Cited by 34Urinary Bladder and Prostate ResearchSexual function and dysfunction studiesMusculoskeletal pain and rehabilitation

Predictors of pain, urinary symptoms and quality of life in patients with chronic pelvic pain syndrome (CPPS): A prospective 12-month follow-up study

Dybowski, Christoph, Löwe, Bernd, Brünahl, Christian·2018·Journal of Psychosomatic Research

Abstract

Objective Chronic pelvic pain syndrome (CPPS) can affect both men and women and often causes substantial impairment to quality of life. Although cross-sectional studies have suggested that psychosocial aspects may constitute important factors in the etiology and maintenance of CPPS, longitudinal studies are rare. Therefore, the present study examines psychosocial factors as prospective predictors of pain intensity, urinary symptoms and impediments to quality of life in men and women with CPPS.Methods Data were collected from patients during visits to a specialized, interdisciplinary outpatient clinic and after 12 months. Outcomes included pain intensity, urinary symptoms and impediments to quality of life, all of which were measured with the NIH-CPSI. Age, sex, depressive-anxious symptomatology (PHQ-ADS), pain catastrophizing (PCS), health anxiety (WI-7) and social support (FSozU) were examined as predictors in multivariate linear regressions.Results Data from 109 patients (59.6% female; age M = 49.3, SD = 16.7) were analyzed. Pain severity (β = .30, p = .004), age (β = .22, p = .02), urinary symptoms (β = .24, p = .01) and depressive-anxious symptomatology (β = .29, p = .009) at baseline emerged as predictors of pain at follow-up. Urinary symptoms were predicted by urinary symptoms (β = .53, p < .001) and depressive-anxious symptomatology (β = .25, p = .01) at baseline; impediments to quality of life were predicted by depressive-anxious symptomatology (β = .27, p = .01).Conclusion Psychological factors, especially depressive-anxious symptomatology, predict CPPS-specific symptom severity and impediments to quality of life after 12 months and thus substantially contribute to the chronification of CPPS. It is recommended to address anxiety and depression in patients with CPPS as early as possible in biopsychosocially oriented treatment approaches.

Integrity signals

Registry

Crossref · 10.1016/j.jpsychores.2018.06.013

Cites

97 of 97 references verified0 citation errors · 0 not checkable

Statistics

Recomputing p-values needs the paper’s full text.

Claims the paper makes

This paper’s full text isn’t openly available, so its claims and self-check weren’t run. The registry and citation checks still apply.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Cites

Flagged first, then by citations

1 of the 98 references couldn’t be matched to a known paper.

Cited by

Sorted by citations

Authors
Dybowski, C., Löwe, B., & Brünahl, C.
Affiliations
Schön Klinik Hamburg Eilbek (DE)
Corresponding author
Dybowski, Christoph
Venue
Journal of Psychosomatic Research
Publisher
Elsevier BV
Published
2018-09
Volume
112
Pages
99-106
ISSN
0022-3999 (ISSN-L)
OpenAlex
W2885008459
Cited by
34
References
98
Citations by year
2026: 2 · 2025: 4 · 2024: 4 · 2023: 8 · 2022: 4 · 2021: 4 · 2020: 6 · 2019: 2
FWCI
4.00
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Psychosomatic Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
PRANA Foundation (T340/21344/10)
Topics
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
  • Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords
chronic prostatitis, pain intensity, urinary symptoms, quality of life, pain catastrophizing, health anxiety, social support, psychosocial predictors, biopsychosocial treatment
MeSH terms
Cross-Sectional Studies, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Middle Aged, Prospective Studies, Quality of Life, Syndrome, Pelvic Pain, Chronic Pain

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review