Chronic Pelvic Pain Patients Demonstrate Higher Catastrophizing in Association with Pelvic Symptoms and Comorbid Pain Diagnoses.


Journal

Urology
ISSN: 1527-9995
Titre abrégé: Urology
Pays: United States
ID NLM: 0366151

Informations de publication

Date de publication:
04 2021
Historique:
received: 01 03 2020
revised: 03 06 2020
accepted: 28 06 2020
pubmed: 16 7 2020
medline: 5 2 2022
entrez: 16 7 2020
Statut: ppublish

Résumé

To elucidate the relationship between catastrophization and pelvic pain symptomatology in chronic pelvic pain (CPP) patients using standardized questionnaires. CPP patients completed standardized questionnaires which included: genitourinary pain index, patient health questionnaire for anxiety and depression, interstitial cystitis symptom index, and pelvic floor distress inventory. Scores and number of comorbidities were compared to Pain Catastrophizing Scale (PCS) by linear regression. Patients categorized as "extreme catastrophizing" (PCS score ≥30), traditionally associated with worse outcomes in the pain literature [10-11], were also analyzed separately. 184 patients were included (mean age 42 years, N = 23 male). Higher number of pain comorbidities was correlated to PCS (P < .001) as well as higher scores on all standardized questionnaires (P < .001). Forty-four percent of patients (81/184) were extreme catastrophizers and scored significantly worse on all standardized measures when compared to nonextreme catastrophizers. Mean scores for nonextreme vs extreme catastrophizers were: genitourinary pain index (25.7 ± 6.8 vs 32.7 ± 6.5, P < .001), interstitial cystitis symptom index (6.5 ± 4.7 vs 9.4 ± 5.8, P < .001), pelvic floor distress inventory (88.8 ± 52 vs 121.1 ± 62.8, P < .001), patient health questionnaire anxiety (1.7 ± 2.0 vs 3.6 ± 2.1, P < .001), and depression (1.4 ± 1.6 vs 3.3 ± 2.0, P < .001). Number of comorbidities was not significant predictor of extreme catastrophizing (3.5 vs 3.7 P = .22). Higher scores on standardized questionnaires and more comorbidities was associated with more catastrophizing in CPP patients. This study highlights the significance of standardized questionnaires, including the PCS, to predict which patients may be extreme catastrophizers and thus subject to worse outcomes. Future studies are needed to look at catastrophization as a potentially modifiable and treatable risk factor.

Identifiants

pubmed: 32668289
pii: S0090-4295(20)30820-7
doi: 10.1016/j.urology.2020.06.055
pii:
doi:

Types de publication

Journal Article Observational Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

146-150

Informations de copyright

Copyright © 2020 Elsevier Inc. All rights reserved.

Auteurs

Annie Chen (A)

Stony Brook University Hospital, Stony Brook Medicine HSC T9 Room 040, Stony Brook, NY 11794. Electronic address: annie.chen@stonybrookmedicine.edu.

Charles Argoff (C)

Albany Medical Center, Albany, NY.

Erin Crosby (E)

Albany Medical Center, Albany, NY.

Elise Jb De (EJ)

Massachusetts General Hospital, Department of Urology, 165 Cambridge St 7th Floor, Boston, MA 02114.

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Classifications MeSH