Mental disorders in patients with chronic pelvic pain syndrome (CPPS)

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Mental disorders in patients with chronic pelvic pain syndrome (CPPS). / Brünahl, Christian; Dybowski, Christoph; Albrecht, Rebecca; Riegel, Björn; Höink, Johanna; Fisch, Margit; Löwe, Bernd.

In: J PSYCHOSOM RES, Vol. 98, 07.2017, p. 19-26.

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@article{fa4b6893f15843a4969cf2710cbf11e6,
title = "Mental disorders in patients with chronic pelvic pain syndrome (CPPS)",
abstract = "OBJECTIVE: Chronic pelvic pain syndrome (CPPS) is a debilitating pain condition with prevalence rates between 2.0% and 26.6%. Studies indicate that CPPS is often associated with psychosocial factors, but little is known about the presence of full-blown mental disorders in female and male patients with CPPS. Therefore, the aim of this study was to investigate the frequencies of mental disorders in patients with CPPS.METHODS: Cross-sectional data were collected from patients visiting a specialized outpatient clinic. Frequencies of mental disorders were investigated using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and compared to the general population. Furthermore, self-rating questionnaires were used to assess somatic symptom severity (PHQ-15), depression severity (PHQ-9) and anxiety severity (GAD-7).RESULTS: Data from 178 CPPS patients (60.1% female; age M=49.1, SD=18.0) were analyzed. Of the total sample, 95.2% (95% CI 90.8-97.9) suffered from at least one mental disorder. The most prevalent mental disorders were somatoform disorders (91.7%; 95% CI 86.4-95.4), followed by mood disorders (50.6%; 95% CI 42.8-58.4) and anxiety disorders (32.1%; 95% CI 25.2-39.8). The self-reported symptom burden was also significantly higher than in the general population. Compared to men, women met the diagnoses of somatoform (p=0.012) and anxiety disorders (p=0.027) significantly more often and reported a significantly higher total somatic symptom severity (p=0.001).CONCLUSION: Our results provide evidence for a clinically relevant psychosocial symptom burden in patients with CPPS, indicating the need for the examination of psychopathologies and multi-professional treatment for this patient group.",
keywords = "Adult, Ambulatory Care Facilities, Chronic Pain, Cross-Sectional Studies, Female, Humans, Male, Mental Disorders, Pelvic Pain, Prevalence, Somatoform Disorders, Surveys and Questionnaires, Journal Article",
author = "Christian Br{\"u}nahl and Christoph Dybowski and Rebecca Albrecht and Bj{\"o}rn Riegel and Johanna H{\"o}ink and Margit Fisch and Bernd L{\"o}we",
note = "Copyright {\textcopyright} 2017. Published by Elsevier Inc.",
year = "2017",
month = jul,
doi = "10.1016/j.jpsychores.2017.04.011",
language = "English",
volume = "98",
pages = "19--26",
journal = "J PSYCHOSOM RES",
issn = "0022-3999",
publisher = "Elsevier Inc.",

}

RIS

TY - JOUR

T1 - Mental disorders in patients with chronic pelvic pain syndrome (CPPS)

AU - Brünahl, Christian

AU - Dybowski, Christoph

AU - Albrecht, Rebecca

AU - Riegel, Björn

AU - Höink, Johanna

AU - Fisch, Margit

AU - Löwe, Bernd

N1 - Copyright © 2017. Published by Elsevier Inc.

PY - 2017/7

Y1 - 2017/7

N2 - OBJECTIVE: Chronic pelvic pain syndrome (CPPS) is a debilitating pain condition with prevalence rates between 2.0% and 26.6%. Studies indicate that CPPS is often associated with psychosocial factors, but little is known about the presence of full-blown mental disorders in female and male patients with CPPS. Therefore, the aim of this study was to investigate the frequencies of mental disorders in patients with CPPS.METHODS: Cross-sectional data were collected from patients visiting a specialized outpatient clinic. Frequencies of mental disorders were investigated using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and compared to the general population. Furthermore, self-rating questionnaires were used to assess somatic symptom severity (PHQ-15), depression severity (PHQ-9) and anxiety severity (GAD-7).RESULTS: Data from 178 CPPS patients (60.1% female; age M=49.1, SD=18.0) were analyzed. Of the total sample, 95.2% (95% CI 90.8-97.9) suffered from at least one mental disorder. The most prevalent mental disorders were somatoform disorders (91.7%; 95% CI 86.4-95.4), followed by mood disorders (50.6%; 95% CI 42.8-58.4) and anxiety disorders (32.1%; 95% CI 25.2-39.8). The self-reported symptom burden was also significantly higher than in the general population. Compared to men, women met the diagnoses of somatoform (p=0.012) and anxiety disorders (p=0.027) significantly more often and reported a significantly higher total somatic symptom severity (p=0.001).CONCLUSION: Our results provide evidence for a clinically relevant psychosocial symptom burden in patients with CPPS, indicating the need for the examination of psychopathologies and multi-professional treatment for this patient group.

AB - OBJECTIVE: Chronic pelvic pain syndrome (CPPS) is a debilitating pain condition with prevalence rates between 2.0% and 26.6%. Studies indicate that CPPS is often associated with psychosocial factors, but little is known about the presence of full-blown mental disorders in female and male patients with CPPS. Therefore, the aim of this study was to investigate the frequencies of mental disorders in patients with CPPS.METHODS: Cross-sectional data were collected from patients visiting a specialized outpatient clinic. Frequencies of mental disorders were investigated using the Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I) and compared to the general population. Furthermore, self-rating questionnaires were used to assess somatic symptom severity (PHQ-15), depression severity (PHQ-9) and anxiety severity (GAD-7).RESULTS: Data from 178 CPPS patients (60.1% female; age M=49.1, SD=18.0) were analyzed. Of the total sample, 95.2% (95% CI 90.8-97.9) suffered from at least one mental disorder. The most prevalent mental disorders were somatoform disorders (91.7%; 95% CI 86.4-95.4), followed by mood disorders (50.6%; 95% CI 42.8-58.4) and anxiety disorders (32.1%; 95% CI 25.2-39.8). The self-reported symptom burden was also significantly higher than in the general population. Compared to men, women met the diagnoses of somatoform (p=0.012) and anxiety disorders (p=0.027) significantly more often and reported a significantly higher total somatic symptom severity (p=0.001).CONCLUSION: Our results provide evidence for a clinically relevant psychosocial symptom burden in patients with CPPS, indicating the need for the examination of psychopathologies and multi-professional treatment for this patient group.

KW - Adult

KW - Ambulatory Care Facilities

KW - Chronic Pain

KW - Cross-Sectional Studies

KW - Female

KW - Humans

KW - Male

KW - Mental Disorders

KW - Pelvic Pain

KW - Prevalence

KW - Somatoform Disorders

KW - Surveys and Questionnaires

KW - Journal Article

U2 - 10.1016/j.jpsychores.2017.04.011

DO - 10.1016/j.jpsychores.2017.04.011

M3 - SCORING: Journal article

C2 - 28554368

VL - 98

SP - 19

EP - 26

JO - J PSYCHOSOM RES

JF - J PSYCHOSOM RES

SN - 0022-3999

ER -