Abstract:
Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is considered a prevalent urological condition, which has proven difficult to manage and has become extremely frustrating not only for patients, but also for physicians. Genitourinary and pelvic pain is the cardinal symptom of CP/CPPS and is strongly associated with intra and interpersonal difficulties reported across patient age cohorts. Microorganisms, inflammation and urinary symptoms have historically been biomedical targets of treatment in prostatitis and CP/CPPS. Unfortunately, the biomedical model of CP/CPPS has advanced no cure and clinicians are considering CP/CPPS as a syndrome where symptom management is a primary concern. Recent reviews of psychosocial factors (i.e., personality, depression, anxiety) in CP/CPPS indicate robust associations with poorer Quality of Life (QOL). Further, urological researchers and clinicians alike suggest that a biopsychosocial model for CP/CPPS is necessary. A biopsychosocial model of QOL requires that physical and psychosocial treatment options be examined for CP/CPPS. This chapter avoids repetition of recent CP/CPPS and QOL reviews by focusing on late breaking developments and novel trends in the CP/CPPS QOL literature. For example, recent biopsychosocial CP/CPPS research is reviewed showing catastrophizing to be a better predictor of CP/CPPS outcomes over other factors like urinary status and depression. As well, emerging data on adolescent CP/CPPS and QOL will be reviewed. Finally, a review of the race/ethnicity data and CP/CPPS QOL is offered. Comments on future QOL research and biopsychosocial treatment models are also provided.
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Abbreviations
- CP/CPPS:
-
chronic prostatitis/chronic pelvic pain syndrome
- NIH-CPSI:
-
National Institutes of Health chronic prostatitis symptom index
- PCS:
-
pain catastrophizing scale
- PHQ:
-
patient health questionnaire
- QOL:
-
quality of life
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Tripp, D.A., Nickel, J.C. (2010). Quality of Life in Men with Chronic Prostatitis/Chronic Pelvic Pain Syndrome. In: Preedy, V.R., Watson, R.R. (eds) Handbook of Disease Burdens and Quality of Life Measures. Springer, New York, NY. https://doi.org/10.1007/978-0-387-78665-0_129
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