Psychosocial and economic impact of chronic pelvic pain

According to a population-based estimate, chronic pelvic pain (CPP) affects approximately 15% of women aged 18-50. The psychosocial impact of CPP is r eflected in mood disturbance, disruption of normal activity and relationshi ps as well as pain. Identification of psychosocial factors as cause or effe ct remains problematic. Results of a study of 105 women with CPP using the British version of the SF-36 Health Survey Questionnaire are presented, tog ether with analyses of face validity and reliability. While generally refle cting health status, specific problems with the questionnaire are identifie d related to the episodic nature of pelvic pain. and avoidance as a means o f preventing pain exacerbations. Health economic analyses relating to CPP a re reviewed and the implications for future directions in treatment strateg y are discussed in the context of limited options of proven efficacy.