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dc.contributor.authorNygaard, Ane Sigrid
dc.contributor.authorStedenfeldt, Mona
dc.contributor.authorØian, Pål
dc.contributor.authorHaugstad, Gro Killi
dc.date.accessioned2020-01-14T13:35:45Z
dc.date.available2020-01-14T13:35:45Z
dc.date.embargoEndDate2020-01-31
dc.date.issued2019-01-31
dc.description.abstract<i>Background and aims</i> - Chronic pelvic pain (CPP) in women is a complex condition that can seriously impact health and quality of life. Clinical guidelines for CPP place great demands on healthcare professionals, as they require both specialized knowledge about the pelvic area and knowledge of the mechanisms of chronic pain. To ensure best possible assessment and treatment of these women it is important to bring about more knowledge of the special CPP features. The purpose of this paper is to describe the characteristics of women with CPP evaluated at the University Hospital of North Norway, and further referred to physiotherapy. The frequency of having a history of abuse or previous pelvic surgery will also be reported, and analyses performed to investigate if subjective health status differs between women with and without these experiences.<p> <p><i>Methods</i> - We collected cross-sectional data from 62 women with CPP aged 20–65 (mean age 38.0), referred to physiotherapy after assessment by medical specialists. Data were collected by semi-structured interviews for demographic variables and medical history, and self-administered questionnaires on pain intensity, sexual function, urinary incontinence (UI), anal incontinence (AI), obstructed defecation syndrome (ODS), subjective health complaints (SHC) and symptoms of anxiety and depression.<p> <p><i>Results</i> - Pain duration of more than 10 years was reported by 42%, mean pain score was 4.7/10, and analgesics were used weekly by 48%. Previous pelvic or abdominal surgery was reported by 71%, and sick leave >12 weeks the last year by 34%. Reduced sexual desire was reported by 78%, dyspareunia by 73%, UI by 54%, AI by 23%, and obstructed defecation syndrome (ODS) by 34%. More than 90% reported musculoskeletal or pseudoneurologic complaints. Anxiety and depression scores defined as requiring treatment were reported by 40%. Abuse was reported by 50%, and associated with significantly more reports of ODS (<i>p</i>=0.02), more SHC (<i>p</i>=0.02) and higher anxiety scores (<i>p</i>=0.009). Analgesic use and sick leave were significantly higher both among women with a history of abuse (<i>p</i>=0.04 and <i>p</i>=0.005) and among those with previous surgery (<i>p</i>=0.04 and <i>p</i>=0.02). Women with previous surgery reported significantly lower pain intensity during intercourse than those without previous surgery (<i>p</i>=0.008).<p> <p><i>Conclusions</i> - Women with CPP have complex symptoms and high scores for both physical and psychological complaints. Women exposed to abuse have especially high scores related to analgesic use, sick leave, ODS, anxiety and SHC. Women with previous surgery report more analgesic use and sick leave, and lower pain intensity during intercourse, than those without previous surgery.<p> <p><i>Implications</i> - This study illustrates the complexity of CPP and highlights the need for health professionals to have specialized knowledge of the possible features of the condition. Previous abuse seems to be more associated with poor scores on several health outcomes than surgery, but this needs to be investigated further.en_US
dc.descriptionAccepted manuscript version, licensed <a href=http://creativecommons.org/licenses/by-nc-nd/4.0/> CC BY-NC-ND 4.0. </a>en_US
dc.identifier.citationNygaard AS, Stedenfeldt M, Øian P, Haugstad GK. Characteristics of women with chronic pelvic pain referred to physiotherapy treatment after multidisciplinary assessment: a cross-sectional study . Scandinavian Journal of Pain. 2019en_US
dc.identifier.cristinIDFRIDAID 1672904
dc.identifier.doi10.1515/sjpain-2018-0308
dc.identifier.issn1877-8860
dc.identifier.issn1877-8879
dc.identifier.urihttps://hdl.handle.net/10037/17092
dc.language.isoengen_US
dc.publisherElsevieren_US
dc.relation.journalScandinavian Journal of Pain
dc.rights.accessRightsembargoedAccessen_US
dc.rights.holder© 2019 Scandinavian Association for the Study of Pain. Published by Walter de Gruyter GmbH, Berlin/Boston. All rights reserved.en_US
dc.subjectVDP::Medical disciplines: 700en_US
dc.subjectVDP::Medisinske Fag: 700en_US
dc.titleCharacteristics of women with chronic pelvic pain referred to physiotherapy treatment after multidisciplinary assessment: a cross-sectional studyen_US
dc.type.versionacceptedVersionen_US
dc.typeJournal articleen_US
dc.typeTidsskriftartikkelen_US
dc.typePeer revieweden_US


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