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01/10/2012

Psychogenic causes of chronic pelvic pain, and its impact on psychological status


Graziottin A.
Psychogenic causes of chronic pelvic pain, and its impact on psychological status
in: Vercellini P. (Ed), Chronic pelvic pain, Wiley-Blackwell, 2011, p. 29-39


Psychogenic factors can be powerful contributors of CPP, as predisposing, precipitating or maintaining factors of chronic stress. One of the currently most credited pathophysiologic reading is through the corticotropin-releasing factor (CRF) signaling pathways.
The paper:
- updates the word ”psychogenic”;
- suggests a pathophysiologic reading of the psychogenic contribute to CPP, via the stress-induced corticotropin-releasing factor (CRF) signaling pathways, and differentiates predisposing, precipitating and maintaining factors;
- summarizes the pertinent evidence;
- focuses on the differential diagnosis between prominent “psychogenic” vs somatic etiology of CPP;
- highlights the common diagnostic mistakes with a focus on iatrogenic factors and nocebo effect;
- discusses the psychological and sexual consequences of CPP.

Per gentile concessione di Wiley

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Available documents:
Full text of the chapter

Keywords:
Sexual Abuse - Anxiety - Depression - Female Dyspareunia - Chronic Pelvic Pain - Iatrogenic Factors - Psychogenic Factors - Inflammation - Mastcells - Doctor-Patient Relationship

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