The longitudinal association of symptom-related and psychological factors with health-related quality of life in patients with chronic pelvic pain syndrome

Piontek, Katharina; Ketels, Gesche; Klotz, Susanne; Dybowski, Christoph; Brünahl, Christian; Löwe, Bernd

doi:10.1016/j.jpsychores.2021.110707

Cited by 6 publications

(7 citation statements)

References 59 publications

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“…Several studies have stressed the important role of psychosocial factors in the development and maintenance of CPP as contributors and consequences. 9 , 10 , 50 , 51 …”

Section: Discussionmentioning

confidence: 99%

“… 8 Furthermore, psychosocial and biological factors may interact with or even mutually enhance each other. 9 , 10 Therefore, for several decades, attempts have been made to overcome mind/body dualism and to move towards a more integrated approach to CPP. 11 , 12 Unfortunately, research data addressing psychosocial factors in this field are still rare.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The role of psychosocial factors in the interprofessional management of women with chronic pelvic pain: A systematic review

Klotz,

Kolbe,

Rueß

et al. 2023

Acta Obstet Gynecol Scand

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IntroductionChronic pelvic pain (CPP) is a common pain disorder in women associated with negative biopsychosocial consequences. The multifactorial etiology and maintaining aspects of CPP logically require an interprofessional treatment approach. However, the effects of interprofessional treatment strategies on psychosocial factors remain unclear. The study aims to investigate how interprofessional therapy helps to treat psychosocial factors in women with CPP. The systematic review summarizes the current evidence of interprofessional treatment in women with CPP.Material and methodsA systematic literature review was performed in six databases (Medline, Web of Science, Cochrane Library, PEDro, CINAHL, and PsycINFO) until February 2023. Studies were selected in a two‐step approach applying as inclusion criteria the search combinations of Chronic Pelvic Pain and CPP, synonyms for interprofessional therapies, and for female patients. Studies were excluded if they were not quantitative primary research published in English, if CPP was not defined appropriately, if the study population was not female adult patients, if the interprofessional intervention was not operationalized appropriately, if they were single case studies, and if outcomes did not include at least one of the psychosocial factors pain, depressive symptoms, pain catastrophizing, fear, or anxiety. Risk of bias of the included studies was rated with the McMaster Critical Review Form. Studies were summarized narratively. The review is registered in PROSPERO (CRD42023391008).ResultsFive studies with a total sample size of n = 186 women were included, three of them were uncontrolled retrospective before‐after chart review. Only one study used a randomized controlled design, the other study used a non‐randomized controlled group. The studies' methodological quality is adequate with perspective of study design. The multiprofessional treatment approaches used in the studies differed with regard to professions involved, therapy methods, and modalities. Psychosocial outcome measures were pain (five studies), depressive symptoms (three studies), and anxiety symptoms (four studies).ConclusionsAlthough interprofessional treatment strategies for women with CPP are recommended in existing guidelines, available evidence is scarce and does not allow for identification of the best interprofessional treatment approach. The effect on psychosocial factors remains unclear. More research is needed determining the best practice interprofessional treatment option for women with CPP.

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“…Several studies have stressed the important role of psychosocial factors in the development and maintenance of CPP as contributors and consequences. 9 , 10 , 50 , 51 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The role of psychosocial factors in the interprofessional management of women with chronic pelvic pain: A systematic review

Klotz,

Kolbe,

Rueß

et al. 2023

Acta Obstet Gynecol Scand

View full text Add to dashboard Cite

show abstract

“…Due to the extensive distribution of sympathetic postganglionic fibers in the skin and the fact that the nerves in the skin of the upper limbs and chest originate from the cervical and stellate ganglia, stellate ganglion nerve activity can be reflected by upper limb skin sympathetic nerve activity. Since reduction of CP/CPPS symptoms can significantly improve depression, anxiety, and pain symptoms of patients [ 16 ], we presume the possible pathogenesis of chronic pelvic pain syndrome may be the altered sympathetic nerve function caused by anxiety and depression.…”

Section: Discussionmentioning

confidence: 99%

“…Epidemiological studies have shown that psychosocial changes such as anxious depressive states and stress reactions [ 14 ] caused by CP/CPPS can further exacerbate pain symptoms severely [ 15 ]. Also, somatization symptoms, depression, anxiety, and pain catastrophizing were associated with physical HRQoL 12 months after treatment [ 16 ]. For this reason, it is vital to develop effective interventions to alleviate pain caused by CP/CPPS.…”

Section: Introductionmentioning

confidence: 99%

Comparing the effectiveness of extracorporeal shockwave therapy and myofascial release therapy in chronic pelvic pain syndrome: study protocol for a randomized controlled trial

Huang,

Qin,

Sun

et al. 2023

Trials

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Background Chronic prostatitis/chronic pelvic pain syndrome is a highly prevalent syndrome. Previous studies showed that extracorporeal shockwave therapy and myofascial release therapy could improve the quality of life in patients with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Theoretically, combined therapy with extracorporeal shockwave therapy and myofascial release therapy will likely have significant advantages in treating CP/CPPS. We, therefore, present a protocol for conducting a well-designed randomized controlled trial to compare the efficacy and safety of each therapy. Methods The proposed study will be a three-group randomized control trial (RCT) design that includes 150 participants from Zhongda Hospital Affiliated to Southeast University, with equal allocation of participants to the three intervention groups. The study duration will be 8 weeks, which includes a 4-week treatment period and a 4-week follow-up period. The primary outcome will be the changes in surface electromyography (sEMG) assessment and National Institutes of Health-Chronic Prostatitis Symptom Index (NIH-CPSI). The secondary outcomes will include the changes in three-dimensional quantification, shear wave elastography (SWE), and sympathetic skin response (SSR) testing. Assessments will be conducted before the intervention (T0), before the 5th intervention (T1), immediately after the 8th intervention (T2), and the 4th week after the end of the 8th intervention (T3). Discussion This trial will compare the differences in efficacy between single extracorporeal shockwave therapy, single myofascial release therapy, and combined therapy to select the most appropriate treatment option for patients with CP/CPPS. The possible pathogenesis of CP/CPPS would also be analyzed by comparing the intercorrelation between each objective and subjective measurement (NIH-CPSI score, sEMG, SWE, SSR). Trial registration The name of the registry: Extracorporeal Shockwave and Myofascial Release Therapy in Chronic Pelvic Pain Syndrome. Registration number: NCT05659199. Date of registration: December 2022.

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“…pain catastrophizing) constructs, rather than biological factors, in the development of chronic pain and disability (Meints & Edwards, 2018). Researchers were also aware of known confounding variables, including chronic illness status, contraception use, older age, lower parity, longer pain duration and being in a stable intimate relationship, on psychological and pain-related factors in women with endometriosis (Allaire et al, 2018;Brooks et al, 2020;Chen et al, 2021Chen et al, , 2016Evans et al, 2020;Facchin et al, 2017;Grandi et al, 2019;Grundström et al, 2019;Piontek et al, 2022). The current, exploratory study therefore sought to establish the temporal relationship between psychological factors (emotional distress and pain catastrophizing) and key endometriosis-related pain factors (pain severity and functional pain disability), while adjusting for covariates, in a prospective, community cohort of Australian women.…”

Section: Introductionmentioning

confidence: 99%

The temporal effect of emotional distress on psychological and physical functioning in endometriosis: A 12‐month prospective study

Dowding

Mikocka‐Walus

Skvarc

et al. 2022

Applied Psych Health & Well

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Psychological factors of emotional distress and cognition have an important role in the understanding and management of endometriosis; however, their temporal relationship with key pain variables is not fully understood. This exploratory study sought to establish the temporal relationship between psychological and pain‐related factors in a 12‐month prospective study of 208 Australian women with endometriosis. Participants, aged 18–50 years and living in Australia, were recruited via social media and completed baseline (May 2019) and 12‐month follow‐up (June 2020) surveys. Participants who reported a diagnosis of endometriosis and menses in the past 12 months were included in the study. Structural equation modelling was used to determine the temporal effects of psychological and pain‐related factors in endometriosis. In a covariate‐adjusted model, baseline emotional distress was the only variable to predict pain catastrophizing (β = .24, p < .01), functional pain disability (β = .16, p < .05) and concomitant emotional distress (β = .55, p < .001) 12 months later, adjusting for age and chronic illness. Women who exhibit symptoms of distress may be at risk of poorer psychological and physical function at 12 months. Further research is required to understand the impact of psychological management early in the disease course.

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The longitudinal association of symptom-related and psychological factors with health-related quality of life in patients with chronic pelvic pain syndrome

Cited by 6 publications

References 59 publications

The role of psychosocial factors in the interprofessional management of women with chronic pelvic pain: A systematic review

The role of psychosocial factors in the interprofessional management of women with chronic pelvic pain: A systematic review

Comparing the effectiveness of extracorporeal shockwave therapy and myofascial release therapy in chronic pelvic pain syndrome: study protocol for a randomized controlled trial

The temporal effect of emotional distress on psychological and physical functioning in endometriosis: A 12‐month prospective study

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