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Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome

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Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome. / Piontek, Katharina; Ketels, Gesche; Albrecht, Rebecca; Schnurr, Ulrike; Dybowski, Christoph; Brünahl, Christian A; Riegel, Björn; Löwe, Bernd.

in: J PSYCHOSOM RES, Jahrgang 120, 05.2019, S. 1-7.

Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung

Harvard

Piontek, K, Ketels, G, Albrecht, R, Schnurr, U, Dybowski, C, Brünahl, CA, Riegel, B & Löwe, B 2019, 'Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome', J PSYCHOSOM RES, Jg. 120, S. 1-7. https://doi.org/10.1016/j.jpsychores.2019.02.010

APA

Piontek, K., Ketels, G., Albrecht, R., Schnurr, U., Dybowski, C., Brünahl, C. A., Riegel, B., & Löwe, B. (2019). Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome. J PSYCHOSOM RES, 120, 1-7. https://doi.org/10.1016/j.jpsychores.2019.02.010

Vancouver

Piontek K, Ketels G, Albrecht R, Schnurr U, Dybowski C, Brünahl CA et al. Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome. J PSYCHOSOM RES. 2019 Mai;120:1-7. https://doi.org/10.1016/j.jpsychores.2019.02.010

Bibtex

@article{629d013517c44ec3ba47f116efa490ca,
title = "Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome",
abstract = "AIMS: To investigate the combined impact of somatic and psychosocial factors on symptom severity and physical and mental quality of life (QoL) in male and female patients with chronic pelvic pain syndrome (CPPS).METHODS: We examined 234 patients aged 18 to 84 years attending an interdisciplinary outpatient clinic for patients with CPPS in Hamburg, Germany. Using self-reports, we assessed CPPS symptom severity (NIH-CPSI), with the female counterpart of each male anatomical site used in the questionnaire for women; physical and mental QoL (SF-12) as well as symptoms of depression (PHQ-9) and anxiety (GAD-7); pain catastrophizing cognitions (PCS); social support (F-SozU) and medication intake. The presence of trigger and tender points was assessed in a physiotherapy examination. Hierarchical multiple regression analysis was calculated to analyze the contribution of somatic and psychosocial variables on CPPS symptom severity. Analyses were repeated with physical and mental QoL as outcomes.RESULTS: In the overall model, the intake of pain medication (B = 3.78, SE = 1.25, p = .006), the presence of depressive symptoms (B = 0.40, SE = 0.15, p = .01) and pain catastrophizing (B = 0.18, SE = 0.05, p = .001) significantly predicted CPPS symptom severity. Corresponding analyses revealed a differential pattern of factors predicting physical and mental QoL, whereas higher levels of depressive symptoms were consistently associated with diminished mental (B = -0.63; p < .001) and physical QoL (B = -0.85; p < .001).CONCLUSION: Present results emphasize the importance of psychosocial factors, in particular of depression, in CPPS symptom severity and both physical and mental QoL and give support to an integrated treatment concept encompassing both psychological support and somatic aspects of the disease.",
keywords = "Journal Article",
author = "Katharina Piontek and Gesche Ketels and Rebecca Albrecht and Ulrike Schnurr and Christoph Dybowski and Br{\"u}nahl, {Christian A} and Bj{\"o}rn Riegel and Bernd L{\"o}we",
note = "Copyright {\textcopyright} 2019 Elsevier Inc. All rights reserved.",
year = "2019",
month = may,
doi = "10.1016/j.jpsychores.2019.02.010",
language = "English",
volume = "120",
pages = "1--7",
journal = "J PSYCHOSOM RES",
issn = "0022-3999",
publisher = "Elsevier Inc.",

}

RIS

TY - JOUR

T1 - Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome

AU - Piontek, Katharina

AU - Ketels, Gesche

AU - Albrecht, Rebecca

AU - Schnurr, Ulrike

AU - Dybowski, Christoph

AU - Brünahl, Christian A

AU - Riegel, Björn

AU - Löwe, Bernd

N1 - Copyright © 2019 Elsevier Inc. All rights reserved.

PY - 2019/5

Y1 - 2019/5

N2 - AIMS: To investigate the combined impact of somatic and psychosocial factors on symptom severity and physical and mental quality of life (QoL) in male and female patients with chronic pelvic pain syndrome (CPPS).METHODS: We examined 234 patients aged 18 to 84 years attending an interdisciplinary outpatient clinic for patients with CPPS in Hamburg, Germany. Using self-reports, we assessed CPPS symptom severity (NIH-CPSI), with the female counterpart of each male anatomical site used in the questionnaire for women; physical and mental QoL (SF-12) as well as symptoms of depression (PHQ-9) and anxiety (GAD-7); pain catastrophizing cognitions (PCS); social support (F-SozU) and medication intake. The presence of trigger and tender points was assessed in a physiotherapy examination. Hierarchical multiple regression analysis was calculated to analyze the contribution of somatic and psychosocial variables on CPPS symptom severity. Analyses were repeated with physical and mental QoL as outcomes.RESULTS: In the overall model, the intake of pain medication (B = 3.78, SE = 1.25, p = .006), the presence of depressive symptoms (B = 0.40, SE = 0.15, p = .01) and pain catastrophizing (B = 0.18, SE = 0.05, p = .001) significantly predicted CPPS symptom severity. Corresponding analyses revealed a differential pattern of factors predicting physical and mental QoL, whereas higher levels of depressive symptoms were consistently associated with diminished mental (B = -0.63; p < .001) and physical QoL (B = -0.85; p < .001).CONCLUSION: Present results emphasize the importance of psychosocial factors, in particular of depression, in CPPS symptom severity and both physical and mental QoL and give support to an integrated treatment concept encompassing both psychological support and somatic aspects of the disease.

AB - AIMS: To investigate the combined impact of somatic and psychosocial factors on symptom severity and physical and mental quality of life (QoL) in male and female patients with chronic pelvic pain syndrome (CPPS).METHODS: We examined 234 patients aged 18 to 84 years attending an interdisciplinary outpatient clinic for patients with CPPS in Hamburg, Germany. Using self-reports, we assessed CPPS symptom severity (NIH-CPSI), with the female counterpart of each male anatomical site used in the questionnaire for women; physical and mental QoL (SF-12) as well as symptoms of depression (PHQ-9) and anxiety (GAD-7); pain catastrophizing cognitions (PCS); social support (F-SozU) and medication intake. The presence of trigger and tender points was assessed in a physiotherapy examination. Hierarchical multiple regression analysis was calculated to analyze the contribution of somatic and psychosocial variables on CPPS symptom severity. Analyses were repeated with physical and mental QoL as outcomes.RESULTS: In the overall model, the intake of pain medication (B = 3.78, SE = 1.25, p = .006), the presence of depressive symptoms (B = 0.40, SE = 0.15, p = .01) and pain catastrophizing (B = 0.18, SE = 0.05, p = .001) significantly predicted CPPS symptom severity. Corresponding analyses revealed a differential pattern of factors predicting physical and mental QoL, whereas higher levels of depressive symptoms were consistently associated with diminished mental (B = -0.63; p < .001) and physical QoL (B = -0.85; p < .001).CONCLUSION: Present results emphasize the importance of psychosocial factors, in particular of depression, in CPPS symptom severity and both physical and mental QoL and give support to an integrated treatment concept encompassing both psychological support and somatic aspects of the disease.

KW - Journal Article

U2 - 10.1016/j.jpsychores.2019.02.010

DO - 10.1016/j.jpsychores.2019.02.010

M3 - SCORING: Journal article

C2 - 30929698

VL - 120

SP - 1

EP - 7

JO - J PSYCHOSOM RES

JF - J PSYCHOSOM RES

SN - 0022-3999

ER -