Dissociation, somatization, substance abuse, and coping in women with chronic pelvic pain

Amy S. Badura Brack, Robert C. Reiter, Elizabeth M. Altmaier, Ann Rhomberg, Diane Elas

Research output: Contribution to journalArticle

44 Citations (Scopus)

Abstract

Objective: To examine the relationships between histories of sexual or physical abuse and current reports of dissociation, somatization, substance abuse, adaptive coping, and maladaptive coping strategies among chronic pelvic pain patients. Methods: Using a structured interview, we assessed sexual and physical abuse and somatization. The Dissociative Experiences Scale was used to assess dissociation, and an abbreviated version of the COPE scale was employed to assess adaptive and maladaptive coping strategies as well as substance abuse. Participants included 46 women with chronic pelvic pain. Results: Women with self-reported sexual or physical abuse histories were found to have significantly higher dissociation, somatization, and substance abuse scores than women without such a history. Significant positive correlations were found between reports of both dissociation and somatization with maladaptive coping strategies and among dissociation, somatization, and substance abuse. Conclusion: These results support the association between a positive abuse history and the high levels of dissociation, somatization, and substance abuse often noted in the chronic pelvic pain population. Findings suggest that such psychological variables are more likely to be associated with abuse than with the general medical condition. These psychological variables are conceptualized as maladaptive coping, which may be addressed as part of a biopsychosocial model of treatment for chronic pelvic pain patients.

Original languageEnglish
Pages (from-to)405-410
Number of pages6
JournalObstetrics and Gynecology
Volume90
Issue number3
DOIs
StatePublished - Sep 1997
Externally publishedYes

Fingerprint

Dissociative Disorders
Pelvic Pain
Chronic Pain
Substance-Related Disorders
Sex Offenses
Psychology
History
Interviews
Population
Physical Abuse

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynecology

Cite this

Dissociation, somatization, substance abuse, and coping in women with chronic pelvic pain. / Badura Brack, Amy S.; Reiter, Robert C.; Altmaier, Elizabeth M.; Rhomberg, Ann; Elas, Diane.

In: Obstetrics and Gynecology, Vol. 90, No. 3, 09.1997, p. 405-410.

Research output: Contribution to journalArticle

Badura Brack, Amy S. ; Reiter, Robert C. ; Altmaier, Elizabeth M. ; Rhomberg, Ann ; Elas, Diane. / Dissociation, somatization, substance abuse, and coping in women with chronic pelvic pain. In: Obstetrics and Gynecology. 1997 ; Vol. 90, No. 3. pp. 405-410.
@article{6a777003da0c4959b40d8a82b13bd4f6,
title = "Dissociation, somatization, substance abuse, and coping in women with chronic pelvic pain",
abstract = "Objective: To examine the relationships between histories of sexual or physical abuse and current reports of dissociation, somatization, substance abuse, adaptive coping, and maladaptive coping strategies among chronic pelvic pain patients. Methods: Using a structured interview, we assessed sexual and physical abuse and somatization. The Dissociative Experiences Scale was used to assess dissociation, and an abbreviated version of the COPE scale was employed to assess adaptive and maladaptive coping strategies as well as substance abuse. Participants included 46 women with chronic pelvic pain. Results: Women with self-reported sexual or physical abuse histories were found to have significantly higher dissociation, somatization, and substance abuse scores than women without such a history. Significant positive correlations were found between reports of both dissociation and somatization with maladaptive coping strategies and among dissociation, somatization, and substance abuse. Conclusion: These results support the association between a positive abuse history and the high levels of dissociation, somatization, and substance abuse often noted in the chronic pelvic pain population. Findings suggest that such psychological variables are more likely to be associated with abuse than with the general medical condition. These psychological variables are conceptualized as maladaptive coping, which may be addressed as part of a biopsychosocial model of treatment for chronic pelvic pain patients.",
author = "{Badura Brack}, {Amy S.} and Reiter, {Robert C.} and Altmaier, {Elizabeth M.} and Ann Rhomberg and Diane Elas",
year = "1997",
month = "9",
doi = "10.1016/S0029-7844(97)00287-1",
language = "English",
volume = "90",
pages = "405--410",
journal = "Obstetrics and Gynecology",
issn = "0029-7844",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Dissociation, somatization, substance abuse, and coping in women with chronic pelvic pain

AU - Badura Brack, Amy S.

AU - Reiter, Robert C.

AU - Altmaier, Elizabeth M.

AU - Rhomberg, Ann

AU - Elas, Diane

PY - 1997/9

Y1 - 1997/9

N2 - Objective: To examine the relationships between histories of sexual or physical abuse and current reports of dissociation, somatization, substance abuse, adaptive coping, and maladaptive coping strategies among chronic pelvic pain patients. Methods: Using a structured interview, we assessed sexual and physical abuse and somatization. The Dissociative Experiences Scale was used to assess dissociation, and an abbreviated version of the COPE scale was employed to assess adaptive and maladaptive coping strategies as well as substance abuse. Participants included 46 women with chronic pelvic pain. Results: Women with self-reported sexual or physical abuse histories were found to have significantly higher dissociation, somatization, and substance abuse scores than women without such a history. Significant positive correlations were found between reports of both dissociation and somatization with maladaptive coping strategies and among dissociation, somatization, and substance abuse. Conclusion: These results support the association between a positive abuse history and the high levels of dissociation, somatization, and substance abuse often noted in the chronic pelvic pain population. Findings suggest that such psychological variables are more likely to be associated with abuse than with the general medical condition. These psychological variables are conceptualized as maladaptive coping, which may be addressed as part of a biopsychosocial model of treatment for chronic pelvic pain patients.

AB - Objective: To examine the relationships between histories of sexual or physical abuse and current reports of dissociation, somatization, substance abuse, adaptive coping, and maladaptive coping strategies among chronic pelvic pain patients. Methods: Using a structured interview, we assessed sexual and physical abuse and somatization. The Dissociative Experiences Scale was used to assess dissociation, and an abbreviated version of the COPE scale was employed to assess adaptive and maladaptive coping strategies as well as substance abuse. Participants included 46 women with chronic pelvic pain. Results: Women with self-reported sexual or physical abuse histories were found to have significantly higher dissociation, somatization, and substance abuse scores than women without such a history. Significant positive correlations were found between reports of both dissociation and somatization with maladaptive coping strategies and among dissociation, somatization, and substance abuse. Conclusion: These results support the association between a positive abuse history and the high levels of dissociation, somatization, and substance abuse often noted in the chronic pelvic pain population. Findings suggest that such psychological variables are more likely to be associated with abuse than with the general medical condition. These psychological variables are conceptualized as maladaptive coping, which may be addressed as part of a biopsychosocial model of treatment for chronic pelvic pain patients.

UR - http://www.scopus.com/inward/record.url?scp=0030802166&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030802166&partnerID=8YFLogxK

U2 - 10.1016/S0029-7844(97)00287-1

DO - 10.1016/S0029-7844(97)00287-1

M3 - Article

VL - 90

SP - 405

EP - 410

JO - Obstetrics and Gynecology

JF - Obstetrics and Gynecology

SN - 0029-7844

IS - 3

ER -