A comparative study of women with chronic pelvic pain, chronic nonpelvic pain and those with no history of pain attending general practitioners

@article{Collett1998ACS,
  title={A comparative study of women with chronic pelvic pain, chronic nonpelvic pain and those with no history of pain attending general practitioners},
  author={Beverly Collett and Christine Cordle and C. R. Stewart and Chris Jagger},
  journal={BJOG: An International Journal of Obstetrics \& Gynaecology},
  year={1998},
  volume={105}
}
  • B. Collett, C. Cordle, C. Jagger
  • Published 1 January 1998
  • Medicine, Psychology
  • BJOG: An International Journal of Obstetrics & Gynaecology
Objective To investigate and compare the demographic and psychosocial profiles of women with chronic pelvic pain, chronic pain in a different site, and those with no history of pain with specific reference to a history of sexual abuse. 
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This chapter presents a model of CPP which emphasizes the multifactorial nature of the problem, and the biopsychosocial model offers a way of integrating physical causes of pain with psychological and social factors.
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References

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Patients with chronic pelvic pain attending a tertiary referral centre show certain social, developmental and psychological characteristics that are similar to other outpatient populations presenting with migraine or irritable bowel syndrome.
Demographic and Historic Variables in Women With Idiopathic Chronic Pelvic Pain
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Although the mean ages at first intercourse were similar, women with idiopathic pelvic pain reported a higher total number of sexual partners and were significantly more likely to have experienced previous significant psychosexual trauma.
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Although the mean ages at first intercourse were similar, women with idiopathic pelvic pain reported a higher total number of sexual partners and were significantly more likely to have experienced previous significant psychosexual trauma.
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The patients with chronic pelvic pain showed a significantly higher prevalence of major depression, substance abuse, adult sexual dysfunction, somatization, and history of childhood and adult sexual abuse than the comparison group.
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Women with chronic pain were significantly more likely to use dissociation as a coping mechanism, to show current psychological distress, to see themselves as medically disabled, to experience vocational and social decrements in function, and to amplify physical symptoms.
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