When treating the pain is not enough: a multidisciplinary approach for chronic pelvic pain.
Chronic pelvic pain (CPP) is related to psychological distress and interference in daily activities; however, CPP is not as extensively researched as other forms of chronic pain. Therefore, the purpose of this study was to investigate the relationships among pain, psychological distress, and functional impairment in patients with CPP. There were chart reviews conducted of 107 female patients who completed a psychiatric evaluation at a specialty, CPP clinic as a part of a multidisciplinary evaluation. Results suggest that psychological distress and impairment in daily activities are common in CPP patients. Most areas of functional impairment were not associated with pain variables. Rather, several forms of functional impairment were related to higher levels of depression and anxiety. Results from this study suggest the possibility that psychiatric symptoms are contributing to functional impairment in this population. These findings highlight the importance of a multidisciplinary approach in the evaluation and treatment of CPP patients to help decrease functional impairment in these patients.
Behavioral Health, Henry Ford Health System, Detroit, MI, USA. lmatero1@hfhs.org.
Lisa Renee
LR
Miller-Matero
Behavioral Health, Henry Ford Health System, Detroit, MI, USA.
Caroline
C
Saulino
Behavioral Health, Henry Ford Health System, Detroit, MI, USA.
Shannon
S
Clark
Behavioral Health, Henry Ford Health System, Detroit, MI, USA.
Mary
M
Bugenski
Behavioral Health, Henry Ford Health System, Detroit, MI, USA.
Anne
A
Eshelman
Obstetrics & Gynecology, Henry Ford Health System, Detroit, MI, USA.
David
D
Eisenstein
D000293:Adolescent; D000328:Adult; D000368:Aged; D001007:Anxiety / Q000453:epidemiology / Q000523:psychology*; D002908:Chronic Disease; D003863:Depression / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008875:Middle Aged; D010147:Pain Measurement; D017699:Pelvic Pain / Q000523:psychology*; D015995:Prevalence; D011788:Quality of Life; D012720:Severity of Illness Index; D064232:Visual Analog Scale
Anxiety; Depression; Functional impairment; Pelvic pain