Prevalence of Childhood Maltreatment Among Women With Dysmenorrhea.
Prevalence of Childhood Maltreatment Among Women With Dysmenorrhea.
Dysmenorrhea is defined by the French National College of Gynecologists and Obstetricians as "cyclic abdominopelvic pain, occurring around menstruation, beginning shortly before its onset and sometimes persisting afterward." Its prevalence is difficult to determine precisely, but studies show that 16 to 90% of women in the general population experience permanent or occasional dysmenorrhea, and that more than 20% of them must limit their activities during menstruation. The origins of this pain remain poorly understood, but it is now known to be associated with significant emotional, psychological, and functional health consequences. Several studies have demonstrated that a history of violence experienced during childhood and adolescence is associated with the onset of chronic pain, but to the investigators' knowledge, no study has specifically analyzed the impact of violence on the presence of dysmenorrhea in adulthood. This study aims to administer a questionnaire assessing dysmenorrhea and history of violence (Childhood Trauma Questionnaire, short French version - CTQ) to patients consulting the Gynecology Department of Estaing University Hospital for menstrual pain (dysmenorrhea). The investigators aim to identify an association between the presence of dysmenorrhea and a history of violence during childhood.
The short version of the CTQ is a questionnaire comprising five subscales of maltreatment (emotional and physical neglect, sexual, physical, and emotional abuse), validated by several international studies and in the French-speaking population. The study will be offered to patients consulting the Gynecology Department of Estaing University Hospital for dysmenorrhea. An information sheet will be given to them at the end of the consultation. Participants will be contacted by phone within 48 business hours following the consultation to provide additional explanations about the study. These calls will be recorded in the patient's medical file. An email will then be sent containing a link to access the short version of the CTQ questionnaire, along with a consent form. By offering participants the opportunity to answer intimate questions outside the consultation setting, for example at home or in a place where they feel safe and comfortable, more authentic and relevant responses are expected. A reminder email will be sent to patients who have not responded to the online questionnaire on days 5, 10, and 15. Patients whose score corresponds to a history of maltreatment will be offered an appointment within a maximum of 15 days with a gynecologist specialized in victimology, in order to provide the care best suited to their needs (assessment, explanations, legal or psychological support procedures, referral to support associations, targeted gynecological follow-up). The patient will be contacted again 3 months later (in person or by phone) to assess treatment efficacy and satisfaction.
Inclusion Criteria:
Exclusion Criteria: