TY - JOUR
AU - L. S. Panisch
AU - S. M. Jansen
AU - F. Abudushalamu
AU - T. R. Petersen
AU - K. V. Meriwether
A1 - 
AB - Chronic pelvic pain (CPP) is a medically complex, multifaceted gynecological condition associated with psychological comorbidities and sexual trauma among women. Low rates of positive treatment outcomes underscore the need to better understand complex relationships between CPP, trauma exposure, and the psychosocial context of patients' lives. We conducted a secondary analysis of English and Spanish qualitative interviews with female-identity patients (N = 48) about CPP's impact on psychosocial well-being. Interviews were coded and analyzed in accordance with reflexive thematic analysis. We generated 4 themes regarding CPP and psychosocial well-being: navigating pain-filled relationships, multiple burdens of mental health challenges and marginalization, sexual trauma exposure embedded in illness experience, and harnessing hope in healing and dealing with CPP. We used insights from these findings to generate a list of treatment recommendations for trauma-informed, CPP-specific integrated care. Patients described the importance of social support and how psychological comorbidities and trauma exposure contributed to CPP's psychosocial toll. Findings provide insight into the burden of CPP-related minority stress and the role of hope on patients' well-being. Patients with CPP endorse the integration of psychosocial support into their CPP treatment plans. The authors encourage the incorporation of behavioral health providers into integrated care teams to deliver trauma-informed, culturally responsive methods for engaging patients with CPP in psychosocial interventions addressing multiple domains of well-being.
AD - School of Social Work, Wayne State University, 5447 Woodward Avenue, Detroit, MI, 48202, USA. lisa.panisch@wayne.edu.; HealthPartners, 401 Phalen Blvd, St. Paul, MN, 55130, USA.; School of Medicine, The University of New Mexico, 195 Camino de Salud, Albuquerque, NM, 87106, USA.; Department of Obstetrics and Gynecology, The University of New Mexico, 2211 Lomas Blvd NE, Albuquerque, NM, 87131, USA.; Department of Anesthesiology, The University of New Mexico, 2211 Lomas Blvd NE, Albuquerque, NM, 87131, USA.; Office of Graduate Medical Education, The University of New Mexico, 915 Vassar NE, STE 120, Albuquerque, NM, 87131, USA.
AN - 39789400
BT - J Behav Health Serv Res
C5 - Healthcare Disparities
CP - 1
DA - Jan
DO - 10.1007/s11414-024-09926-y
DP - NLM
ET - 20250109
IS - 1
JF - J Behav Health Serv Res
LA - eng
N2 - Chronic pelvic pain (CPP) is a medically complex, multifaceted gynecological condition associated with psychological comorbidities and sexual trauma among women. Low rates of positive treatment outcomes underscore the need to better understand complex relationships between CPP, trauma exposure, and the psychosocial context of patients' lives. We conducted a secondary analysis of English and Spanish qualitative interviews with female-identity patients (N = 48) about CPP's impact on psychosocial well-being. Interviews were coded and analyzed in accordance with reflexive thematic analysis. We generated 4 themes regarding CPP and psychosocial well-being: navigating pain-filled relationships, multiple burdens of mental health challenges and marginalization, sexual trauma exposure embedded in illness experience, and harnessing hope in healing and dealing with CPP. We used insights from these findings to generate a list of treatment recommendations for trauma-informed, CPP-specific integrated care. Patients described the importance of social support and how psychological comorbidities and trauma exposure contributed to CPP's psychosocial toll. Findings provide insight into the burden of CPP-related minority stress and the role of hope on patients' well-being. Patients with CPP endorse the integration of psychosocial support into their CPP treatment plans. The authors encourage the incorporation of behavioral health providers into integrated care teams to deliver trauma-informed, culturally responsive methods for engaging patients with CPP in psychosocial interventions addressing multiple domains of well-being.
PY - 2026
SN - 1094-3412
SP - 115
EP - 130+
ST - Patient Perspectives on the Psychosocial Impact of Chronic Pelvic Pain and Implications for Integrated Behavioral Care Approaches
T1 - Patient Perspectives on the Psychosocial Impact of Chronic Pelvic Pain and Implications for Integrated Behavioral Care Approaches
T2 - J Behav Health Serv Res
TI - Patient Perspectives on the Psychosocial Impact of Chronic Pelvic Pain and Implications for Integrated Behavioral Care Approaches
U1 - Healthcare Disparities
U3 - 10.1007/s11414-024-09926-y
VL - 53
VO - 1094-3412
Y1 - 2026
ER -