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.
Psychogenic causes of Chronic Pelvic Pain and impact of CPP on psychological status
Graziottin A.
Psychogenic causes of Chronic Pelvic Pain and impact of CPP on psychological status
in: Vercellini P. (Ed), Chronic pelvic pain, Blackwell Publishing, Oxford, UK, 2011, p. 29-39
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.
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Parole chiave:
Abuso fisico
Abuso sessuale
Dispareunia femminile / Dolore ai rapporti
Disturbi sessuali con dolore
Disturbi sessuali femminili
Dolore pelvico cronico
Endometriosi
Fattori biologici
Fattori iatrogeni
Fattori psicogeni
Ginecologia
Mastociti
Nocebo/Effetto nocebo
Rapporto medico-paziente
Sistema del dolore
Stress cronico