A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome

Tripp, Dean A.; Nickel, J. Curtis; Katz, Laura

doi:10.5489/cuaj.10201

Cited by 36 publications

(20 citation statements)

References 28 publications

(19 reference statements)

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“…6,8,9 It has been suggested that psychologically based treatments can be effective in the management of CPP in addition to medical and surgical management. 10,11 Moreover, there has been recent publication in support of multidisciplinary CPP services, including a male CPP PMP: the LINK PMP. 12 In the context of the evidence of heightened levels of psychological distress and painrelated disabilities, a clear rationale can be seen for the provision of a PMP designed to support and promote self-management strategies within this pain population.…”

Section: Introductionmentioning

confidence: 99%

The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

Twiddy

Lane

Chawla

et al. 2015

British Journal of Pain

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Context/Background: Chronic pelvic pain (CPP) is a physically and psychologically debilitating condition. European Association of Urology (EAU) Guidelines (2013) and Royal College of Obstetricians and Gynaecologists (RCOG) guidelines (2012) place strong emphasis upon multi-speciality assessment and liaison, as well as interdisciplinary assessment and intervention in reference to the management of CPP. Objectives: The aim was to introduce and describe the development and delivery of an interdisciplinary pain management programme (PMP), at a Specialised Pain Management Centre in Liverpool, United Kingdom, for women diagnosed with CPP. Method: The format and content of the CPP PMP at The Walton Centre, Liverpool, is described and the preliminary results from the CPP PMP are presented. Results: Preliminary data suggest that outcomes on the specialised CPP PMP indicate that patients are able to make clinically important change across a range of outcome measures. Moreover, these results compare favourably to the established PMP for generalised chronic pain when comparing clinically significant outcomes with the Walton Centre's (a tertiary-level pain management centre) 2013 PMP Audit document. Patients attending the CPP PMP positively appraised the PMP and felt it was useful and supportive to be in a group dedicated to CPP. Conclusions: This article presents some preliminary results that suggest there is value in delivering a specialised multidisciplinary PMP for this group. There is a clear need for further clinical research into the effectiveness of similar interventions for CPP, including the early identification of those CPP patients who may benefit from both multi-specialty and interdisciplinary management.

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Section: Introductionmentioning

confidence: 99%

The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

Twiddy

Lane

Chawla

et al. 2015

British Journal of Pain

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“…27 This previously-identified style of negative CP/CPPS processing 5,7,10,12,14 can be modified, and reductions in catastrophizing have been shown to be associated with reductions in CP/CPPS symptoms. 28 This study also strongly indicated that illness-focused coping is an important target in improving patients' mental and physical QoL. Previous research has examined the use of pain-contingent rest as a coping strategy in men with CP/ CPPS, and found that it predicted disability 12 and poorer physical QoL.…”

Section: Discussionmentioning

confidence: 86%

“…To improve mental QoL, catastrophizing should be reduced. Interventions have been successful in reducing catastrophizing in CP/CPPS 28 by teaching patients how to identify and modify catastrophic interpretations of symptom-associated life events, and by promoting renewed social and physical activity engagement. Moreover, physicians can address patients' catastrophizing in their offices using various strategies (e.g., increasing patient self-awareness, suggesting readings for self-management).…”

Section: Discussionmentioning

confidence: 99%

Psychosocial mechanisms of the pain and quality of life relationship for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)

Krsmanovic

Tripp

Nickel

et al. 2014

CUAJ

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Introduction: Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) is a prevalent, chronic pelvic pain condition largely unresponsive to medical interventions. Psychosocial risk factors are associated with poor outcomes in CP/CPPS, but have not been examined for their intervening roles between pain and reduced quality of life (QoL). This study aimed to determine if psychosocial risk factors (i.e., patient coping and catastrophizing) mediate the association between pain and QoL.Methods: Using a cross sectional design, 175 men with CP/CPPS (mean age 46.83; SD 10.86) were recruited from tertiary care urology clinics and completed questionnaires on demographics, pain, QoL, pain coping, depression, and catastrophizing. An exploratory factor analysis was conducted and aggregate factor scores were examined to improve the amount of meaningful measurement to be used in multiple mediations. The models specified multiple risk factors as mechanisms between pain and both physical and mental QoL as the primary outcome measurements.Results: Four aggregate psychosocial factor scores were produced from the psychosocial measures (i.e., illness and wellness-focused behavioural coping, depression and catastrophizing). Illness focusedcoping partially mediated the relationship between pain and physical QoL. However, catastrophizing and illness-focused coping fully mediated the relation between pain and mental QoL, showing the association between pain and mental QoL was no longer significant when catastrophizing and illness-focused coping were in the model.Conclusion: Psychosocial factors function as mechanisms between higher pain and they are associated diminished mental QoL. These results introduce illness-focused coping as an important biopsychosocial target in CP/CPPS management.

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“…Moreover, longitudinal research suggests that if patients with IBD develop good coping mechanisms early in their disease, they are less likely to report poorer mood that can exacerbate symptoms later on (Lix et al, 2008). Psychological treatment does benefit disease and symptom management as shown in recent abdominal-pelvic pain research (Boye et al, 2011;Tripp, Nickel, & Katz, 2011). Tripp et al (2011) used a cognitive-behavioural therapy framework aimed at improving QoL in men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS).…”

Section: Discussionmentioning

confidence: 98%

Mechanisms of Quality of Life and Social Support in Inflammatory Bowel Disease

Katz

Tripp

Ropeleski

et al. 2015

J Clin Psychol Med Settings

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Cognitive and social factors are essential considerations in inflammatory bowel disease (IBD) patient management, but existing research is limited. This study aims to expand the IBD literature by examining the relationship between social supports and QoL, while examining mechanisms in these relationships. Consenting patients attending an IBD outpatient clinic were provided a survey package (N = 164). Regressions evaluated predictors of IBD-QoL, and catastrophizing and optimism were examined as mediators between social support and IBD-QoL. Diminished IBD-QoL was predicted by younger age, greater negative spousal responses, and less perceived spousal support. Mediation models showed helplessness catastrophizing to be the lone mediator, acting as a mechanism between both negative spousal responses and perceived spousal support with IBD-QoL. Social interaction variables are associated with IBD-QoL, but patients' experience of helplessness acts to reduce their ability to benefit from social support. Patient care should consider supportive social and cognitive factors to improve IBD-QoL.

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A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome

Abstract: The psychosocial management program targets and significantly reduces several empirically supported psychosocial risk factors associated with poorer CP/CPPS outcomes. Psychosocial management for CP/CPPS is feasible, but requires a randomized controlled trial with longitudinal follow-up.

Cited by 36 publications

References 28 publications

The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

The development and delivery of a female chronic pelvic pain management programme: a specialised interdisciplinary approach

Psychosocial mechanisms of the pain and quality of life relationship for chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS)

Mechanisms of Quality of Life and Social Support in Inflammatory Bowel Disease

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