, Psychological; D000328:Adult; D018585:Battered Women / Q000523:psychology* / Q000706:statistics & numerical data*; D002908:Chronic Disease; D004715:Endometriosis / Q000150:complications; D005260:Female; D006801:Humans; D017699:Pelvic Pain / Q000453:epidemiology* / Q000209:etiology; D012094:Repression, Psychology; D012928:Social Desirability; D011795:Surveys and Questionnaires