A risk in chronic pelvic pain: Sexual abuse

Sümeyye Köse; Handan Özcan

doi:10.19161/etd.1633183

TR EN

Kronik pelvik ağrıda bir risk: Cinsel istismar

Öz

Bu çalışma, kronik pelvik ağrı (KPA) ile cinsel istismar geçmişi arasındaki ilişkiyi incelemeyi, literatür bulgularını sunmayı ve sağlık profesyonellerinin konu hakkındaki farkındalığını artırmayı amaçlamaktadır. Derleme kapsamında, KPA ve istismar arasındaki ilişkiyi inceleyen klinik ve epidemiyolojik araştırmalar taranmış, sistematik derlemeler ve meta-analizler gözden geçirilmiştir. Literatür taraması, PubMed, Scopus ve Web of Science gibi veri tabanlarından yapılmıştır. Araştırmalarda, özellikle cinsel istismar, cinsel şiddet ve çocukluk dönemi cinsel istismarının KPA üzerindeki etkisi vurgulanmıştır. Dahil edilen çalışmaların metodolojik kalitesi ve sınırlılıkları analiz edilerek, elde edilen bulgular derlenmiştir. Araştırmalar, KPA'ya sahip kadınların önemli bir kısmının istismar geçmişine sahip olduğunu göstermektedir. Cinsel istismarın ve fiziksel şiddet gibi deneyimlerin, bireylerin ilerideki yaşamlarında kronik ağrı ve diğer somatik belirtiler geliştirme riskini artırdığına dair bulgular bulunmaktadır. Ayrıca, psikolojik bozuklukların ağrı algısını artırarak KPA'nın kronikleşmesine katkıda bulunduğu belirlenmiştir.Kronik pelvik ağrı ile istismar arasındaki ilişkinin anlaşılması, tedavi yaklaşımlarında daha bütüncül bir yaklaşım geliştirilmesini zorunlu kılmaktadır. Sadece fiziksel semptomların değil, aynı zamanda psikososyal faktörlerin de dikkate alınması, hastaların yaşam kalitesini artırmada ve tedavi süreci için oldukça önemli bir faktördür. Bu derleme, KPA ve istismar ilişkisini anlamada önemli bir katkı sunmakta ve sağlık profesyonellerinin farkındalığını artırmayı hedeflemektedir.

Anahtar Kelimeler

A risk in chronic pelvic pain: Sexual abuse

Abstract

This study aims to examine the relationship between chronic pelvic pain (CPP) and sexual abuse history, present literature findings, and increase awareness of healthcare professionals on the subject. Within the scope of the review, clinical and epidemiological studies examining the relationship between CPP and abuse were scanned, and systematic reviews and meta-analyses were reviewed. The literature review used PubMed, Scopus, and Web of Science databases. In the studies, the effect of sexual abuse, sexual violence, and childhood sexual abuse on CPP was emphasized. The methodological quality and limitations of the included studies were analyzed and the findings obtained were compiled. Studies show that a significant portion of women with CPP have a history of abuse. There are findings that experiences such as sexual abuse and physical violence increase the risk of individuals developing chronic pain and other somatic symptoms in later life. In addition, it has been determined that psychological disorders contribute to the chronicity of CPP by increasing pain perception. Understanding the relationship between chronic pelvic pain and abuse necessitates the development of a more holistic approach to treatment approaches. Considering not only physical symptoms but also psychosocial factors is a very important factor in improving the quality of life of patients and the treatment process. This review makes an important contribution to understanding the relationship between CPP and abuse and aims to increase the awareness of health professionals

Keywords

References

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Details

Primary Language

English

Subjects

Obstetrics and Gynaecology

Journal Section

Review

Authors

Sümeyye Köse ^*
0000-0001-9041-6082
Türkiye

Handan Özcan
0000-0002-7131-1856
Türkiye

Publication Date

August 25, 2025

Submission Date

February 4, 2025

Acceptance Date

April 13, 2025

Published in Issue

Year 2025 Volume: 64 Number: Özel Sayı: 1 (11. Ulusal Ürojinekoloji Kongresi Bildiri Kitapçığı)

DOI

https://doi.org/10.19161/etd.1633183

IZ

https://izlik.org/JA28YC79SE

Cite

RIS / Bibtex

Vancouver

1.Sümeyye Köse, Handan Özcan. A risk in chronic pelvic pain: Sexual abuse. EJM. 2025 Aug. 1;64(Özel Sayı: 1 (11. Ulusal Ürojinekoloji Kongresi Bildiri Kitapçığı):53-6. doi:10.19161/etd.1633183