Understanding and managing pelvic girdle pain from a person-centred biopsychosocial perspective
Abstract
Introduction Clinicians need support to effectively implement a biopsychosocial approach to people with pelvic girdle pain disorders.Purpose A practical clinical framework aligned with a contemporary biopsychosocial approach is provided to help guide clinician's management of pelvic girdle pain. This approach is consistent with current pain science which helps to explain potential mechanistic links with co/multi-morbid conditions related to pelvic girdle pain. Further, this approach also aligns with the Common-Sense Model of Illness and provides insight into how an individual's illness perceptions can influence their emotional and behavioural response to their pain disorder. Communication is critical to supporting recovery and facilitating behaviour change within the biopsychosocial context and in this context, the patient interview is central to exploring the multidimensional nature of a persons' presentation. Focusing the biopsychosocial framework on targeted cognitive-functional therapy as a key component of care can help an individual with pelvic girdle pain make sense of their pain, build confidence and self-efficacy and facilitate positive behaviour and lifestyle change. There is growing evidence of the efficacy for this broader integrative approach, although large scale effectiveness trials are still needed. An in-depth case study provides guidance for clinicians, showing 'how to' implement these concepts into their own practice within a coherent practical framework.Implications This framework can give clinicians more confidence in understanding and managing pelvic girdle pain. The framework provides practical strategies to assist clinicians with implementation; assisting the transition from knowing to doing in an evidence-informed manner that resonates with real world practice.
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The person-centered biopsychosocial model specifies that biological, psychological, social and contextual factors and the overlap between them must be considered in order to provide the best treatment for musculoskeletal conditions, such as PPP.
“The person-centered biopsychosocial model specifies that biological, psychological, social and contextual factors and the overlap between them must be considered in order to provide the best treatment for musculoskeletal conditions, such as PPP.10”
From Psychological interventions for women with persistent pelvic pain: A survey of mental health clinicians (2021) · cites this paper as [10]
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- Authors
- Beales, D., Slater, H., Palsson, T., & O'Sullivan, P.
- Affiliations
- Curtin University (AU)
- Aalborg University (DK)
- Corresponding author
- Beales, Darren
- Venue
- Musculoskeletal Science and Practice
- Publisher
- Elsevier BV
- Published
- 2020-08
- Volume
- 48
- Pages
- 102152
- ISSN
- 2468-7812 (ISSN-L)
- OpenAlex
- W3023862476
- Cited by
- 36
- References
- 109
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 3 · 2023: 4 · 2022: 7 · 2021: 4 · 2020: 2
- FWCI
- 2.55
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Musculoskeletal Science and Practice (publishedVersion)
- PubMed (publishedVersion)
- VBN Forskningsportal (Aalborg Universitet) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Pregnancy-related medical research
- Health Sciences › Medicine › Surgery › Hip disorders and treatments
- Keywords
- pelvic girdle pain, biopsychosocial model, person-centred care, common sense model of illness, illness perception, patient interviews, cognitive functional therapy, behavior change, self-efficacy, pain science, multimorbidity, clinical framework
- MeSH terms
- Humans, Pelvic Pain, Chronic Pain, Pelvic Girdle Pain
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