Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?

Background A biopsychosocial approach to the understanding of pelvic pain is increasingly acknowledged. However, there is a lack of standardised instruments – or their use – to assess risk factors and their impact on pelvic pain in both clinical and research settings. This review aims to identify va...

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Main Authors: Dehlia Moussaoui, Olivia G. Farrell, Sonia R. Grover
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Journal of Obstetrics and Gynaecology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/01443615.2024.2359126
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author Dehlia Moussaoui
Olivia G. Farrell
Sonia R. Grover
author_facet Dehlia Moussaoui
Olivia G. Farrell
Sonia R. Grover
author_sort Dehlia Moussaoui
collection DOAJ
description Background A biopsychosocial approach to the understanding of pelvic pain is increasingly acknowledged. However, there is a lack of standardised instruments – or their use – to assess risk factors and their impact on pelvic pain in both clinical and research settings. This review aims to identify validated tools used to assess known contributory factors to pelvic pain, as well as the validated tools to measure the impact of pelvic pain in adolescents and young adults, in order to provide a framework for future standardised, adolescent specific assessment and outcome tools.Methods Literature searches were performed in MEDLINE, PsycInfo and PubMed. Search terms included pelvic pain, dysmenorrhoea, endometriosis, adolescent, pain measurement, quality of life, sleep, mental health, coping strategies and traumatic experience.Results We found validated instruments to assess adverse childhood experiences and coping strategies, both known contributing factors to pelvic pain. The impact of pain was measured through validated tools for health-related quality of life, mental health and sleep.Conclusions Pelvic pain evaluation in adolescents should include a multi-factorial assessment of contributing factors, such as childhood adversity and coping strategies, and impacts of pelvic pain on quality of life, mental health and sleep, using validated instruments in this age group. Future research should focus on the development of consensus amongst researchers as well as input from young women to establish a standardised international approach to clinical trials involving the investigation and reporting of pelvic pain in adolescents. This would facilitate comparison between studies and contribute to improved quality of care delivered to patients.
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spelling doaj-art-78de197255a2437c982843efe8a157aa2025-01-09T12:13:17ZengTaylor & Francis GroupJournal of Obstetrics and Gynaecology0144-36151364-68932024-12-0144110.1080/01443615.2024.2359126Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?Dehlia Moussaoui0Olivia G. Farrell1Sonia R. Grover2Department of Paediatric and Adolescent Gynaecology, Royal Children’s Hospital, Parkville, AustraliaDepartment of Paediatrics, The University of Melbourne, Parkville, AustraliaDepartment of Paediatric and Adolescent Gynaecology, Royal Children’s Hospital, Parkville, AustraliaBackground A biopsychosocial approach to the understanding of pelvic pain is increasingly acknowledged. However, there is a lack of standardised instruments – or their use – to assess risk factors and their impact on pelvic pain in both clinical and research settings. This review aims to identify validated tools used to assess known contributory factors to pelvic pain, as well as the validated tools to measure the impact of pelvic pain in adolescents and young adults, in order to provide a framework for future standardised, adolescent specific assessment and outcome tools.Methods Literature searches were performed in MEDLINE, PsycInfo and PubMed. Search terms included pelvic pain, dysmenorrhoea, endometriosis, adolescent, pain measurement, quality of life, sleep, mental health, coping strategies and traumatic experience.Results We found validated instruments to assess adverse childhood experiences and coping strategies, both known contributing factors to pelvic pain. The impact of pain was measured through validated tools for health-related quality of life, mental health and sleep.Conclusions Pelvic pain evaluation in adolescents should include a multi-factorial assessment of contributing factors, such as childhood adversity and coping strategies, and impacts of pelvic pain on quality of life, mental health and sleep, using validated instruments in this age group. Future research should focus on the development of consensus amongst researchers as well as input from young women to establish a standardised international approach to clinical trials involving the investigation and reporting of pelvic pain in adolescents. This would facilitate comparison between studies and contribute to improved quality of care delivered to patients.https://www.tandfonline.com/doi/10.1080/01443615.2024.2359126Pelvic paindysmenorrhoearisk factorquality of lifemental healthadolescent
spellingShingle Dehlia Moussaoui
Olivia G. Farrell
Sonia R. Grover
Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?
Journal of Obstetrics and Gynaecology
Pelvic pain
dysmenorrhoea
risk factor
quality of life
mental health
adolescent
title Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?
title_full Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?
title_fullStr Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?
title_full_unstemmed Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?
title_short Is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain?
title_sort is it time to agree upon a standardised approach to the assessment of contributing factors and impacts of adolescent pelvic pain
topic Pelvic pain
dysmenorrhoea
risk factor
quality of life
mental health
adolescent
url https://www.tandfonline.com/doi/10.1080/01443615.2024.2359126
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