Chronic pelvic pain in women of reproductive and post‐reproductive age: a population‐based study
Background Epidemiological studies on chronic pelvic pain (CPP) have focused on women of reproductive age. We aimed to determine the prevalence of chronic pelvic pain (CPP) in adult women and the differences in associated factors among women of reproductive age and older women. In addition, to deter...
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| Veröffentlicht in: | European journal of pain 2017-03, Vol.21 (3), p.445-455 |
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| creator | Ayorinde, A.A. Bhattacharya, S. Druce, K.L. Jones, G.T. Macfarlane, G.J. |
| description | Background
Epidemiological studies on chronic pelvic pain (CPP) have focused on women of reproductive age. We aimed to determine the prevalence of chronic pelvic pain (CPP) in adult women and the differences in associated factors among women of reproductive age and older women. In addition, to determine whether distinct subgroups existed among CPP cases.
Methods
A cross‐sectional postal survey was conducted among 5300 randomly selected women aged ≥25 years resident in the Grampian region, UK. Multivariable logistic regression was used to determine pregnancy‐related and psychosocial factors associated with CPP. To identify subgroups of CPP cases, we performed cluster analysis using variables of pain severity, psychosocial factors and pain coping strategies.
Results
Of 2088 participants, 309 (14.8%) reported CPP. CPP was significantly associated with being of reproductive age (odds ratios (OR) 2.43, 95% CI 1.69–3.48), multiple non‐pain somatic symptoms (OR 3.58 95% CI 2.23–5.75), having fatigue (OR mild 1.74 95% CI 1.24–2.44, moderate/severe 1.82, 95% CI 1.25–2.63) and having depression (OR 1.61, 95% CI 1.09–2.38). CPP was less associated with multiple non‐pain somatic symptoms in women of reproductive age compared to older women (interaction OR 0.51, 95% CI 0.28–0.92). We identified two clusters of CPP cases; those having little/no psychosocial distress and those having high psychosocial distress.
Conclusion
CPP is common in both age groups, though women of reproductive age are more likely to report it. Heightened somatic awareness may be more strongly associated with CPP in older women. There are distinct groups of CPP cases characterized by the absence/presence of psychosocial distress.
Significance
Heightened somatic awareness may be more strongly associated with CPP in women of post‐reproductive years compared to women of reproductive years. Two subgroups of CPP cases can be differentiated by the absence/presence of psychosocial distress suggesting that stratified management approach may be more efficient. |
| doi_str_mv | 10.1002/ejp.938 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1859740032</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1859740032</sourcerecordid><originalsourceid>FETCH-LOGICAL-c3508-2e9f0c98f6f8921a2ac988e7b2d836b64a219b1e19c17ceaa041e6b88245ebc13</originalsourceid><addsrcrecordid>eNp1kMtKw0AUhgdRbK3iG8jsFCT1zEwuM-6k1BuCLnQdJpMTTUkzMZO0dOcj-Iw-iVNaBRfCgf9cPn4OPyHHDMYMgF_grBkrIXfIkEWCB5yFatf3oCAQEtiAHDg3A4AwAbFPBjyJRcgUDEk-eWttXRraYLVYiy5r6mtp51hTW9AWm9bmvenKBVJd57Sxrvv6-Py7f8VLqv2p6Svdlbb2QKYd5tR1fb46JHuFrhwebXVEXq6nz5Pb4OHx5m5y9RAYEYEMOKoCjJJFXEjFmebaDxKTjOdSxFkcas5UxpApwxKDWkPIMM6k5GGEmWFiRM42vv619x5dl85LZ7CqdI22dymTkUpCAME9erpBTWuda7FIm7ac63aVMkjXkaY-0tRH6smTrWmfzTH_5X4y9MD5BliWFa7-80mn909ru28Jo4Iy</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1859740032</pqid></control><display><type>article</type><title>Chronic pelvic pain in women of reproductive and post‐reproductive age: a population‐based study</title><source>MEDLINE</source><source>Wiley Online Library Journals Frontfile Complete</source><creator>Ayorinde, A.A. ; Bhattacharya, S. ; Druce, K.L. ; Jones, G.T. ; Macfarlane, G.J.</creator><creatorcontrib>Ayorinde, A.A. ; Bhattacharya, S. ; Druce, K.L. ; Jones, G.T. ; Macfarlane, G.J.</creatorcontrib><description>Background
Epidemiological studies on chronic pelvic pain (CPP) have focused on women of reproductive age. We aimed to determine the prevalence of chronic pelvic pain (CPP) in adult women and the differences in associated factors among women of reproductive age and older women. In addition, to determine whether distinct subgroups existed among CPP cases.
Methods
A cross‐sectional postal survey was conducted among 5300 randomly selected women aged ≥25 years resident in the Grampian region, UK. Multivariable logistic regression was used to determine pregnancy‐related and psychosocial factors associated with CPP. To identify subgroups of CPP cases, we performed cluster analysis using variables of pain severity, psychosocial factors and pain coping strategies.
Results
Of 2088 participants, 309 (14.8%) reported CPP. CPP was significantly associated with being of reproductive age (odds ratios (OR) 2.43, 95% CI 1.69–3.48), multiple non‐pain somatic symptoms (OR 3.58 95% CI 2.23–5.75), having fatigue (OR mild 1.74 95% CI 1.24–2.44, moderate/severe 1.82, 95% CI 1.25–2.63) and having depression (OR 1.61, 95% CI 1.09–2.38). CPP was less associated with multiple non‐pain somatic symptoms in women of reproductive age compared to older women (interaction OR 0.51, 95% CI 0.28–0.92). We identified two clusters of CPP cases; those having little/no psychosocial distress and those having high psychosocial distress.
Conclusion
CPP is common in both age groups, though women of reproductive age are more likely to report it. Heightened somatic awareness may be more strongly associated with CPP in older women. There are distinct groups of CPP cases characterized by the absence/presence of psychosocial distress.
Significance
Heightened somatic awareness may be more strongly associated with CPP in women of post‐reproductive years compared to women of reproductive years. Two subgroups of CPP cases can be differentiated by the absence/presence of psychosocial distress suggesting that stratified management approach may be more efficient.</description><identifier>ISSN: 1090-3801</identifier><identifier>EISSN: 1532-2149</identifier><identifier>DOI: 10.1002/ejp.938</identifier><identifier>PMID: 27634190</identifier><language>eng</language><publisher>England</publisher><subject>Adaptation, Psychological ; Adult ; Age Factors ; Aged ; Aged, 80 and over ; Chronic Disease ; Chronic Pain ; Cross-Sectional Studies ; Depression - etiology ; Depression - psychology ; Female ; Health Status ; Humans ; Mental Health ; Middle Aged ; Pain Measurement ; Pelvic Pain - epidemiology ; Pelvic Pain - psychology ; Population ; Prevalence ; Socioeconomic Factors ; Surveys and Questionnaires ; United Kingdom - epidemiology ; Young Adult</subject><ispartof>European journal of pain, 2017-03, Vol.21 (3), p.445-455</ispartof><rights>2016 European Pain Federation ‐ EFIC</rights><rights>2016 European Pain Federation - EFIC®.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3508-2e9f0c98f6f8921a2ac988e7b2d836b64a219b1e19c17ceaa041e6b88245ebc13</citedby><cites>FETCH-LOGICAL-c3508-2e9f0c98f6f8921a2ac988e7b2d836b64a219b1e19c17ceaa041e6b88245ebc13</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1002%2Fejp.938$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1002%2Fejp.938$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27634190$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ayorinde, A.A.</creatorcontrib><creatorcontrib>Bhattacharya, S.</creatorcontrib><creatorcontrib>Druce, K.L.</creatorcontrib><creatorcontrib>Jones, G.T.</creatorcontrib><creatorcontrib>Macfarlane, G.J.</creatorcontrib><title>Chronic pelvic pain in women of reproductive and post‐reproductive age: a population‐based study</title><title>European journal of pain</title><addtitle>Eur J Pain</addtitle><description>Background
Epidemiological studies on chronic pelvic pain (CPP) have focused on women of reproductive age. We aimed to determine the prevalence of chronic pelvic pain (CPP) in adult women and the differences in associated factors among women of reproductive age and older women. In addition, to determine whether distinct subgroups existed among CPP cases.
Methods
A cross‐sectional postal survey was conducted among 5300 randomly selected women aged ≥25 years resident in the Grampian region, UK. Multivariable logistic regression was used to determine pregnancy‐related and psychosocial factors associated with CPP. To identify subgroups of CPP cases, we performed cluster analysis using variables of pain severity, psychosocial factors and pain coping strategies.
Results
Of 2088 participants, 309 (14.8%) reported CPP. CPP was significantly associated with being of reproductive age (odds ratios (OR) 2.43, 95% CI 1.69–3.48), multiple non‐pain somatic symptoms (OR 3.58 95% CI 2.23–5.75), having fatigue (OR mild 1.74 95% CI 1.24–2.44, moderate/severe 1.82, 95% CI 1.25–2.63) and having depression (OR 1.61, 95% CI 1.09–2.38). CPP was less associated with multiple non‐pain somatic symptoms in women of reproductive age compared to older women (interaction OR 0.51, 95% CI 0.28–0.92). We identified two clusters of CPP cases; those having little/no psychosocial distress and those having high psychosocial distress.
Conclusion
CPP is common in both age groups, though women of reproductive age are more likely to report it. Heightened somatic awareness may be more strongly associated with CPP in older women. There are distinct groups of CPP cases characterized by the absence/presence of psychosocial distress.
Significance
Heightened somatic awareness may be more strongly associated with CPP in women of post‐reproductive years compared to women of reproductive years. Two subgroups of CPP cases can be differentiated by the absence/presence of psychosocial distress suggesting that stratified management approach may be more efficient.</description><subject>Adaptation, Psychological</subject><subject>Adult</subject><subject>Age Factors</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Chronic Disease</subject><subject>Chronic Pain</subject><subject>Cross-Sectional Studies</subject><subject>Depression - etiology</subject><subject>Depression - psychology</subject><subject>Female</subject><subject>Health Status</subject><subject>Humans</subject><subject>Mental Health</subject><subject>Middle Aged</subject><subject>Pain Measurement</subject><subject>Pelvic Pain - epidemiology</subject><subject>Pelvic Pain - psychology</subject><subject>Population</subject><subject>Prevalence</subject><subject>Socioeconomic Factors</subject><subject>Surveys and Questionnaires</subject><subject>United Kingdom - epidemiology</subject><subject>Young Adult</subject><issn>1090-3801</issn><issn>1532-2149</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtKw0AUhgdRbK3iG8jsFCT1zEwuM-6k1BuCLnQdJpMTTUkzMZO0dOcj-Iw-iVNaBRfCgf9cPn4OPyHHDMYMgF_grBkrIXfIkEWCB5yFatf3oCAQEtiAHDg3A4AwAbFPBjyJRcgUDEk-eWttXRraYLVYiy5r6mtp51hTW9AWm9bmvenKBVJd57Sxrvv6-Py7f8VLqv2p6Svdlbb2QKYd5tR1fb46JHuFrhwebXVEXq6nz5Pb4OHx5m5y9RAYEYEMOKoCjJJFXEjFmebaDxKTjOdSxFkcas5UxpApwxKDWkPIMM6k5GGEmWFiRM42vv619x5dl85LZ7CqdI22dymTkUpCAME9erpBTWuda7FIm7ac63aVMkjXkaY-0tRH6smTrWmfzTH_5X4y9MD5BliWFa7-80mn909ru28Jo4Iy</recordid><startdate>201703</startdate><enddate>201703</enddate><creator>Ayorinde, A.A.</creator><creator>Bhattacharya, S.</creator><creator>Druce, K.L.</creator><creator>Jones, G.T.</creator><creator>Macfarlane, G.J.</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201703</creationdate><title>Chronic pelvic pain in women of reproductive and post‐reproductive age: a population‐based study</title><author>Ayorinde, A.A. ; Bhattacharya, S. ; Druce, K.L. ; Jones, G.T. ; Macfarlane, G.J.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3508-2e9f0c98f6f8921a2ac988e7b2d836b64a219b1e19c17ceaa041e6b88245ebc13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adaptation, Psychological</topic><topic>Adult</topic><topic>Age Factors</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Chronic Disease</topic><topic>Chronic Pain</topic><topic>Cross-Sectional Studies</topic><topic>Depression - etiology</topic><topic>Depression - psychology</topic><topic>Female</topic><topic>Health Status</topic><topic>Humans</topic><topic>Mental Health</topic><topic>Middle Aged</topic><topic>Pain Measurement</topic><topic>Pelvic Pain - epidemiology</topic><topic>Pelvic Pain - psychology</topic><topic>Population</topic><topic>Prevalence</topic><topic>Socioeconomic Factors</topic><topic>Surveys and Questionnaires</topic><topic>United Kingdom - epidemiology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ayorinde, A.A.</creatorcontrib><creatorcontrib>Bhattacharya, S.</creatorcontrib><creatorcontrib>Druce, K.L.</creatorcontrib><creatorcontrib>Jones, G.T.</creatorcontrib><creatorcontrib>Macfarlane, G.J.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of pain</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ayorinde, A.A.</au><au>Bhattacharya, S.</au><au>Druce, K.L.</au><au>Jones, G.T.</au><au>Macfarlane, G.J.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Chronic pelvic pain in women of reproductive and post‐reproductive age: a population‐based study</atitle><jtitle>European journal of pain</jtitle><addtitle>Eur J Pain</addtitle><date>2017-03</date><risdate>2017</risdate><volume>21</volume><issue>3</issue><spage>445</spage><epage>455</epage><pages>445-455</pages><issn>1090-3801</issn><eissn>1532-2149</eissn><abstract>Background
Epidemiological studies on chronic pelvic pain (CPP) have focused on women of reproductive age. We aimed to determine the prevalence of chronic pelvic pain (CPP) in adult women and the differences in associated factors among women of reproductive age and older women. In addition, to determine whether distinct subgroups existed among CPP cases.
Methods
A cross‐sectional postal survey was conducted among 5300 randomly selected women aged ≥25 years resident in the Grampian region, UK. Multivariable logistic regression was used to determine pregnancy‐related and psychosocial factors associated with CPP. To identify subgroups of CPP cases, we performed cluster analysis using variables of pain severity, psychosocial factors and pain coping strategies.
Results
Of 2088 participants, 309 (14.8%) reported CPP. CPP was significantly associated with being of reproductive age (odds ratios (OR) 2.43, 95% CI 1.69–3.48), multiple non‐pain somatic symptoms (OR 3.58 95% CI 2.23–5.75), having fatigue (OR mild 1.74 95% CI 1.24–2.44, moderate/severe 1.82, 95% CI 1.25–2.63) and having depression (OR 1.61, 95% CI 1.09–2.38). CPP was less associated with multiple non‐pain somatic symptoms in women of reproductive age compared to older women (interaction OR 0.51, 95% CI 0.28–0.92). We identified two clusters of CPP cases; those having little/no psychosocial distress and those having high psychosocial distress.
Conclusion
CPP is common in both age groups, though women of reproductive age are more likely to report it. Heightened somatic awareness may be more strongly associated with CPP in older women. There are distinct groups of CPP cases characterized by the absence/presence of psychosocial distress.
Significance
Heightened somatic awareness may be more strongly associated with CPP in women of post‐reproductive years compared to women of reproductive years. Two subgroups of CPP cases can be differentiated by the absence/presence of psychosocial distress suggesting that stratified management approach may be more efficient.</abstract><cop>England</cop><pmid>27634190</pmid><doi>10.1002/ejp.938</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | European journal of pain, 2017-03, Vol.21 (3), p.445-455 |
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| source | MEDLINE; Wiley Online Library Journals Frontfile Complete |
| subjects | Adaptation, Psychological Adult Age Factors Aged Aged, 80 and over Chronic Disease Chronic Pain Cross-Sectional Studies Depression - etiology Depression - psychology Female Health Status Humans Mental Health Middle Aged Pain Measurement Pelvic Pain - epidemiology Pelvic Pain - psychology Population Prevalence Socioeconomic Factors Surveys and Questionnaires United Kingdom - epidemiology Young Adult |
| title | Chronic pelvic pain in women of reproductive and post‐reproductive age: a population‐based study |
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