Psychosocial factors and chronic pelvic pain: a comparison of women with endometriosis and with unexplained pain
Abstract
Chronic pelvic pain is a common clinical problem, and physical investigation often fails to reveal its cause. For this reason, it has been argued that psychological and social factors contribute to such "unexplained" pain. Few studies to date using well-validated psychometric measures and adequate sample sizes have compared patients with unexplained pain and those with identified physical disease. The present study compared pain severity, mood symptoms, personality characteristics and social adjustment in women with unexplained pain and women with endometriosis. Women with endometriosis were more likely to come from upper socioeconomic groups. No differences in mood symptoms or personality characteristics were identified, but women with endometriosis had somewhat more severe pain and greater social dysfunction than those with unexplained pain. Mood disorder and social dysfunction appear to be at least as important in patients with proven endometriosis as in those with unexplained pain.
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This study supports previous findings that patients with endometriosis commonly endure painful symptoms and infertility, both of which could negatively affect quality of life and mental health at rates higher than healthy women or women with other gynecological disorders.
“This study supports previous findings showing that patients with endometriosis commonly endure both painful symptoms and infertility, both of which could negatively affect the quality of life and mental health of the affected women at rates that are higher than those reported by healthy women or women with other gynecological disorders (6-12,35,36).”
From Patients’ report on how endometriosis affects health, work, and daily life (2010) · cites this paper as [35]
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- Authors
- Peveler, R., Edwards, J., Daddow, J., & Thomas, E.
- Affiliations
- University of Southampton (GB)
- Corresponding author
- Peveler, Robert
- ORCID
- Peveler, Robert
- Venue
- Journal of Psychosomatic Research
- Publisher
- Elsevier BV
- Published
- 1996-03
- Volume
- 40
- Issue
- 3
- Pages
- 305-315
- ISSN
- 0022-3999 (ISSN-L)
- OpenAlex
- W2040279179
- Cited by
- 107
- References
- 23
- Citations by year
- 2025: 3 · 2024: 5 · 2023: 7 · 2022: 1 · 2021: 6 · 2020: 3 · 2019: 1 · 2018: 2 · 2017: 4 · 2016: 3 · 2015: 5 · 2014: 4 · 2013: 4 · 2012: 5
- FWCI
- 0.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Psychosomatic Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Keywords
- chronic pelvic pain, endometriosis, unexplained pain, psychosocial factors, mood symptoms, personality traits, social adaptation, socioeconomic status, pain intensity
- MeSH terms
- Adult, Chronic Disease, Endometriosis, Female, Humans, Pain Measurement, Personality Inventory, Psychophysiologic Disorders, Social Adjustment, Socioeconomic Factors, Somatoform Disorders, Pelvic Pain
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