Predictors of depression, anxiety and stress indicators in a cohort of women with chronic pelvic pain

Brooks, Tiffany, Sharp, Rebecca, Evans, Susan, Baranoff, John, and Esterman, Adrian (2020) Predictors of depression, anxiety and stress indicators in a cohort of women with chronic pelvic pain. Journal of Pain Research, 13. pp. 527-536.

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Abstract

Objective: Establishing predictors of mental health outcomes is a crucial precursor to the development and assessment of psychological interventions for women with chronic pelvic pain (CPP). The objective of this study was to identify predictors of depression, anxiety and stress in a cohort of women with CPP.

Design: Cross-sectional analytic study.

Methods: Pre-treatment questionnaires were collected from 212 women with CPP, who had attended a private specialist pelvic pain clinic over a period of 18 months. Multivariate linear regression with backwards elimination was used to determine the best joint predictors of depression, anxiety and stress scores on the Depression, Anxiety and Stress Scale-21 item (DASS 21).

Results: Of 19 potential predictor variables, seven key predictors of depression, anxiety and stress indicators were identified. Higher depression scores were associated with higher current pain severity, a history of stabbing pains, prior experience of a sexually distressing event, having experienced pain as a child, and never having been pregnant before. Higher anxiety scores were associated with higher current pain severity, a history of stabbing pains, prior experience of a sexually distressing event, younger age of menarche, and younger age. Predictors of high-stress scores were higher current pain severity, a history of stabbing pains, prior experience of a sexually distressing event, and being younger.

Conclusion: We have identified several important predictors of mental health in women with CPP. Using this information, psychological assessment and treatment for these women may be better tailored to client needs.

Item ID: 62666
Item Type: Article (Research - C1)
ISSN: 1178-7090
Keywords: pelvic, pain, women, psychology, predictors, health
Copyright Information: © 2020 Brooks et al. This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution–Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php)
Funders: University of South Australia
Date Deposited: 01 Apr 2020 07:35
FoR Codes: 32 BIOMEDICAL AND CLINICAL SCIENCES > 3202 Clinical sciences > 320218 Pain @ 50%
52 PSYCHOLOGY > 5203 Clinical and health psychology > 520302 Clinical psychology @ 50%
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