Catastrophizing: a predictor of persistent pain among women with endometriosis at 1 year
Open Access
- 7 September 2011
- journal article
- research article
- Published by Oxford University Press (OUP) in Human Reproduction
- Vol. 26 (11), 3078-3084
- https://doi.org/10.1093/humrep/der292
Abstract
Endometriosis is the most common gynecological diagnosis among women with chronic pelvic pain, but the underlying mechanisms of endometriosis-associated chronic pelvic pain remain unclear. Therefore, the objective of this study was to determine the biopsychosocial predictors of pain improvement among women with endometriosis. One hundred and fifteen women who presented for treatment of endometriosis-associated chronic pelvic pain at a tertiary referral center at a university-based hospital participated in this prospective observational study of clinical practice. Participants completed questionnaires assessing pain, mental health and catastrophizing at entry and 1 year follow-up. The main outcome measure assessed was the interval change in pain report using the McGill pain 1uestionnaire. On average, participants experienced a 37.4% reduction in interval pain (P < 0.001). Adjusted for baseline pain, nulliparity (P = 0.002) and catastrophizing (P = 0.04) were associated with decreased probability of interval improvement in pain. Those referred for physical therapy had less interval pain improvement (P = 0.04). However, undergoing hysterectomy was a strong predictor of improvement in pain (P = 0.008). Our study suggests that chronic pain in endometriosis may be more akin to other idiopathic pain disorders. Specifically, biopsychosocial variables, such as catastrophizing, play an important role in reported severity. Further research on biopsychosocial correlates of chronic pelvic pain in endometriosis is warranted.Keywords
This publication has 48 references indexed in Scilit:
- Vaginal parturition decreases recurrence of endometriosisFertility and Sterility, 2010
- Pain scoring in endometriosis: entry criteria and outcome measures for clinical trials. Report from the Art and Science of Endometriosis meetingFertility and Sterility, 2010
- Measuring irritable bowel syndrome patient‐reported outcomes with an abdominal pain numeric rating scaleAlimentary Pharmacology & Therapeutics, 2009
- The Neurobiological Underpinnings of Coping With PainCurrent Directions in Psychological Science, 2009
- Association of catastrophizing with interleukin-6 responses to acute painPain, 2008
- Pain Catastrophizing and Beliefs Predict Changes in Pain Interference and Psychological Functioning in Persons With Spinal Cord InjuryThe Journal of Pain, 2008
- Changing trends in the diagnosis of endometriosis: A comparative study of women with pelvic endometriosis presenting with chronic pelvic pain or infertilityFertility and Sterility, 1997
- Pain coping strategies in children with juvenile primary fibromyalgia syndrome: Correlation with pain, physical function, and psychological distressArthritis & Rheumatism, 1996
- A 12-Item Short-Form Health SurveyMedical Care, 1996
- The MOS 36-Item Short-Form Health Survey (SF-36)Medical Care, 1993