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The association between chronic pelvic pain, psychiatric diagnoses, and childhood sexual abuse
Author(s) -
Jane Harrop-Griffiths,
Wayne Katon,
Elizabeth A. Walker,
Louise Holm,
Joan Russo,
Lee R. Hickok
Publication year - 1989
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(89)90597-3
Subject(s) - medicine , pelvic pain , somatization , sexual abuse , depression (economics) , endometriosis , psychiatry , infertility , chronic pain , substance abuse , sexual dysfunction , obstetrics , poison control , gynecology , anxiety , injury prevention , surgery , pregnancy , emergency medicine , genetics , biology , economics , macroeconomics
Twenty-five women with chronic pelvic pain who had undergone diagnostic laparoscopy and 30 women who had laparoscopic examinations for tubal sterilization or infertility investigation were compared psychologically using structured psychiatric and sexual abuse interviews. Results of the fiberoptic pelvic examination were rated independently using the American Fertility Society classification of endometriosis. Compared with controls, the patients with chronic pelvic pain showed significantly greater prevalence of lifetime major depression, current major depression, lifetime substance abuse, adult sexual dysfunction, and somatization. They were also significantly more likely than controls to have been a victim of childhood and adult sexual abuse. There were no significant differences in either the degree or type of pelvic disease between patients with pelvic pain and controls.