Clinical and Psychosocial Predictors of Urological Chronic Pelvic Pain Symptom Change in 1 Year: A Prospective Study from the MAPP Research Network

The Journal of Urology
Bruce D NaliboffMAPP Research Network

Abstract

We examined baseline clinical and psychosocial characteristics that predict 12-month symptom change in men and women with urological chronic pelvic pain syndromes. A total of 221 female and 176 male patients with urological chronic pelvic pain syndromes were recruited from 6 academic medical centers in the United States and evaluated at baseline with a comprehensive battery of symptom, psychosocial and illness-impact measures. Based on biweekly symptom reports, a functional clustering procedure classified participant outcome as worse, stable or improved on pain and urinary symptom severity. Cumulative logistic modeling was used to examine individual predictors associated with symptom change as well as multiple predictor combinations and interactions. About 60% of participants had stable symptoms with smaller numbers (13% to 22%) showing clear symptom worsening or improvement. For pain and urinary outcomes the extent of widespread pain, amount of nonurological symptoms and poorer overall health were predictive of worsening outcomes. Anxiety, depression and general mental health were not significant predictors of outcomes but pain catastrophizing and self-reported stress were associated with pain outcome. Prediction models did no...Continue Reading

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Citations

Dec 19, 2018·Nature Reviews. Urology·J Quentin ClemensUNKNOWN MAPP Research Network Study Group
Dec 4, 2019·The Clinical Journal of Pain·Niloofar AfariUNKNOWN MAPP Research Network
Sep 14, 2018·Annals of Behavioral Medicine : a Publication of the Society of Behavioral Medicine·Andrew SchrepfUNKNOWN MAPP Research Network
Jan 19, 2021·Current Bladder Dysfunction Reports·Sula Windgassen, Lindsey McKernan
Feb 20, 2021·Neurourology and Urodynamics·H Henry LaiUNKNOWN MAPP Research Network
Apr 25, 2020·Urology·Claire C Yang, James Quentin Clemens
Nov 20, 2020·Female Pelvic Medicine & Reconstructive Surgery·Katherine A VolpeAvita K Pahwa

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