Biopsychosocial Approaches for Managing Female Chronic Pelvic Pain
Author Information
Author(s): Selina Johnson, Alison Bradshaw, Rebecca Bresnahan, Emma Evans, Kate Herron, Dharani K. Hapangama
Primary Institution: Walton Centre NHS Foundation Trust
Hypothesis
What are the available biopsychosocial approaches for the treatment of chronic pelvic pain (CPP) and their reported outcomes?
Conclusion
CBT and ACT-based biopsychosocial approaches were found effective in reducing pain and improving psychometric outcomes for CPP.
Supporting Evidence
- 14 RCTs were included in the review, involving 871 patients.
- Four broad intervention categories were identified: Acceptance Commitment Therapy, Cognitive Behavioural Therapy, Mindfulness-based approaches, and Physiotherapy-based interventions.
- All studies reported improvements in pain reduction and emotional functioning.
- Heterogeneity in outcomes prevented efficacy comparison across studies.
Takeaway
This study looked at different ways to help women with chronic pelvic pain feel better, and found that talking therapies like CBT and ACT can really help reduce pain.
Methodology
A systematic review of 14 RCTs focusing on biopsychosocial approaches for chronic pelvic pain in women.
Potential Biases
High risk of bias was identified in six studies, primarily related to deviations from intended interventions.
Limitations
Heterogeneity in outcomes and high risk of bias in several studies limited the ability to compare efficacy.
Participant Demographics
Women aged 18 years and over with chronic pelvic pain.
Statistical Information
P-Value
p=0.0370 for bladder and bowel function improvement in one study.
Digital Object Identifier (DOI)
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