{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T01:32:22Z","timestamp":1760059942452,"version":"build-2065373602"},"reference-count":81,"publisher":"MDPI AG","issue":"15","license":[{"start":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T00:00:00Z","timestamp":1753315200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Leeds Beckett University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCM"],"abstract":"<jats:p>Background\/Objectives: Pelvic organ prolapse (POP) is a common condition that significantly impacts quality of life. Research has focused largely on older women, while experiences of younger women remain relatively underexplored despite challenges unique to this population. Informed by the biopsychosocial model of illness, this study aims to assess the symptom burden, treatment goals, and information needs of younger women complaining of prolapse by analyzing questionnaire responses from an existing electronic Personal Assessment Questionnaire\u2014Pelvic Floor (ePAQ-PF) dataset. Methods: Mixed-methods content analysis was conducted using free-text data from an anonymized multi-site ePAQ-PF dataset of 5717 responses collected across eight UK NHS trusts (2018\u20132022). A quantitative, deductive approach was first used to identify younger women (\u226450 years old) with self-reported prolapse. ePAQ-PF scores for younger women with prolapse were compared with those aged &gt;50 years, using Mann\u2013Whitney tests. Free-text response data were analyzed inductively to qualitatively explore younger women\u2019s symptom burden, treatment goals, and information needs. Results: Of the 1473 women with prolapse identified, 399 were aged \u226450 years. ePAQ-PF scores of the younger cohort demonstrated significantly greater symptom severity and bother than those aged &gt;50, particularly in bowel, prolapse, vaginal, body image, and sexual health domains (p &lt; adjusted threshold). Qualitative analysis undertaken to understand women\u2019s concerns and priorities produced five health-related themes (physical health; functionality; psychosocial and emotional wellbeing; reproductive and sexual health; and healthcare journeys) and a sixth intersecting theme representing information needs. Conclusions: The findings highlight the substantial symptom burden of younger women with prolapse, as well as treatment goals and information needs specific to this population. The development of age-specific resources is identified as a requirement to support this group.<\/jats:p>","DOI":"10.3390\/jcm14155231","type":"journal-article","created":{"date-parts":[[2025,7,24]],"date-time":"2025-07-24T10:28:09Z","timestamp":1753352889000},"page":"5231","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Symptom Burden, Treatment Goals, and Information Needs of Younger Women with Pelvic Organ Prolapse: A Content Analysis of ePAQ-Pelvic Floor Free-Text Responses"],"prefix":"10.3390","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7092-3490","authenticated-orcid":false,"given":"Georgina","family":"Forshall","sequence":"first","affiliation":[{"name":"Psychology Department, School of Humanities and Social Sciences, Leeds Beckett University, City Campus, Leeds LS1 3HE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6942-0615","authenticated-orcid":false,"given":"Thomas J.","family":"Curtis","sequence":"additional","affiliation":[{"name":"Norfolk and Norwich University Hospitals, Colney Lane, Norwich, Norfolk NR4 7UY, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0908-176X","authenticated-orcid":false,"given":"Ruth","family":"Athey","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0045-9095","authenticated-orcid":false,"given":"Rhys","family":"Turner-Moore","sequence":"additional","affiliation":[{"name":"Psychology Department, School of Humanities and Social Sciences, Leeds Beckett University, City Campus, Leeds LS1 3HE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stephen C.","family":"Radley","sequence":"additional","affiliation":[{"name":"Sheffield Teaching Hospitals NHS Foundation Trust, Herries Road, Sheffield S5 7AU, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Georgina L.","family":"Jones","sequence":"additional","affiliation":[{"name":"Psychology Department, School of Humanities and Social Sciences, Leeds Beckett University, City Campus, Leeds LS1 3HE, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2025,7,24]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","unstructured":"Wang, B., Chen, Y., Zhu, X., Wang, T., Li, M., Huang, Y., Xue, L., Zhu, Q., Gao, X., and Wu, M. 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