Chronic pelvic pain-pain catastrophizing, pelvic pain and quality of life

Sewell, M, Churilov, L, Mooney, S, Ma, T, Maher, P and Grover, S 2018, 'Chronic pelvic pain-pain catastrophizing, pelvic pain and quality of life', Scandinavian Journal of Pain, vol. 18, no. 3, pp. 441-448.

Document type: Journal Article
Collection: Journal Articles

Title Chronic pelvic pain-pain catastrophizing, pelvic pain and quality of life
Author(s) Sewell, M
Churilov, L
Mooney, S
Ma, T
Maher, P
Grover, S
Year 2018
Journal name Scandinavian Journal of Pain
Volume number 18
Issue number 3
Start page 441
End page 448
Total pages 8
Publisher Walter de Gruyter GmbH
Abstract Chronic pelvic pain (CPP) impacts significantly on the lives of women. Negative coping responses such as pain catastrophizing are thought to be significant in predicting both pain severity and outcome. The combined effect of the individual's response to pain and its severity on their quality of life (QoL) has not been well studied in women with CPP. Aims were to determine the prevalence of pain catastrophizing in women with CPP and to examine the associations between pain catastrophizing and levels of dysmenorrhea, non-cyclical pelvic pain, dyspareunia, dysuria, dyschezia and QoL. A cross-sectional study including women aged 18-50 years, referred to a tertiary gynecology outpatients department at an Australian women's hospital in 2015. Participants completed questionnaires including: Pain catastrophizing scale (PCS); pelvic pain levels in the prior 3 months; and the World Health Organisation Quality of life - Bref Questionnaire (WHOQoL-Bref). Statistical analysis was performed using STATA (StataCorp, USA Version13). Participants (n = 115) had a median age of 29.0 [interquartile range (IQR): 23.0-38.0] years. The Pain catastrophizing score revealed that 60/113 [95% confidence interval (CI): 48.6, 71.2] of participants had a clinically relevant total score ≥30. There were statistically significant positive correlations between pain catastrophizing scores and pelvic pain levels in all five pain categories studied, dysmenorrhea (ρ = 0.37, p = 0.0001), non-cyclical pelvic pain (ρ = 0.46, p<0.0001), dyspareunia (ρ = 0.32, p = 0.0008), dysuria (ρ = 0.32, p = 0.0005) and dyschezia (ρ = 0.38, p = 0.0012). Participants who reported maximal pain levels (5/5) had significantly higher median pain catastrophizing scores when compared to those who reported no pain (0/5) in all categories. Overall QoL was considered as "good" in 71/113 (95% CI: 60.1, 81.0) participants and "poor" in 42/113 (95% CI: 32.0, 53.0) participants. Comparison to Australian female norms revealed significant
Subject Clinical Sciences not elsewhere classified
Keyword(s) chronic pelvic pain
pain catastrophizing
pain perception
pelvic pain
quality of life
DOI - identifier 10.1515/sjpain-2017-0181
Copyright notice © 2018 Scandinavian Association for the Study of Pain. Published by Walter de Gruyter GmbH, Berlin/Boston.
ISSN 1877-8860
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