Journal article
Reliability and Validity of Pain and Urinary Symptom Severity Assessment in Urological Chronic Pelvic Pain: A MAPP Network Analysis
The Journal of urology, Vol.207(6), pp.1246-1255
06/2022
DOI: 10.1097/JU.0000000000002438
PMID: 35060778
Abstract
Purpose: We assessed the reliability and validity of an efficient severity assessment for pelvic pain and urinary symptoms in urological chronic pelvic pain syndrome, which consists of interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome.
Materials and Methods: A total of 578 patients were assessed using brief, empirically derived self-report scales for pelvic pain severity (PPS) and urinary symptom severity (USS) 4 times during a 1-month period and baseline clinic visit that included urological, pain and illness-impact measures. Mild, moderate and severe categories on each dimension were examined for measurement stability and construct validity.
Results: PPS and USS severity categories had adequate reliability and both discriminant validity (differential relationships with specific clinical and selfreport measures) and convergent validity (common association with nonurological somatic symptoms). For example, increasing PPS was associated with pelvic tenderness and widespread pelvic pain, whereas USS was associated with urgency during a bladder filling test and increased sensory sensitivity. PPS and USS categories were independently associated with nonurological pain and emotional distress. A descriptive analysis identified higher likelihood characteristics associated with having moderate to severe PPS or USS or both. Lack of sex interactions indicated that the measures are comparable in interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome.
Conclusions: Women and men with urological chronic pelvic pain syndrome can be reliably subgrouped using brief self-report measures of mild, moderate or severe pelvic pain and urinary symptoms. Comparisons with a broad range of clinical variables demonstrate the validity and potential clinical utility of these classifications, including use in clinical trials, health services and biological research.
Details
- Title: Subtitle
- Reliability and Validity of Pain and Urinary Symptom Severity Assessment in Urological Chronic Pelvic Pain: A MAPP Network Analysis
- Creators
- Bruce D. Naliboff - University of California, Los AngelesKenneth Locke - University of PennsylvaniaAndrew D. Schrepf - University of MichiganJames W. Griffith - Northwestern UniversityRobert Moldwin - Hofstra UniversityJohn N. Krieger - University of WashingtonLarissa V. Rodriguez - Weill Cornell MedicineJ. Quentin Clemens - University of MichiganH. Henry Lai - Washington University in St. LouisSiobhan Sutcliffe - Washington University in St. LouisBayley J. Taple - Northwestern UniversityDavid Williams - University of MichiganMichael A. Pontari - Temple UniversityChris Mullins - National Institute of Diabetes and Digestive and Kidney DiseasesJ. Richard Landis - University of PennsylvaniaMAPP Research Network
- Resource Type
- Journal article
- Publication Details
- The Journal of urology, Vol.207(6), pp.1246-1255
- DOI
- 10.1097/JU.0000000000002438
- PMID
- 35060778
- NLM abbreviation
- J Urol
- ISSN
- 0022-5347
- eISSN
- 1527-3792
- Publisher
- Lippincott Williams & Wilkins
- Number of pages
- 10
- Grant note
- DK082315; DK082316; DK082325; DK082333; DK082342; DK082344; DK082345; DK082370; DK103227; DK103260; DK103271 / National Institute of Diabetes and Digestive and Kidney Diseases, National Institutes of Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK) U01DK082342; U01DK082344; U01DK082315; U01DK082325; U01DK082345 / National Institute of Diabetes and Digestive and Kidney Diseases; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Diabetes & Digestive & Kidney Diseases (NIDDK)
- Language
- English
- Date published
- 06/2022
- Academic Unit
- Urology
- Record Identifier
- 9985244661202771
Metrics
1 Record Views