Cited by 134Musculoskeletal pain and rehabilitationPain Management and TreatmentPain Mechanisms and Treatments

Psychology of Chronic Pelvic Pain: Prevalence, Neurobiological Vulnerabilities, and Treatment

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TILL, SARA R., AS-SANIE, SAWSAN, SCHREPF, ANDREW·2019·Clinical Obstetrics & Gynecology

Abstract

Patients with pelvic pain suffer from psychological conditions at a disproportionately high rate compared with their peers. We review environmental, genetic, inflammatory, and neurobiological factors that increase vulnerability to developing both of these conditions. We review treatment strategies for chronic pelvic pain in patients who have comorbid psychological conditions, including both nonpharmacologic and pharmacologic options.

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Crossref · 10.1097/grf.0000000000000412

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133 of 133 references verified0 citation errors · 0 not checkable

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  • There is a severe lack of quality studies with reference to what assessment measures, education concepts and mental health interventions are effective for use with women who have PPP.

    “Currently there is a severe lack of quality studies with reference to what assessment measures, education concepts and mental health interventions are effective for use with women who have PPP.14”

    From Psychological interventions for women with persistent pelvic pain: A survey of mental health clinicians (2021) · cites this paper as [14]

    In Overview of treatment strategies > Non-pharmacologic options (page unavailable), the review says evidence for CBT in chronic pelvic pain is less robust than for other chronic pain conditions, supporting a research gap for mental health interventions. But it also reports increasing evidence of CBT efficacy, while Prevalence of psychological disorders in patients with CPP (page unavailable) says brief, high-quality symptom measures exist. It does not establish a severe lack of quality studies across assessment measures, education concepts, and mental health interventions as a whole. (LLM, conf=0.85)

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Authors
TILL, S. R., AS-SANIE, S., & SCHREPF, A.
Affiliations
  • Obstetrics and Gynecology
  • University of Michigan (US)
Corresponding author
TILL, SARA R.
Venue
Clinical Obstetrics & Gynecology
Published
2019-03
Volume
62
Issue
1
Pages
22-36
ISSN
0009-9201 (ISSN-L)
OpenAlex
W2898956426
Cited by
134
References
134
Citations by year
2026: 22 · 2025: 16 · 2024: 22 · 2023: 20 · 2022: 26 · 2021: 16 · 2020: 11 · 2019: 1
FWCI
0.82
Type
journal article
Language
en
Open access
Locations
  • Clinical Obstetrics & Gynecology (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institute of Dental and Craniofacial Research (K12DE023574)
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD088712)
Topics
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
  • Health Sciences › Medicine › Anesthesiology and Pain Medicine › Pain Management and Treatment
  • Health Sciences › Medicine › Physiology › Pain Mechanisms and Treatments
Keywords
chronic pelvic pain, psychological comorbidity, prevalence, neurobiological vulnerability, genetic factors, inflammation, pain management, non-pharmacological treatment, pharmacotherapy
MeSH terms
Serotonin and Noradrenaline Reuptake Inhibitors, Gabapentin, Antidepressive Agents, Tricyclic, Anxiety, Depression, Female, Humans, Cognitive Behavioral Therapy, Prevalence, Pelvic Pain, Twin Studies as Topic, Off-Label Use, Catastrophization, Chronic Pain

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