Abstract
Objectives
There are two objectives: (1) Examine quality of life (QoL) and mood between chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) patients and spouses over a 2-year period; (2) Longitudinally assess CP/CPPS patient pain, disability, and pain catastrophizing over a 2-year period.
Methods
Forty-four CP/CPPS diagnosed men and their spouses participated. Patients completed demographics, QoL, depression, anxiety, pain, disability, and catastrophizing across the study. Spouses completed QoL, depression, and anxiety. Patients/spouses were not different in education, but patients were older (49 years; SD = 9.56). The average symptom duration was 8.68 (SD = 7.61). Couples were married or common law, and majority of patients were employed. Due to attrition, approximately 21 couples provided analyzable data.
Results
Patients and spouses physical QoL did not statistically differ over time from one another, and both increased over the study period. Mental QoL increased over time, but patients reported lower QoL. Patients reported more depression and anxiety, but both measures remained stable over time for spouses and patients. Finally, patient only analyses showed that disability did decrease over time from a high at 6 months, but pain and catastrophizing showed stability over the 2 years.
Conclusions
Patients reported worse mental QoL, depression, and anxiety compared to spouses, and spouses reported significant stable levels of depression and anxiety similar to patients. Further, patient catastrophizing, pain, and disability did not reduce over the 2-year assessment period. These results provide further impetus for the development and implementation of mental health strategies alongside continued medical efforts in couples suffering from CP/CPPS.
Similar content being viewed by others
References
De la Rosette JJ, Hubregtse MR, Meuleman EJ, Stolk-Engelaar MV, Debruyne FM (1993) Diagnosis and treatment of 409 patients with prostatitis syndromes. Urology 41(4):301–307
Krieger JN, Nyberg L Jr, Nickel JC (1999) NIH consensus definition and classification of prostatitis. JAMA 282(3):236–237
McNaughton Collins M, Pontari MA, O’Leary MP, Calhoun EA, Santanna J, Landis JR, Kusek JW, Litwin MS (2001) Chronic prostatitis collaborative research network quality of life is impaired in men with chronic prostatitis. J Gen Intern Med 16(10):656–662
Anothaisintawee T, Attia J, Nickel JC, Thammakraisorn S, Numthavaj P, McEvoy M, Thakkinstain A (2011) Management of chronic prostatitis/chronic pelvic pain syndrome: a systematic review and network meta-analysis. JAMA 305(1):78–86
Nickel JC, Downey JA, Nickel KR, Clark JM (2002) Prostatitis-like symptoms: one year later. BJU Int 90(7):678–681
Shoskes DA, Nickel JC, Dolinga R, Prots D (2009) Clinical phenotyping of patients with chronic prostatitis/chronic pelvic pain syndrome and correlation with symptom severity. Urology 73(3):538–542
Ku JH, Kim SW, Paick JS (2005) Quality of life and psychological factors in chronic prostatitis/chronic pelvic pain syndrome. Urology 66(4):693–701
Tripp DA, Nickel JC, Wang Y et al (2006) Catastrophizing and pain-contingent rest predict patient adjustment in men with chronic prostatitis/chronic pelvic pain syndrome. J Pain 7(10):697–708
Nickel JC, Tripp DA, Chuai S et al (2008) Psychosocial variables affect the quality of life of men diagnosed with chronic prostatitis/chronic pelvic pain syndrome. BJU Int 101(1):59–64
Mossey JM, Gallagher RM, Tirumalasetti F (2000) The effects of pain and depression on physical functioning in elderly residents of a continuing care retirement community. Pain Med 1:340–350
Parker JC, Wright GE (1995) The implications of depression for pain and disability in rheumatoid arthritis. Arthritis Care Res 8:279–283
Gallagher RM, Verma S, Mossey J (2000) Chronic pain. Sources of late-life pain and risk factors for disability. Geriatrics 55(40–4):47
Mossey J, Gallagher RM (2004) The longitudinal occurrence and impact of comorbid chronic pain and chronic depression over two years in continuing care retirement community residents. Pain Med 5(4):335–348
Ware JE Jr, Kosinski M, Keller SD (1996) A 12 Item Short Form Health Survey: construction of scales and preliminary tests of reliability and validity. Med Care 34:220–233
Pollard CA (1984) Preliminary validity study of the pain disability index. Percept Mot Skills 59:974–979
Spielberger CD (1983) Manual for the state-trait anxiety inventory (STAI: Form Y). Consulting Psychologists, Palo Alto, CA
Radloff LS (1977) The CES-D Scale: a self-report depression scale for research in the general population. Appl Psychol Meas 1:385–401
Melzack R (1987) The Short-Form McGill Pain Questionnaire. Pain 30:191–197
Sullivan MJL, Bishop SR, Pivik J (1995) The Pain Catastrophizing Scale: development and validation. Psychol Assess 7:524–532
Capaldi D, Patterson GR (1987) An approach to the problem of recruitment and retention rates for longitudinal research. Behav Assess 9:169–177
Tabachnick BG, Fidell LS (2007) Using multivariate statistics, 4th edn. Pearson, Boston, MA
Tripp DA, Nickel JC, FitzGerald MP, Mayer R, Stechyson N, Hsieh A (2009) Sexual functioning, catastrophizing, depression and pain, as predictors of quality of life in women suffering from interstitial cystitis/painful bladder syndrome (IC/PBS). Urology 73(5):987–992
Zich JM, Attkisson CC, Greenfield TK (1990) Screening for depression in primary care clinics: the CES-D and the BDI. Int J Psychiatry Med 20(3):259–277
Ginting JV, Tripp DA, Nickel JC et al (2010) Spousal support decreases the negative impact of pain on mental quality of life in women with interstitial cystitis/painful bladder syndrome. BJUI 31:1–5
Ginting JV, Tripp DA, Nickel JC (2011) Self-reported spousal support modifies the negative impact of pain on disability in men with chronic prostatitis/chronic pelvic pain syndrome. Urology 78(5):1136–1141
Hedelin H (2012) The chronic prostatitis/chronic pelvic pain syndrome and pain catastrophizing: a vicious combination. Scan J Urol Nephrol 46:273–278
McNaughton-Collins M, Leiby BE et al (2006) A prospective study of symptoms and quality of life in men with chronic prostatitis/chronic pelvic pain syndrome: the National Institutes of Health Chronic Prostatitis Cohort study. J Urol 175:619–623
Sullivan MJL, Thibault P, Simmonds MJ, Milioto M, Cantin A, Velly AM (2009) Pain, perceived injustice and the persistence of post-traumatic stress symptoms during the course of rehabilitation for whiplash injuries. Pain 145:325–331
Boothby JL, Thorn BE, Stroud MW, Jensen MP (1999) Coping with pain. In: Turk DC, Gatchel RJ (eds) Psychosocial factors in pain: critical perspectives. Guilford, New York, NY, pp 343–359
Nickel JC, Tripp DA, Pontari M et al (2010) Interstitial cystitis/painful bladder syndrome and associated medical conditions with an emphasis on irritable bowel syndrome, fibromyalgia and chronic fatigue syndrome. J Urol 184:1358–1362
Keefe FJ, Brown GK, Wallston KA, Caldwell DS (1989) Coping with rheumatoid arthritis pain: catastrophizing as a maladaptive strategy. Pain 37:51–56
Turner JA, Mancl L, Aaron LA (2005) Brief cognitive-behavioral therapy for temporomandibular disorder pain: effects on daily electronic outcome and process measures. Pain 117:377–387
Jensen MP, Turner JA, Romano J (2001) Changes in beliefs, catastrophizing, and coping are associated with improvement in multidisciplinary pain treatment. JCCP 69(4):655–662
Tripp DA, Nickel JC, Katz L (2011) A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome. Can Urol Assoc J 5(5):328–332
Anderson RU, Wise D, Sawyer T, Glowe P, Orenberg EK (2011) 6-day intensive treatment protocol for refractory chronic prostatitis/chronic pelvic pain syndrome using myofascial release and paradoxical relaxation training. J Urol 185(4):1294–1299
Turk DC, Swanson KS, Tunks ER (2008) Psychological approaches in the treatment of chronic pain patients, when pills, scalpels, and needles are not enough. Can J Psychiatry 53(4):213–223
Ahern K, Le Brocque R (2005) Methodological issues in the effects of attrition: simple solutions for social scientists. Field Methods 17:53–60
Little RJA (1995) Modeling the drop-out mechanism in repeated-measures studies. J Am Stat Assoc 90(431):112–119
Conflict of interest
The authors declare that they have no conflict of interest.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Tripp, D.A., Nickel, J.C., Shoskes, D. et al. A 2-year follow-up of quality of life, pain, and psychosocial factors in patients with chronic prostatitis/chronic pelvic pain syndrome and their spouses. World J Urol 31, 733–739 (2013). https://doi.org/10.1007/s00345-013-1067-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00345-013-1067-6