1. History of childhood maltreatment and symptoms of anxiety and depression in women with chronic pelvic pain.
- Author
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Poli-Neto OB, Tawasha KAS, Romão APMS, Hisano MK, Moriyama A, Candido-Dos-Reis FJ, Rosa-E-Silva JC, and Nogueira AA
- Subjects
- Adolescent, Adult, Case-Control Studies, Female, Humans, Middle Aged, Young Adult, Adult Survivors of Child Abuse statistics & numerical data, Adverse Childhood Experiences statistics & numerical data, Anxiety epidemiology, Chronic Pain epidemiology, Depression epidemiology, Pelvic Pain epidemiology
- Abstract
Objective: To determine the prevalence of physical, sexual and emotional abuse and physical and emotional neglect suffered by women with chronic pelvic pain (CPP) during childhood and whether these occurrences are associated with symptoms of pain, anxiety and depression., Methods: A case-control study was conducted on 154 women older than 18 years, 77 of them healthy and 77 with CPP. A history of sexual, physical, and emotional abuse and physical and emotional neglect was determined using the Childhood Trauma Questionnaire (CTQ). Anxiety and depression symptoms were determined using the Hospital Anxiety and Depression (HAD) scale. Pain intensity was determined using a visual analog scale (VAS). The quantitative variables were compared by the Wilcoxon test, and the qualitative variables were compared by the Chi-square test or exact Fisher test when appropriate. Correlation between the CTQ, HAD and VAS scores was estimated by the Spearman's p coefficient. Independent association of the variables with the presence of CPP was determined by logistic multiple regression analysis., Results: The prevalence of childhood maltreatment was 77.9% and 64.9%, respectively, for women with CPP and healthy women (p = 0.07). Emotional neglect was more frequent among women with CPP than among healthy women (58.4% versus 41.5%, p = 0.04). There was a moderate correlation between anxiety and depression symptoms and CTQ scores for women with CPP. Unemployment (OR = 4.15, 95% CI 1.73-9.94; OR
adj = 3.30, 95% CI 1.26-8.55) was independently associated with the presence of CPP., Conclusions: Women with CPP reported emotional neglect abuse more frequently than healthy women. There was a direct correlation between maltreatment scores and anxiety and depression scores. On the other hand, CPP was independently associated only with unemployment.- Published
- 2018
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