OBJECTIVE: To examine the effect of abuse history, other major trauma, and posttraumatic stress disorder (PTSD) on medical symptoms and health-related daily functioning in women with chronic pelvic pain. METHODS: We administered a questionnaire to 713 consecutive women seen in a referral-based pelvic pain clinic. RESULTS: We found that 46.8% reported having either a sexual or physical abuse history. A total of 31.3% had a positive screen for PTSD. Using regression and path analysis, controlling for demographic variables, we found that a trauma history was associated with worse daily physical functioning due to poor health (P<.001), more medical symptoms (P<.001), more lifetime surgeries (P<.001), more days spent in bed (P<.001), and more dysfunction due to pain (P<.001). Furthermore, a positive screen for PTSD was highly related to most measures of poor health status (P<.001) and somewhat explained the trauma-related poor health status. CONCLUSION: The association of trauma with poor health may be due in part to the development of PTSD resulting from trauma. These findings demonstrate the importance of screening for trauma and PTSD in women with chronic pelvic pain. LEVEL OF EVIDENCE: II.
OBJECTIVE: To examine the effect of abuse history, other major trauma, and posttraumatic stress disorder (PTSD) on medical symptoms and health-related daily functioning in women with chronic pelvic pain. METHODS: We administered a questionnaire to 713 consecutive women seen in a referral-based pelvic pain clinic. RESULTS: We found that 46.8% reported having either a sexual or physical abuse history. A total of 31.3% had a positive screen for PTSD. Using regression and path analysis, controlling for demographic variables, we found that a trauma history was associated with worse daily physical functioning due to poor health (P<.001), more medical symptoms (P<.001), more lifetime surgeries (P<.001), more days spent in bed (P<.001), and more dysfunction due to pain (P<.001). Furthermore, a positive screen for PTSD was highly related to most measures of poor health status (P<.001) and somewhat explained the trauma-related poor health status. CONCLUSION: The association of trauma with poor health may be due in part to the development of PTSD resulting from trauma. These findings demonstrate the importance of screening for trauma and PTSD in women with chronic pelvic pain. LEVEL OF EVIDENCE: II.
Authors: J Guintivano; P F Sullivan; A M Stuebe; T Penders; J Thorp; D R Rubinow; S Meltzer-Brody Journal: Psychol Med Date: 2017-09-27 Impact factor: 7.723
Authors: Samantha Meltzer-Brody; Stephanie Zerwas; Jane Leserman; Ann Von Holle; Taylor Regis; Cynthia Bulik Journal: J Womens Health (Larchmt) Date: 2011-06 Impact factor: 2.681
Authors: Gisela G Chelimsky; Sheng Yang; Tatiana Sanses; Curtis Tatsuoka; C A Tony Buffington; Jeffrey Janata; Patrick McCabe; Mary-Alice Dombroski; Sarah Ialacci; Adonis Hijaz; Sangeeta Mahajan; Denniz Zolnoun; Thomas C Chelimsky Journal: Neurourol Urodyn Date: 2019-04-04 Impact factor: 2.696
Authors: Sawsan As-Sanie; Lauren A Clevenger; Michael E Geisser; David A Williams; Randy S Roth Journal: Am J Obstet Gynecol Date: 2014-01-08 Impact factor: 8.661
Authors: Mark A Lumley; Jay L Cohen; George S Borszcz; Annmarie Cano; Alison M Radcliffe; Laura S Porter; Howard Schubiner; Francis J Keefe Journal: J Clin Psychol Date: 2011-06-06
Authors: Kristin K Sznajder; Siobán D Harlow; Sarah A Burgard; Yanrang Wang; Cheng Han; Jing Liu Journal: Int J Occup Environ Health Date: 2014 Jan-Mar
Authors: Samantha Meltzer-Brody; Sarah E Bledsoe-Mansori; Nell Johnson; Candace Killian; Robert M Hamer; Christine Jackson; Julia Wessel; John Thorp Journal: Am J Obstet Gynecol Date: 2012-12-12 Impact factor: 8.661