Somatic symptoms in women with dysmenorrhea and noncyclic pelvic pain.
Somatic symptoms in women with dysmenorrhea and noncyclic pelvic pain.
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患有痛经和非周期性盆腔疼痛的女性的躯体症状。
DOI：
10.1007/s00737-018-0823-4
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发表时间：
2018-10
期刊：
影响因子：
--
通讯作者：
Hellman KM
中科院分区：
文献类型：
--
作者：
Zuckerman RM;Silton RL;Tu FF;Eng JS;Hellman KM
躯体症状是疼痛状况的一个强有力的、易诊断的风险因素。然而，在何种程度上躯体症状有助于妇女的疼痛综合征的表现，如痛经和非周期性骨盆疼痛（NCPP），是不清楚的，由于高的共同发生率。因此，本研究调查的主要假设，即躯体症状将在NCPP升高，并明显影响痛经和共同发生的NCPP之间的关系。对1012名未怀孕育龄妇女的横断面问卷调查数据进行了二次分析。合格的分析参与者（n = 834）被分为四组：健康，痛经，NCPP，和NCPP与共同发生的痛经（NCPP+痛经）。进行平行中介分析，以评估躯体症状是与NCPP增加相关的主要因素的主要假设，解释痛经。与健康对照组（46、51、51; p <.001）和痛经组（50、53、54; p <.001）相比，NCPP+痛经组具有更高的躯体、焦虑和抑郁症状T评分（分别为：61、61、60）。在整个样本中，疼痛和心理症状显著相关（r = 0.29，-0.64，p <0.01）。平行中介分析结果显示躯体症状与NCPP+痛经明显相关。与仅痛经的女性相比，NCPP+痛经的女性心理和躯体症状增加。鉴于NCPP经常与痛经同时发生，在以前的研究中未能解释合并症可能导致对痛经心理症状的高估。未来的研究应该评估体细胞敏感性是否是NCPP的可改变的风险因素。
Somatic symptoms are a robust, transdiagnostic risk factor for pain conditions. However, the extent to which somatic symptoms contribute to the manifestation of women’s pain syndromes, such as dysmenorrhea and noncyclic pelvic pain (NCPP), is unclear due to high rates of co-occurrence. Therefore, the present study investigated the primary hypothesis that somatic symptoms would be elevated in NCPP and distinctly influence the relationship between dysmenorrhea and co-occurring NCPP. A secondary analysis was performed on cross-sectional questionnaire data from 1012 nonpregnant reproductive-aged women. Eligible analyzed participants (n = 834) were categorized into four groups: healthy, dysmenorrhea, NCPP, and NCPP with co-occurring dysmenorrhea (NCPP+dysmenorrhea). A parallel mediation analysis was run to evaluate the primary hypothesis that somatic symptoms are the primary factor associated with increased NCPP accounting for dysmenorrhea. The NCPP+dysmenorrhea group had higher somatic, anxiety, and depression symptom T-scores (respectively: 61, 61, 60) compared to the healthy controls (46, 51, 51; p’s <.001) and the dysmenorrhea group (50, 53, 54; p’s <.001). The pain and psychological symptoms were significantly correlated across the entire sample (r’s = .29, −.64, p’s < .01). Results from parallel mediation analysis showed that somatic symptoms were distinctly associated with NCPP+dysmenorrhea. Women with NCPP+dysmenorrhea have increased psychological and somatic symptoms compared to women with dysmenorrhea alone. Given that NCPP often co-occurs with dysmenorrhea, failure to account for comorbidity in previous studies has likely led to an overestimation of psychological symptoms in dysmenorrhea. Future studies should evaluate whether somatic sensitivity is a modifiable risk factor for NCPP.
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影响因子：
2.7
作者：
Kamel, Dalia M.;Tantawy, Sayed A.;Abdelsamea, Gehan A.
通讯作者：
Abdelsamea, Gehan A.
影响因子：
7.2
作者：
Granot, M;Yarnitsky, D;Zimmer, EZ
通讯作者：
Zimmer, EZ
影响因子：
2
作者：
Chung, Kuo-Hsuan;Liu, Shih-Ping;Chung, Shiu-Dong
通讯作者：
Chung, Shiu-Dong
影响因子：
0.8
作者：
Altman, Gaylene;Cain, Kevin C.;Heitkemper, Margaret
通讯作者：
Heitkemper, Margaret
影响因子：
2.6
作者：
Conboy, L;Patel, S;Acevedo-Garcia, D
通讯作者：
Acevedo-Garcia, D