Menstrual Type, Pain and Psychological Distress in Adult Women with Sickle Cell Disease (SCD).

J Natl Med Assoc 2020 Aug 3. Epub 2020 Aug 3.

Psychology Department, North Carolina Central University, Durham, NC, USA; North Carolina Central University Integrated Health and Wellness Clinic, Durham, NC, USA.

Objective: We evaluated the effects of menstrual types inclusive of PMS on reports of chronic pain intensity and psychopathology in twenty-eight women (mean age 38.93 ± 13.51) with Sickle Cell disease (SCD).

Methods: Using the Menstrual Symptoms Questionnaire, we compared women with PMS to those with less distressing spasmodic cycle types.

Results: Thirty-four percent of the sample used oral contraception; there were no significant effects of birth control use on reports of pain. Women with PMS characterized the sensory (p = .04) and affective (p = .04) experiences of their SCD-related chronic pain, including their current pain intensity (p = .03), as significantly greater than women with primary spasmodic menstrual type. Further, there was a trend towards significance for women with PMS to report greater levels of overall pain intensity (p = .07) and average pain intensity over the past month (p = .08).

Conclusions: The authors interpret these results to suggest that there may be a complex interaction of neurohormonal, biological, and psychological factors associated with PMS that influence manifestation and experience of chronic pain in patients with SCD.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jnma.2020.07.007DOI Listing
August 2020

Publication Analysis

Top Keywords

pain intensity
16
chronic pain
12
women pms
12
cell disease
8
sickle cell
8
pain
8
menstrual type
8
women
6
pms
5
interpret complex
4
oral contraception
4
menstrual
4
contraception effects
4
birth control
4
pain women
4
reports pain
4
control reports
4
sample oral
4
effects birth
4
percent sample
4

Similar Publications