Widespread Psychosocial Difficulties in Men and Women With Urologic Chronic Pelvic Pain Syndromes: Case-control Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network

Bruce D Naliboff; Alisa J Stephens; Niloo Afari; Henry Lai; John N Krieger; Barry Hong; Susan Lutgendorf; Eric Strachan; David Williams; MAPP Research Network

doi:10.1016/j.urology.2015.02.047

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Widespread Psychosocial Difficulties in Men and Women With Urologic Chronic Pelvic Pain Syndromes: Case-control Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network

Journal article

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Peer reviewed

Widespread Psychosocial Difficulties in Men and Women With Urologic Chronic Pelvic Pain Syndromes: Case-control Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network

Bruce D Naliboff, Alisa J Stephens, Niloo Afari, Henry Lai, John N Krieger, Barry Hong, Susan Lutgendorf, Eric Strachan, David Williams and MAPP Research Network

Urology (Ridgewood, N.J.), Vol.85(6), pp.1319-1327

06/2015

DOI: 10.1016/j.urology.2015.02.047

PMCID: PMC4479402

PMID: 26099876

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Abstract

To determine the extent, severity, and sex differences of psychosocial deficits in men and women with urologic chronic pelvic pain syndromes (UCPPS), which in the past have been considered separate bladder (interstitial cystitis-painful bladder syndrome) and prostate (chronic prostatitis-chronic pelvic pain syndrome) disorders. Evaluations of men and women separately suggest UCPPS is associated with increased anxiety and depression. However, studies directly testing deficits in broader psychosocial domains such as cognitive processes, intimate relationships, and trauma history, or tests of sex differences in the pattern of difficulties associated with UCPPS have not been performed. A total of 233 female and 191 male UCPPS patients and 235 female and 182 male healthy controls (HCs) were recruited from 6 academic medical centers in the United States and evaluated with a comprehensive battery of symptom, psychosocial, and illness impact measures. Primary comparisons of interest were between UCPPS patients and HCs and between men and women with UCPPS. In addition to greater negative effect, male and female UCPPS patients show higher levels of current and lifetime stress, poorer illness coping, increased self-report of cognitive deficits, and more widespread pain symptoms compared with sex- and education-matched HCs. Similar problems were found in male and female UCPPS patients although female UCPPS patients showed increased self-report of childhood adversity and more widespread symptoms of pain and discomfort. Given the significance of psychosocial variables in prognosis and treatment of chronic pain conditions, the results add substantially to our understanding of the breath of difficulties associated with UCPPS and point to important areas for clinical assessment.

Severity of Illness Index

Urologic Diseases - psychology

Humans

Middle Aged

Male

Chronic Pain - psychology

Case-Control Studies

Chronic Pain - complications

Pelvic Pain - psychology

Young Adult

Aged, 80 and over

Adult

Female

Aged

Pelvic Pain - complications

Urologic Diseases - complications

Details

Title: Subtitle: Widespread Psychosocial Difficulties in Men and Women With Urologic Chronic Pelvic Pain Syndromes: Case-control Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network
Creators: Bruce D Naliboff - Department of Medicine, University of California, Los Angeles, Los Angeles, CA; Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA. Electronic address: naliboff@ucla.edu
Alisa J Stephens - Department of Biostatistics and Epidemiology, University of Pennsylvania Perelman School of Medicine, Philadelphia, PA
Niloo Afari - Department of Psychiatry, University of California San Diego, San Diego, CA
Henry Lai - Division of Urologic Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, MO
John N Krieger - Department of Urology, University of Washington, Seattle, WA
Barry Hong - Department of Psychiatry, Washington University School of Medicine, St. Louis, MO
Susan Lutgendorf - Department of Urology, University of Iowa, Iowa City, IA
Eric Strachan - Department of Psychiatry and Biobehavioral Sciences, University of Washington, Seattle, WA
David Williams - Department of Anesthesiology, University of Michigan, Ann Arbor, MI; Department of Medicine, University of Michigan, Ann Arbor, MI
MAPP Research Network
Resource Type: Journal article
Publication Details: Urology (Ridgewood, N.J.), Vol.85(6), pp.1319-1327
DOI: 10.1016/j.urology.2015.02.047
PMID: 26099876
PMCID: PMC4479402
NLM abbreviation: Urology
ISSN: 0090-4295
eISSN: 1527-9995
Publisher: United States
Grant note: U01 DK082342 / NIDDK NIH HHS DK82333 / NIDDK NIH HHS U01 DK082315 / NIDDK NIH HHS DK82345 / NIDDK NIH HHS DK82325 / NIDDK NIH HHS DK82316 / NIDDK NIH HHS DK82344 / NIDDK NIH HHS U01 DK082344 / NIDDK NIH HHS DK82315 / NIDDK NIH HHS DK82370 / NIDDK NIH HHS DK82342 / NIDDK NIH HHS U01 DK082325 / NIDDK NIH HHS U01 DK082345 / NIDDK NIH HHS U01 DK082333 / NIDDK NIH HHS U01 DK082370 / NIDDK NIH HHS U01 DK082316 / NIDDK NIH HHS
Language: English
Date published: 06/2015
Academic Unit: Psychological and Brain Sciences; Iowa Neuroscience Institute; Obstetrics and Gynecology; Urology
Record Identifier: 9984002497002771

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