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10.1016/j.urology.2015.02.047

http://scihub22266oqcxt.onion/10.1016/j.urology.2015.02.047
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C4479402!4479402!26099876
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suck abstract from ncbi


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pmid26099876      Urology 2015 ; 85 (6): 1319-27
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  • Widespread Psychosocial Difficulties in Men and Women with Urologic Chronic Pelvic Pain Syndromes (UCPPS): Case-control findings from the MAPP Research Network #MMPMID26099876
  • Naliboff BD; Stephens AJ; Afari N; Lai H; Krieger JN; Hong B; Lutgendorf S; Strachan E; Williams D
  • Urology 2015[Jun]; 85 (6): 1319-27 PMID26099876show ga
  • Objectives: To determine the extent, severity and sex differences of psychosocial deficits in men and women with urologic chronic pelvic pain syndromes (UCPPS), which in the past have been considered separate bladder (Interstitial Cystitis/Painful Bladder Syndrome) and prostate (Chronic Prostatitis/Chronic Pelvic Pain Syndrome) disorders. Evaluations of men and women separately suggest UCPPS is associated with increased anxiety and depression. However, studies directly testing deficits in broader psychosocial domains such as cognitive processes, intimate relationships and trauma history, or tests of sex differences in the pattern of difficulties associated with UCPPS have not been performed. Methods: A total of 233 female and 191 male UCPPS patients and 235 female and 182 male healthy controls (HCs) were recruited from six academic medical centers in the US and evaluated with a comprehensive battery of symptom, psychosocial, and illness impact measures. Primary comparisons of interest were between UCPPS patients and HC, and between men and women with UCPPS. Results: In addition to greater negative affect, male and female UCPPS patients show higher levels of current and lifetime stress, poorer illness coping, increased self-report of cognitive deficits and more widespread pain symptoms compared to sex and education matched HC. Similar problems were found in male and female UCPPS although female UCPPS showed increased self-report of childhood adversity and more widespread symptoms of pain and discomfort. Conclusions: Given the significance of psychosocial variables in prognosis and treatment of chronic pain conditions, the results add substantially to our understanding of the breath of difficulties associated with UCPPS and point to important areas for clinical assessment.
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