Characterizing the description of pelvic congestion syndrome pain: A latent class analysis.

Sarah E Patel, Steven R Chesnut
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Abstract

Objectives: Chronic pelvic pain from pelvic congestion syndrome (PCS) is a complex condition disproportionately affecting women. PCS pain has been described as dull and achy, but emerging research indicates variances in the historical pain depictions. We aimed to identify the groups of pain characteristics experienced by women living with PCS using a latent class analysis and examine their predictive validity on quality of life, pain intensity, and pain management indicators.

Methods: A secondary data analysis of cross-sectional survey data collected from 160 participants on a Facebook PCS support group was conducted. After evaluating the original 86 unique pain descriptors endorsed on the McGill Pain Questionnaire, descriptors endorsed by more than 30 participants were retained for analysis (n = 34).

Results: Results from the latent class analysis identified two latent classes: mild but consistent (44.4%) and intense and debilitating (55.6%). Between the two latent classes, there were clear patterns of pain endorsement to indicate that women in the two groups experience PCS pain differently. Compared to the second latent class (intense and debilitating), women in the first latent class (mild but consistent) experienced milder PCS associated pain and reported a significantly higher quality of life, satisfaction with their health, and less interference with sleep quality and sexual desire. Unfortunately, everyday activities (i.e., exercising, urinating, moving, standing, and working) were more likely to increase pain for women in the second latent class.

Conclusions: Diagnosis and treatment of pelvic venous disorders are hindered by outdated evidence on the expected pain depictions. A comprehensive pain profile of PCS is needed to establish the effect on women's lifestyles, quality of life, and mental health.

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盆腔充血综合征疼痛的特征描述:潜类分析。
目的:盆腔充血综合征(PCS)引起的慢性盆腔疼痛是一种复杂的疾病,对女性的影响尤为严重。PCS 疼痛被描述为钝痛和酸痛,但新的研究表明,历史上的疼痛描述存在差异。我们的目的是利用潜类分析确定患有 PCS 的女性所经历的疼痛特征组别,并研究它们对生活质量、疼痛强度和疼痛管理指标的预测有效性:我们对从 Facebook PCS 支持小组的 160 名参与者处收集的横截面调查数据进行了二次数据分析。在评估了麦吉尔疼痛问卷中最初的 86 个独特疼痛描述词后,保留了 30 位以上参与者认可的描述词进行分析(n = 34):潜类分析结果确定了两个潜类:轻微但持续(44.4%)和剧烈且使人衰弱(55.6%)。在这两个潜类之间,有明显的疼痛认可模式,表明两组妇女对 PCS 疼痛的体验不同。与第二潜变量组(剧烈且使人衰弱)相比,第一潜变量组(轻微但持续)中的女性所经历的 PCS 相关疼痛较轻,她们所报告的生活质量、对健康的满意度以及对睡眠质量和性欲的干扰都明显较高。遗憾的是,日常活动(即运动、排尿、移动、站立和工作)更有可能加重第二潜伏等级妇女的疼痛:结论:盆腔静脉疾病的诊断和治疗受制于预期疼痛描述的过时证据。需要对 PCS 进行全面的疼痛描述,以确定其对女性生活方式、生活质量和心理健康的影响。
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