Catastrophizing and pain-contingent rest predict patient adjustment in men with chronic prostatitis/chronic pelvic pain syndrome

被引：122

作者：

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., Jr.

Nyberg, Leroy M.

Kusek, John W.

机构：

[1] Queens Univ, Dept Psychol, Kingston, ON K7L 3N6, Canada

[2] Queens Univ, Dept Anesthesiol, Kingston, ON K7L 3N6, Canada

[3] Queens Univ, Dept Urol, Kingston, ON K7L 3N6, Canada

[4] Univ Penn, Sch Med, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA

[5] Univ Calif Los Angeles, Dept Urol, David Geffen Sch Med, Los Angeles, CA USA

[6] Univ Calif Los Angeles, Dept Hlth Serv, David Geffen Sch Med, Los Angeles, CA USA

[7] Univ Calif Los Angeles, Sch Publ Hlth, Los Angeles, CA USA

[8] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA

[9] Univ Maryland, Sch Med, Baltimore, MD 21201 USA

[10] Vet Adm Maryland Hlth Care Syst, Baltimore, MD USA

[11] Northwestern Univ, Chicago, IL 60611 USA

[12] Brigham & Womens Hosp, Boston, MA 02115 USA

[13] Temple Univ, Philadelphia, PA 19122 USA

[14] Univ Mississippi, Oxford, MS USA

来源：

JOURNAL OF PAIN | 2006年 / 7卷 / 10期

关键词：

chronic prostatitis; adjustment; catastrophizing; pain-contingent resting;

D O I：

10.1016/j.jpain.2006.03.006

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Cognitive/behavioral and environmental variables are significant predictors of patient adjustment in chronic pain. Using a biopsychosocial template and selecting several pain-relevant constructs from physical, cognitive/behavioral, and environmental predictors, outcomes of pain and disability in chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) were explored. Men (n = 253) from a North American multi-institutional NIH-funded Chronic Prostatitis Cohort Study in 6 US and 1 Canadian centers participated in a survey examining pain and disability. Measures included demographics, urinary symptoms, depression, pain, disability, catastrophizing, control over pain, pain-contingent rest, social support, and solicitous responses from a significant other. Regressions showed that urinary symptoms (beta = .20), depression (beta = .24), and helplessness catastrophizing (beta = .29) predicted overall pain. Further, affective pain was predicted by depression (beta = .39) and helplessness catastrophizing (beta = .44), whereas sensory pain was predicted by urinary symptoms (beta = .25) and helplessness catastrophizing (beta = .37). With regard to disability, urinary symptoms (beta = .17), pain (beta = .21), and pain-contingent rest (beta = .33) were the predictors. These results suggest cognitive/behavioral variables (ie, catastrophizing, pain-contingent rest) may have significant impact on patient adjustment in CP/CPPS. Findings support the need for greater research of such pain-related variables in CP/CPPS. Perspective: This article explores predictors of patient adjustment in chronic prostatitislchronk pelvic pain syndrome (CP/CPPS). Cognitive/behavioral variables of catastrophizing and pain-contingent rest respectively predicted greater pain and disability. Catastrophic helplessness was a prominent pain predictor. These findings inform clinicians and researchers on several new variables in CP/CPPS outcomes and suggest future research. (c) 2006 by the American Pain Society

引用

页码：697 / 708

页数：12

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