Effective Interventions for Idiopathic Chronic Pelvic Pain: A Systematic Review.

IF 2 3区心理学 Q3 PSYCHOLOGY, CLINICAL

International Journal of Behavioral Medicine Pub Date : 2024-07-24 DOI:10.1007/s12529-024-10309-y

Megan R Wirtz, Tracey A Revenson, Jennifer S Ford, Alexandra N Karas

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Abstract

Background: Chronic pelvic pain (CPP) in women is a debilitating condition with symptoms that affect both medical and psychological systems, yet for those with idiopathic CPP (i.e., those without a known physiologic cause), no consensus for intervention exists.

Aim: A systematic review was conducted to identify the effectiveness of current biomedical, psychosocial, and integrative interventions for idiopathic CPP (ICPP).

Method: Five databases (PubMed, CINAHL, Cochrane, PsycInfo, Web of Science) were systematically searched with multiple keywords for publications from 2008-2022. Articles were coded for sample characteristics, research design, type of intervention, and intervention outcomes.

Results: Nineteen studies met criteria. The majority of the interventions (14 studies) were biomedical, either invasive (e.g., injections), or non-invasive (e.g., medications). Five studies evaluated integrative interventions that combined biomedical and psychosocial components (e.g., a multimodal pain treatment center). Invasive biomedical interventions were better at relieving short-term pain and non-invasive biomedical interventions were superior for long-term pain; integrated interventions reduced both short-term and long-term pain. Integrative interventions also improved mental health, sexual health, and QOL.

Conclusion: Although most interventions for ICPP have been biomedical, integrative interventions showed greater outcome effectiveness, suggesting a focus on integrative interventions in the future.

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特发性慢性盆腔疼痛的有效干预措施：系统综述。

背景：女性慢性盆腔痛（CPP）是一种使人衰弱的疾病，其症状会影响医疗和心理系统，但对于特发性 CPP 患者（即没有已知生理原因的患者），目前还没有达成干预共识。目的：我们进行了一项系统性综述，以确定当前生物医学、社会心理和综合干预措施对特发性 CPP（ICPP）的有效性：方法：使用多个关键词系统检索了五个数据库（PubMed、CINAHL、Cochrane、PsycInfo、Web of Science）中 2008-2022 年间的出版物。对文章的样本特征、研究设计、干预类型和干预结果进行了编码：19项研究符合标准。大多数干预措施（14 项研究）是生物医学干预措施，包括侵入性干预（如注射）或非侵入性干预（如药物）。五项研究评估了结合生物医学和心理社会因素的综合干预措施（如多模式疼痛治疗中心）。侵入性生物医学干预在缓解短期疼痛方面效果更好，而非侵入性生物医学干预在缓解长期疼痛方面效果更佳；综合干预可减轻短期和长期疼痛。综合干预措施还能改善心理健康、性健康和 QOL：结论：尽管大多数针对ICPP的干预措施都是生物医学干预措施，但综合干预措施显示出更大的结果有效性，这表明未来应将重点放在综合干预措施上。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Behavioral Medicine PSYCHOLOGY, CLINICAL-

CiteScore

5.20

自引率

3.70%

发文量

期刊介绍： The International Journal of Behavioral Medicine (IJBM) is the official scientific journal of the International Society for Behavioral Medicine (ISBM). IJBM seeks to present the best theoretically-driven, evidence-based work in the field of behavioral medicine from around the globe. IJBM embraces multiple theoretical perspectives, research methodologies, groups of interest, and levels of analysis. The journal is interested in research across the broad spectrum of behavioral medicine, including health-behavior relationships, the prevention of illness and the promotion of health, the effects of illness on the self and others, the effectiveness of novel interventions, identification of biobehavioral mechanisms, and the influence of social factors on health. We welcome experimental, non-experimental, quantitative, qualitative, and mixed-methods studies as well as implementation and dissemination research, integrative reviews, and meta-analyses.