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

Authors

  • Dean A. Tripp Departments of Psychology, Anesthesiology & Urology, Queen’s University, Kingston, ON
  • J. Curtis Nickel Department of Urology, Queen’s University, Kingston, ON
  • Laura Katz Department of Psychology, Queen’s University, Kingston, ON

DOI:

https://doi.org/10.5489/cuaj.690

Abstract

Background: Our objective was to determine the feasibility of a
cognitive behavioural symptom management program for the acute
improvement of psychosocial risk factors of diminished quality of
life (QoL) in men suffering from chronic prostatitis/chronic pelvic
pain syndrome (CP/CPPS).

Materials and Methods: We assessed CP/CPPS symptoms and
impact (i.e., chronic prostatitis symptom index [CPSI] pain, urinary,
QoL domains), psychosocial risk factors were assessed at baseline
and weekly for 8 weeks. We included the following psychosocial
risk factors: catastrophizing (Pain Catastrophizing Scale, PCS),
mood (Center for Epidemiological Studies in Depression Scale,
CES-D), social support (Multidimensional Scale of Perceived Social
Support, MSPSS) and general pain (McGill Pain Questionnaire).
Patient sessions dispute and replace pessimistic thinking with
health-focused thinking and behaviour.

Results: Eleven men completed the psychosocial management program
(mean age = 51.3, standard deviaton [SD] = 12.49). Mean
CPSI baseline total score was 25.2 (SD = 10.21). Repeated measures
ANOVAs showed the program was associated with significant
linear reductions for pain (p = 0.051), disability (p= 0.020)
and catastrophizing (p = 0.005), but no changes in depressive
symptoms or social support. The CPSI baseline scores compared
to follow-up scores (n = 8) were significantly reduced (p = 0.007),
with CPSI pain (p = 0.015) and QoL impact (p = 0.013) reduced,
but not for urinary scores. Correlations between change scores at
the baseline and at 8 weeks for CPSI and psychosocial risk factors
indicated that reductions in catastrophizing were most strongly
associated with score reductions for the CPSI; these reductions,
however, were not significant.

Conclusions: 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.

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Author Biographies

Dean A. Tripp, Departments of Psychology, Anesthesiology & Urology, Queen’s University, Kingston, ON

J. Curtis Nickel, Department of Urology, Queen’s University, Kingston, ON

Laura Katz, Department of Psychology, Queen’s University, Kingston, ON

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How to Cite

Tripp, D. A., Nickel, J. C., & Katz, L. (2013). A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome. Canadian Urological Association Journal, 5(5), 328–32. https://doi.org/10.5489/cuaj.690

Issue

Vol. 5 No. 5 (2011): October

Section

Original Research

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