Trauma and Posttraumatic Stress Disorder in Women With Chronic Pelvic Pain

@article{MeltzerBrody2007TraumaAP,
  title={Trauma and Posttraumatic Stress Disorder in Women With Chronic Pelvic Pain},
  author={Samantha Meltzer-Brody and Jane Leserman and Denniz A. Zolnoun and J. S. Steege and E Green and Alice Teich},
  journal={Obstetrics \& Gynecology},
  year={2007},
  volume={109},
  pages={902-908}
}
OBJECTIVE: To examine the effect of abuse history, other major trauma, and posttraumatic stress disorder (PTSD) on medical symptoms and health-related daily functioning in women with chronic pelvic pain. METHODS: We administered a questionnaire to 713 consecutive women seen in a referral-based pelvic pain clinic. RESULTS: We found that 46.8% reported having either a sexual or physical abuse history. A total of 31.3% had a positive screen for PTSD. Using regression and path analysis, controlling… 
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References

SHOWING 1-10 OF 58 REFERENCES
A Brief Screening Instrument to Detect Posttraumatic Stress Disorder in Outpatient Gynecology
TLDR
Using a screening instrument for trauma and PTSD on clinic intake surveys has promise for use as a triage tool and could meaningfully increase detection of PTSD among women receiving routine preventive care.
Posttraumatic stress disorder screening status is associated with increased VA medical and surgical utilization in women
TLDR
Female veterans who screen PTSD+ receive more VA medical/surgical services, and the appropriateness of that care deserves further study.
Dissociation in women with chronic pelvic pain.
TLDR
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.
Sex differences in posttraumatic stress disorder.
TLDR
Posttraumatic stress disorder is more likely to develop in females than in males after exposure to a traumatic event, and susceptibility to PTSD in females might be greater in childhood than after age 15 years.
Traumatic events and posttraumatic stress disorder in an urban population of young adults.
TLDR
Life-style differences associated with differential exposure to situations that have a high risk for traumatic events and personal predispositions to the PTSD effects of traumatic events might be responsible for a substantial part of PTSD in this population.
Childhood Abuse and Later Medical Disorders in Women
TLDR
A number of chronic physical conditions were found more often in women who reported different types of sexual and physical abuse, both in childhood and in adult life, and these were chronic fatigue, bladder problems, headache including migraine, asthma, diabetes and heart problems.
Selected symptoms associated with sexual and physical abuse history among female patients with gastrointestinal disorders: the impact on subsequent health care visits
TLDR
Patients' reports of abuse history, somatic symptoms and functional disability appear to be important factors in explaining the number of health care visits among a clinic sample of women with gastrointestinal disorders.
Posttraumatic stress disorder in primary care.
TLDR
Screening questions are provided that may help physicians detect PTSD in their practices and the most frequent traumas associated with PTSD were adult domestic violence and childhood abuse.
Prevalence of civilian trauma and posttraumatic stress disorder in a representative national sample of women
Prevalence of crime and noncrime civilian traumatic events, lifetime posttraumatic stress disorder (PTSD), and PTSD in the past 6 months were assessed in a sample of U.S. adult women (N = 4,008).
...
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