Mental disorders in patients with chronic pelvic pain syndrome (CPPS)
Christian Brünahl1, Christoph Dybowski1, Rebecca Albrecht1
1Department of Psychosomatic Medicine and Psychotherapy, University Medical Centre Hamburg-Eppendorf and Schön Klinik Hamburg Eilbek, Hamburg, Germany.
Journal of Psychosomatic Research
|May 31, 2017
Summary
Chronic pelvic pain syndrome (CPPS) patients frequently experience mental disorders, with over 95% diagnosed. This highlights the need for integrated mental health care in CPPS treatment.
Area of Science:
- Psychiatry
- Urology
- Pain Medicine
Background:
- Chronic pelvic pain syndrome (CPPS) affects 2.0%-26.6% of the population.
- CPPS is linked to psychosocial factors, but mental disorder prevalence is understudied.
- Understanding mental health comorbidities is crucial for effective CPPS management.
Purpose of the Study:
- To determine the frequency of mental disorders in CPPS patients.
- To compare mental disorder rates in CPPS patients to the general population.
- To assess symptom severity and gender differences in CPPS.
Main Methods:
- Cross-sectional study of 178 CPPS patients from a specialized clinic.
- Utilized Structured Clinical Interview for DSM-IV Axis I Disorders (SCID-I).
- Employed self-rating questionnaires for somatic symptoms (PHQ-15), depression (PHQ-9), and anxiety (GAD-7).
Main Results:
- 95.2% of CPPS patients had at least one mental disorder.
- Most common: somatoform (91.7%), mood (50.6%), and anxiety disorders (32.1%).
- Women showed higher rates of somatoform and anxiety disorders and greater somatic symptom severity than men.
Conclusions:
- CPPS patients exhibit a significant psychosocial symptom burden.
- Psychopathologies require thorough examination in CPPS.
- Multi-professional treatment approaches are essential for CPPS management.
Keywords:
Chronic painChronic pelvic painChronic pelvic pain syndromeChronic prostatitisMental disordersSomatoform disordersMore Related Videos
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