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Title: Assessing the impact of chronic pelvic pain in women : a mixed methods study
Author: Al-Abbadey, Miznah
ISNI:       0000 0004 6347 7383
Awarding Body: University of Southampton
Current Institution: University of Southampton
Date of Award: 2017
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Chronic pelvic pain (CPP) is multifaceted in nature and is related to a number of disorders including endometriosis, chronic pelvic inflammatory infection, and irritable bowel syndrome (IBS). This thesis aimed to explore the experiences of women with CPP and provide a thorough review of research examining different treatments and interventions for women experiencing sexual pain. In addition, this thesis aimed to develop a new measure that assesses the impact of CPP on women's lives. Study 1: A systematic review if the literature that investigated which treatments for female sexual pain have been evaluated in clinical studies and the clinical effectiveness of these treatments. Study 2: A qualitative study that explored womens' experiences of CPP in terms of their ability to cope with the pain and their perceptions of how the pain had impacted their ability to work, socialise, engage in hobbies, exercise, and personal relationships. This was achieved by conducting in-depth interviews with 25 women with CPP. Study 3: A think-aloud study with 10 women with CPP that aimed to pilot and develop a new questionnaire that assesses the impact of CPP: The Impact of Female Chronic Pelvic Pain questionnaire (IF-CPPQ). The development of the questionnaire was informed by findings from Study 2. Study 4: A questionnaire study that assessed the validity, reliability, and factor structure of the IF-CPPQ. This was achieved using exploratory and confirmatory factor analysis, Cronbach's alpha, and Pearson correlations with related validated measures. Despite the number of interventions reported as effective for women with sexual pain, only a minority of women report complete relief of their pain. Less invasive treatments should be considered first by women before undergoing surgery such as physical and psychological therapies. Study 2 highlighted the diverse impact of the pain in virtually every aspect of womens' lives. Thus, it is important that health professionals acknowledge how women are affected by their CPP emotionally and psychologically. Study 4 demonstrated that the IF-CPPQ is a psychometrically sound measure. Such a measure is lacking in CPP research and would be a useful measure for understanding how women are affected by CPP.
Supervisor: Graham, Cynthia Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available