학술논문

Psychological Interventions for Women with Persistent Pelvic Pain: A Survey of Mental Health Clinicians
Document Type
article
Source
Journal of Multidisciplinary Healthcare, Vol Volume 14, Pp 1725-1740 (2021)
Subject
persistent
pelvic
pain
psychology
therapy
clinicians
Medicine (General)
R5-920
Language
English
ISSN
1178-2390
Abstract
Tiffany Brooks,1 Rebecca Sharp,1 Susan Evans,2 John Baranoff,3 Adrian Esterman1 1The University of South Australia, Clinical and Health Sciences, Adelaide, South Australia, Australia; 2Welland Health, North Adelaide, South Australia, Australia; 3Centre for Treatment of Anxiety and Depression, Adelaide, South Australia, AustraliaCorrespondence: Tiffany Brooks Tel +61 8 8361 7866Email brota010@mymail.unisa.edu.auObjective: To establish which psychological therapies mental health professionals use with reference to the treatment of women with persistent pelvic pain conditions. This research investigates overall therapies and specific techniques that clinicians believe are the most effective with this patient group, and the challenges mental health clinicians face in administering interventions. The study aims to suggest improvements to clinical practice and establish directions for targeted future research.Design: Cross-sectional survey design.Methods: An online survey was developed to ask mental health clinicians questions regarding the therapies and techniques they use with women experiencing persistent pelvic pain, their perspective on their practice in this area. The survey was advertised on relevant social media and professional websites. Survey results were tabled, and chi-square statistical analyses were undertaken to examine differences in therapy use according to country and profession.Results: Mental health clinicians predominantly utilized cognitive behavioral therapy, acceptance and commitment therapy and associated techniques for women with persistent pelvic pain conditions. The results of the chi-square analyses showed that psychologists were more likely to use cognitive behavioral therapy or acceptance and commitment therapy, than counsellors who preferred counselling interventions. Chi-square analyses showed that Australian clinicians used acceptance and commitment therapy with a higher frequency than mental health clinicians in other countries. Clinicians provided multiple insights into their experiences working with women affected by persistent pelvic pain and their opinions as to valuable future research directions.Conclusion: Cognitive behavioral therapy, acceptance and commitment therapy, and mindfulness therapies were most commonly used by mental health clinicians working with women with persistent pelvic pain conditions, despite severely limited evidence for the use of these psychological interventions in this client group.Keywords: persistent, pelvic, pain, psychology, therapy, clinicians