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Cited by 79Child Abuse and TraumaMusculoskeletal pain and rehabilitationEndometriosis Research and Treatment

History of abuse and its relationship to pain experience and depression in women with chronic pelvic pain

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As-Sanie, Sawsan, Clevenger, Lauren A., Geisser, Michael E., Williams, David A., Roth, Randy S.·2014·American Journal of Obstetrics and Gynecology
DOI 10.1016/j.ajog.2013.12.048PMC PMC4086742
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Abstract

Objective We sought to determine the relationship among a history of physical or sexual abuse, pain experience, and depressive symptoms among women with chronic pelvic pain (CPP).Study design This was a cross-sectional study of women who presented to a tertiary referral center for evaluation of CPP (N = 273). All participants completed standardized questionnaires to assess a history of physical or sexual abuse, pain severity, pain disability, and depressive symptoms. Subjects were grouped by abuse category and compared to CPP participants without history of abuse. Multinomial logistic regression models were used to determine the association between adolescent or adult and childhood physical or sexual abuse with pain intensity, pain-related disability, and depressive symptoms.Results Logistic regression analyses indicated that, after controlling for age and education, none of the abuse categories was associated with pain severity. However, adolescent or adult sexual abuse predicted greater pain-related disability (odds ratio, 2.39; 95% confidence interval, 1.05-5.40), while both adolescent or adult physical and sexual abuse were associated with higher levels of depression (both P < .05). Level of education was significantly associated with pain intensity, pain disability, and depression.Conclusion For our sample of women with CPP, a history of abuse during childhood or adulthood was not associated with differences in pain intensity, but adolescent or adult sexual abuse was associated with greater pain-related disability. A history of physical abuse or sexual abuse appears to hold a stronger relationship with current depressive symptoms than pain experience for women with CPP. Educational achievement holds a robust relationship with pain morbidity and depression for this population.

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  • The findings are consistent with reports that women experiencing violence have adverse health outcomes and with other systematic reviews associating pain symptoms or syndromes with some type of adult or childhood abuse.

    “Our findings are consistent with reports that women experiencing violence have adverse health outcomes [18–21], and with other systematic reviews that associate some pain symptoms/syndromes with some type of adult or childhood abuse [30–34].”

    From The association between violence against women and chronic pain: a systematic review and meta-analysis (2024) · cites this paper as [18]

    The Abstract (Study Design and Results; page not supplied) describes a cross-sectional study and reports an association between adult sexual abuse and greater pain-related disability in women with chronic pelvic pain. It is not a systematic review, and it found no association between any abuse category and pain severity; the Comment also says it did not confirm a relationship between childhood abuse and pain severity. (LLM, conf=0.88)

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  • The specific case of pelvic pain is controversial, with some articles reporting an association with violence and others not.

    “The specific case of pelvic pain is controversial with some articles reporting an association with violence [27, 28] and others not [18, 109].”

    From The association between violence against women and chronic pain: a systematic review and meta-analysis (2024) · cites this paper as [18]

  • The most common diagnoses in victimized individuals are pelvic pain, fibromyalgia, irritable bowel syndrome/bowel symptoms, abdominal pain, migraine/headache, back pain, chest pain, and neck pain, which tend to become chronic.

    “The most common diagnosis of victimized are pelvic pain [13], fibromyalgia [14], irritable bowel syndrome/bowel symptoms [15], abdominal pain [16], migraine/headache [17], back pain [18], chest pain [19], and neck pain [20], which tend to become chronic as well as the pain derived from them.”

    From The Risk Factors of Chronic Pain in Victims of Violence: A Scoping Review (2023) · cites this paper as [13]

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Research works printed but not linked: 3

  1. [24]Walker EA Katon W Harrop-Griffiths J Holm L Russo J Hickok LR Relationship of chronic pelvic pain to psychiatric diagnosis and childhood sexual abuse Am J Psychiatry 1988 145 75 79 3337296
  2. [27]Cleeland CS Chapman CR Loeser JD Measurement of pain by subjective report Issues in Pain Measurement.: Advances in Pain Research and Therapy 1989 Vol 12 New York Raven Press 391 403
  3. [40]Widom CS DuMont K Czaja SJ A prospective investigation of major depressive disorder and comorbidity in abused and neglected children grown up Arch Gen Psychiatry 2007 64 49 56 17199054

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Authors
As-Sanie, S., Clevenger, L. A., Geisser, M. E., Williams, D. A., & Roth, R. S.
Affiliations
  • University of Michigan (US)
  • Michigan Medicine (US)
ORCID
Venue
American Journal of Obstetrics and Gynecology
Publisher
Elsevier BV
Published
2014-04
Volume
210
Issue
4
Pages
317.e1-317.e8
ISSN
0002-9378 (ISSN-L)
DOI
10.1016/j.ajog.2013.12.048
PMC
PMC4086742
OpenAlex
W1993395729
Cited by
79
References
55
Citations by year
2026: 3 · 2025: 5 · 2024: 7 · 2023: 10 · 2022: 5 · 2021: 6 · 2020: 8 · 2019: 11 · 2018: 5 · 2017: 7 · 2016: 7 · 2015: 4 · 2014: 1
FWCI
7.47
Type
journal article
Language
en
Open access
Licence
Locations
  • American Journal of Obstetrics and Gynecology (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
Eunice Kennedy Shriver National Institute of Child Health and Human Development (K12HD001438)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Child Abuse and Trauma
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Reproductive Medicine › Endometriosis Research and Treatment
Keywords
chronic pelvic pain, physical abuse, sexual abuse, childhood abuse, adolescent abuse, depressive symptoms, pain-related disability, pain intensity, educational attainment, women
MeSH terms
Adolescent, Adult, Cross-Sectional Studies, Depression, Educational Status, Female, Humans, Pain Measurement, Surveys and Questionnaires, Severity of Illness Index, Sex Offenses, Logistic Models, Domestic Violence, Pelvic Pain, Chronic Pain

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