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患有慢性骨盆疼痛的女性与残疾相关的因素:一个横截面研究

Natany Santos Martins¹, Gleiciane Aguiar Brito¹, Simony Lira Nascimento^1,2

¹Master Program in Physiotherapy and Functioning, Federal University of Ceará, Fortaleza, Brazil.

British journal of pain

|March 9, 2026

概括

心理社会因素,如疼痛灾难化和抑郁症显著预测慢性盆腔疼痛 (CPP) 的妇女的残疾. 解决这些因素对于全面管理和预防残疾至关重要.

科学领域:

生殖医学是一种生殖医学.
疼痛管理疼痛管理
精神病体医学是一种精神病体医学.

背景情况:

慢性盆腔疼痛 (CPP) 显著影响女性的生活质量.
了解导致CPP残疾的因素对于有效治疗至关重要.

研究的目的:

探索诊断为慢性骨盆疼痛 (CPP) 的妇女与残疾相关的因素.

主要方法:

在巴西进行了一项横截面研究,涉及168名患有CPP的女性 (18-45岁).
使用世界卫生组织残疾评估尺度 (WHODAS 2.0) 评估残疾.
收集了关于疼痛强度,灾难化,性功能,运动恐惧症,抑郁症,身体活动和坐立测试表现的数据;使用斯皮尔曼相关性,t测试和多重线性回归分析.

主要成果:

相关性分析显示,更大的残疾和更高的疼痛强度,灾难化,性功能障碍,运动恐惧症,抑郁症,不活动以及较差的坐立表现之间存在关联.
多重线性回归确定了疼痛灾难化 (β = 6.40) 和抑郁 (β = 12.03) 作为CPP妇女中残疾的显著预测因素 (p < 0.05).

结论:

心理社会因素,特别是疼痛灾难化和抑郁症,在患有CPP的妇女中,与残疾的联系比疼痛强度或身体因素更强.
临床医生应该系统地评估和管理疼痛灾难化和抑郁症,以预防慢性骨盆疼痛妇女的残疾.

关键词:

灾难化是灾难性的慢性疼痛是一种慢性疼痛.抑郁抑郁症抑郁症抑郁症是一种身体残疾和健康问题功能国际分类的功能国际分类.盆腔疼痛盆腔疼痛盆腔疼痛

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