Catastrophizing and Pain-Contingent Rest Predict Patient Adjustment in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Tripp, Dean A.; Nickel, J. Curtis; Wang, Yanlin; Litwin, Mark S.; McNaughton-Collins, Mary; Landis, J. Richard; Alexander, Richard B.; Schaeffer, Anthony J.; O’Leary, Michael P.; Pontari, Michel A.; Fowler, Jackson E.; Nyberg, Leroy M.; Kusek, John W.

doi:10.1016/j.jpain.2006.03.006

Cited by 115 publications

(76 citation statements)

References 96 publications

(78 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Prospective studies (including studies in CP and IC) [17,21] indicate that persistent pain increases the risk for depression, and also suggest that depression increases the risk for persistent pain. Further studies suggest that elevated rates of depression seen in chronic pelvic pain are related to the experience of pain, not the presence or absence of an organic cause [18][19][20][21].…”

Section: Depression and Catastrophizing In Chronic Pain Statementioning

confidence: 94%

Chronic pain in urological diseases: a clinical review

et al. 2008

View full text Add to dashboard Cite

AbstractChronic pain is the central problem in a variety of urological diseases. Pain is an unpleasant sensory and emotional experience associated with either actual or potential tissue damage, or described in terms of such damage. The aim of this research was to update knowledge about the ultrastructural, clinical, psychological and therapeutic aspects of chronic pain in urological diseases, in particular in chronic pelvic syndrome. In this paper we have revisited the most significant and discussed articles published in the last twenty five years, with particular references on the 2008 European Guidelines, searching key words (chronic pelvic pain syndrome, chronic pelvic pain, chronic prostatitis, interstitial cystitis, prostatodynia, urological disease) and data with a high level of evidence. The articles that we have analyzed show that pain is characterized by an initial tissue injury that can lead to sensitization, which is a decrease in the intensity of the stimulus needed to elicit a response by the nerve, involving the peripheral and central nervous systems. The chronic pain state is characterized by loss of inhibitory interneurons, establishment of aberrant excitatory synaptic connections and long-term potentiation of response due to changes in sensitivity of nerve synapses. Stress and hormones might also play a role in central sensitization. Pain also has a cognitive and emotional component. It is very difficult to treat, given the complex nature of the response and the interaction of physiological aspects

show abstract

Section: Depression and Catastrophizing In Chronic Pain Statementioning

confidence: 94%

Chronic pain in urological diseases: a clinical review

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Various complex causes (urinary tract infection, prostatic urinary tract counterflow [9], Cytokines [10], pelvic floor spasm [11], systemic nervous or endocrine cause [12] and neuropsychiatric cause [13]) affects CP/CPPS in terms of pathological physiology (Fig. 1).…”

Section: Cause Of Cp/cppsmentioning

confidence: 99%

Recent trend of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) management

Lee

2017

Hanyang Med Rev

View full text Add to dashboard Cite

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a common condition. However, many of the traditional therapies like monotherapy used in clinical practice fail to show efficacy. There is no one particular treatment to be recommended as monotherapy for CP/CPPS. The new concept of treatment which is 'UPOINT' is introduced. The major barrier in treating men with CP/CPPS is the heterogenous nature of this syndrome. In order to treat appropriately, the patient should be evaluated individually to assess the nature of symptoms. To evaluate patients with chronic urologic pelvic pain, a six-point clinical phenotyping system has been developed. The clinical domains are urinary symptoms, psychosocial dysfunction, organ specific findings, infection, neurologic/systemic, and tenderness of muscles, which produces the acronym 'UPOINT' . This clinical phenotyping system may provide a useful and clinically relevant framework for multimodal therapy for the treatment of CP/CPPS. However, the concept of UPOINT needs randomization, placebo or sham control studies to show verified treatment.

show abstract

“…Patients with chronic pain may have increased stress, depression and exhibit catastrophizing, a response of hopelessness, pessimism and agitation, which can lead to a heightened emotional response to pain. 8 This etiologic framework highlights the difficulty of selecting and assessing therapy for these syndromes. Any two patients may have identical symptoms, yet one may have voiding dysfunction with an increased bladder neck tonicity and the other may have persistent inflammation, pelvic floor spasm and suffer from In summary, men and women with UCPPS have syndromes defined by their symptoms and no current way to be further classified based on biomarkers, etiology or likelihood of response to therapy.…”

Section: Etiological Framework For Classification Of the Ucpps Patientmentioning

confidence: 99%

Clinical phenotyping in chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis: a management strategy for urologic chronic pelvic pain syndromes

Shoskes

Nickel

Rackley

et al. 2008

Prostate Cancer Prostatic Dis

174

105

View full text Add to dashboard Cite

The urologic chronic pain conditions such as chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis are syndromes whose evaluation and management are controversial. Part of the difficulty in diagnosis and therapy is the heterogeneity of etiologies and symptoms. We propose a six-domain phenotype, which can classify these patients clinically and can direct the selection of therapy in the most evidence based multimodal manner. The domains are urinary, psychosocial, organ specific, infection, neurologic and tenderness of skeletal muscles. This system is flexible and responsive to new biomarkers and therapies as their utility and efficacy are proven.

show abstract

Catastrophizing and Pain-Contingent Rest Predict Patient Adjustment in Men With Chronic Prostatitis/Chronic Pelvic Pain Syndrome

Cited by 115 publications

References 96 publications

Chronic pain in urological diseases: a clinical review

Chronic pain in urological diseases: a clinical review

Recent trend of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) management

Clinical phenotyping in chronic prostatitis/chronic pelvic pain syndrome and interstitial cystitis: a management strategy for urologic chronic pelvic pain syndromes

Contact Info

Product

Resources

About