A Group Therapy Based on the Bio-psycho-social Treatment Approach for Women With Chronic Pelvic and Chronic Belly Pain

Study Overview
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Brief Summary
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The project investigates the situation of patients with chronic pelvic and chronic belly pain before and after our group therapy.

Detailed Description
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To treat patients with chronic pelvic and belly pain in an interdisciplinary way, we developped a group therapy consisting of twelve sessions and a booster session. The therapy is based on the bio-psycho-social model of pain and includes group sessions of psychotherapy as well as physiotherapy. All patients fill in questionnaires (concerning pain impact, pain chronicity, depression, anxiety, stress, well-being and sexuality) before and after the therapy as well as three and twelve months after.

Official Title
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Managing the Pain - a Group Therapy Based on the Bio-psycho-social Treatment Approach for Women With Chronic Pelvic Pain and Chronic Belly Pain

Conditions
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Pain, Chronic, Pain, Pelvic, Pain, Abdominal, Depression, Sex Disorder, Endometriosis

Intervention / Treatment
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* Behavioral: Learning of Coping Strategies


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Women with chronic pelvic pain or belly pain participating in our group therapy who give their consent to the analysis of their data for the study Exclusion Criteria: No participation in the group therapy Finishing the group therapy prematurely (>3 missed sessions)

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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Female

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Multidisciplinary Group Therapy<br>Multidisciplinary group therapy for women with chronic pelvic or belly pain | Behavioral: Learning of Coping Strategies<br>* Group sessions with psychotherapy and physiotherapy<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Pelvic Pain Impact Questionnaire (PPIQ) | Self reported questionnaire with 8 questions to assess the impact of pelvic pain on quality of life, daily activities and emotional life. Each questions is scored 0-4, yielding a total from 0 and 32. | baseline, 6 weeks, 3 months, 12 months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in Sexual Functioning Questionnaire (CSFQ-14) | Self-reported questionnaire with 14 questions assessing comorbidity- or medication-related sexual dysfunction. Each questions is scored using a 5-point Likert scale. Total scores range from 14 to 70, with lower scores indicating greater levels of sexual dysfunction. | baseline, 6 weeks, 3 months, 12 months | 
| Change in Female Sexual Distress Scale-Revised (FSDS-R) | Self-reported questionnaire assessing distress associated with sexual dysfunction. Each questions is scored using a 5-point Likert scale (0=never to 4=always). Total scores range from 0 to 52, with higher scores indicating greater levels of sexually related distress. | baseline, 6 weeks, 3 months, 12 months | 
| Change in Chronic Pain Grade Scale (CPGS) | Self-reported questionnaire with 3 questions assessing the presence of chronic pain at the site of injury. Each questions is scored using a 11-point Likert scale. Total scores range from 0 to 30, with higher scores indicating more pain. | baseline, 6 weeks, 3 months, 12 months | 
| Change in Depression | Subscale of Depression Anxiety and Stress Scale (DASS) questionnaire. Self-reported questionnaire with 14 questions assessing depression. Each questions is scored using a 4-point Likert scale (0=does not apply at all to 3=apply very much). Total sub-scores range from 0 to 42. | baseline, 6 weeks, 3 months, 12 months | 
| Change in Anxiety | Subscale of Depression Anxiety and Stress Scale (DASS) questionnaire. Self-reported questionnaire with 14 questions assessing anxiety. Each questions is scored using a 4-point Likert scale (0=does not apply at all to 3=apply very much). Total sub-scores range from 0 to 42. | baseline, 6 weeks, 3 months, 12 months | 
| Change in Stress | Subscale of Depression Anxiety and Stress Scale (DASS) questionnaire. Self-reported questionnaire with 14 questions assessing stress. Each questions is scored using a 4-point Likert scale (0=does not apply at all to 3=apply very much). Total sub-scores range from 0 to 42. | baseline, 6 weeks, 3 months, 12 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Coping, Multidisciplinary, Group Therapy, Psychotherapy, Physiotherapy