The association between chronic pelvic pain, psychiatric diagnoses, and childhood sexual abuse: Harrop‐Griffiths J; Katon W; Walker E; et al Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA 98195, USA Obstet. Gynecol.; 71/4 (589–594)/1988/
Abstract
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.
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Medical research on childhood abuse has limited relevance to most primary care physicians because it is focused on adolescent health, mental health in adults, or symptoms among patients in specialty clinics.
“medical research in this field has limited relevance to most primary care physicians because it is focused on adolescent health, 16 -20 mental health in adults, 20 or on symptoms among patients in specialty clinics.22,23”
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- Authors
- Harrop-Griffiths, J., Katon, W. J., Walker, E., Holm, L., Russo, J. E., & Hickok, L. R.
- Affiliations
- University of Washington (US)
- ORCID
- Joan E. Russo
- Venue
- International Journal of Gynecology & Obstetrics
- Publisher
- Wiley
- Published
- 1989-01
- Volume
- 28
- Issue
- 1
- Pages
- 96-97
- ISSN
- 0020-6695 (ISSN-L)
- 0020-7292
- 1879-3479
- OpenAlex
- W2244782374
- Cited by
- 167
- References
- 0
- Citations by year
- 2023: 5 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 5 · 2015: 2 · 2014: 2 · 2013: 2
- FWCI
- 5.10
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Gynecology & Obstetrics (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- chronic pelvic pain, child sexual abuse, adult sexual abuse, psychiatric comorbidity, major depressive disorder, substance abuse, sexual dysfunction, somatization, endometriosis, women's health
- MeSH terms
- Mental Disorders, Child, Child Abuse, Sexual, Child, Preschool, Chronic Disease, Depression, Female, Humans, Pain, Pelvis, Laparoscopy, Psychophysiologic Disorders, Time Factors, Substance-Related Disorders
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