Symptom Duration in Patients With Urologic Chronic Pelvic Pain Syndrome is not Associated With Pain Severity, Nonurologic Syndromes and Mental Health Symptoms: A Multidisciplinary Approach to the Study of Chronic Pelvic Pain Network Study

Larissa V Rodríguez; Alisa J Stephens; J Quentin Clemens; Dedra Buchwald; Claire Yang; Henry H Lai; John N Krieger; Craig Newcomb; Cate S Bradley; Bruce Naliboff; MAPP Research Network

doi:10.1016/j.urology.2018.11.015

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Symptom Duration in Patients With Urologic Chronic Pelvic Pain Syndrome is not Associated With Pain Severity, Nonurologic Syndromes and Mental Health Symptoms: A Multidisciplinary Approach to the Study of Chronic Pelvic Pain Network Study

Journal article

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Peer reviewed

Symptom Duration in Patients With Urologic Chronic Pelvic Pain Syndrome is not Associated With Pain Severity, Nonurologic Syndromes and Mental Health Symptoms: A Multidisciplinary Approach to the Study of Chronic Pelvic Pain Network Study

Larissa V Rodríguez, Alisa J Stephens, J Quentin Clemens, Dedra Buchwald, Claire Yang, Henry H Lai, John N Krieger, Craig Newcomb, Cate S Bradley, Bruce Naliboff, …

Urology (Ridgewood, N.J.), Vol.124, pp.14-22

02/2019

DOI: 10.1016/j.urology.2018.11.015

PMCID: PMC7037673

PMID: 30452963

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https://www.ncbi.nlm.nih.gov/pmc/articles/7037673View

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Abstract

To evaluate if patients with urologic chronic pelvic pain syndromes (UCPPS) with longer duration of symptoms experience more severe pain and urologic symptoms, higher rates of chronic overlapping pain conditions (COPC) and psychosocial comorbidities than those with a more recent onset of the condition. We evaluated cross-sectional associations between UCPPS symptom duration and (1) symptom severity, (2) presence of COPC, and (3) mental health comorbidities. We analyzed baseline data from the Multidisciplinary Approach to the Study of Chronic Pelvic Pain. Symptom severity, COPC, and mental health comorbidities were compared between patients with symptom duration of < 2 vs ≥ 2 years. Symptom severity was assessed by the Genitourinary Pain Index, the Interstitial Cystitis Symptom and Problem Index, and Likert scales for pelvic pain, urgency, and frequency. Depression and anxiety were evaluated with the Hospital Anxiety and Depression Scale and stress with the Perceived Stress Scale. Males (but not females) with UCPPS symptom duration ≥2 years had more severe symptoms than those with <2 years. Participants with short (<2 years) and longer (≥2 years) symptom duration were as likely to experience COPC. Longer UCPPS symptom duration was associated with more severe symptoms only in limited patient subpopulations. Symptom duration was not associated with risk for COPC or mental health comorbidities. Females with longer UCPPS duration had decreased distress, but the association was largely attributable to age.

Severity of Illness Index

Chronic Pain - diagnosis

Cross-Sectional Studies

Humans

Middle Aged

Symptom Assessment

Male

Mental Disorders - complications

Pelvic Pain - diagnosis

Syndrome

Chronic Pain - complications

Time Factors

Adult

Female

Pelvic Pain - complications

Mental Disorders - diagnosis

Pain Measurement

Details

Title: Subtitle: Symptom Duration in Patients With Urologic Chronic Pelvic Pain Syndrome is not Associated With Pain Severity, Nonurologic Syndromes and Mental Health Symptoms: A Multidisciplinary Approach to the Study of Chronic Pelvic Pain Network Study
Creators: Larissa V Rodríguez - Departments of Urology and Obstetrics and Gynecology, Institute of Urology, University of Southern California, Los Angeles, CA. Electronic address: lrodriguez@med.usc.edu
Alisa J Stephens - Data Coordinating Core, Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
J Quentin Clemens - Department of Urology, University of Michigan Medical Center, Ann Arbor, MI
Dedra Buchwald - Department of Urology, University of Washington, Seattle, WA
Claire Yang - Department of Urology, University of Washington, Seattle, WA
Henry H Lai - Departments of Surgery (Division of Urologic Surgery) and Anesthesiology, Washington University, St. Louis, MO
John N Krieger - Department of Urology, University of Washington, Seattle, WA
Craig Newcomb - Data Coordinating Core, Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
Cate S Bradley - Department of Obstetrics and Gynecology, and Urology, College of Medicine and Department of Public Epidemiology, College of Public Health, University of Iowa, Iowa City, IA
Bruce Naliboff - Departments of Medicine and Psychiatry, The Geffen School of Medicine at UCLA, Los Angeles, CA
MAPP Research Network
Resource Type: Journal article
Publication Details: Urology (Ridgewood, N.J.), Vol.124, pp.14-22
DOI: 10.1016/j.urology.2018.11.015
PMID: 30452963
PMCID: PMC7037673
NLM abbreviation: Urology
ISSN: 0090-4295
eISSN: 1527-9995
Publisher: United States
Grant note: U01 DK082342 / NIDDK NIH HHS U01 DK103260 / NIDDK NIH HHS U01 DK082315 / NIDDK NIH HHS U01 DK082344 / NIDDK NIH HHS U01 DK103227 / NIDDK NIH HHS U24 DK082333 / NIDDK NIH HHS U01 DK082325 / NIDDK NIH HHS U01 DK103271 / NIDDK NIH HHS U01 DK082345 / NIDDK NIH HHS U01 DK082333 / NIDDK NIH HHS U24 DK082316 / NIDDK NIH HHS U01 DK082370 / NIDDK NIH HHS U01 DK082316 / NIDDK NIH HHS
Language: English
Date published: 02/2019
Academic Unit: Epidemiology; Obstetrics and Gynecology; Urology
Record Identifier: 9983931233002771

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