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Title: Pyschological investigation of chronic pelvic pain in women
Author: Pearce, Shirley A.
Awarding Body: University of London
Current Institution: Imperial College London
Date of Award: 1986
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The thesis is a psychological investigation of chronic pelvic pain in women. The problem of unexplained pelvic pain is reviewed and the contribution of previous psychological research on pain to our understanding of the specific problem of pelvic pain is considered. After discussion of the measurement strategies to be used in this thesis, a group comparison study is described in which women with no obvious pathology are compared to women with pain of equivalent chronicity but with clear pathology. This study failed to replicate previous findings of personality and mood disturbance in the unexplained pain group. Differences were observed however in specific attitudes to illness, exposure to death and illness in family members, incidence of sexual problems and certain pain intensity ratings. It is suggested that these factors may increase the probability of pelvic physiological activity being attended to and labelled as painful. This is investigated by a further comparison study, in which pain response to a standard surgical procedure is investigated. Pain patients, both with and without pathology, are found to report significantly higher pain intensity during recovery from laparoscopy than non pain (infertility) patients. The results suggest that in both groups the long term experience of pain may alter the patient's response to additional painful stimuli.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available