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Riegel, B; Bruenahl, CA; Ahyai, S; Bingel, U; Fisch, M; Löwe, B.
Assessing psychological factors, social aspects and psychiatric co-morbidity associated with Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) in men -- a systematic review.
J Psychosom Res. 2014; 77(5):333-50 Doi: 10.1016/j.jpsychores.2014.09.012
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Co-authors Med Uni Graz
Ahyai Sascha
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Abstract:
OBJECTIVE: Chronic Prostatitis/Chronic Pelvic Pain Syndrome (CP/CPPS) is a chronic pain disease with high prevalence rates and substantial health care costs. An interdisciplinary classification system is commonly used (UPOINT) which includes psychosocial factors. Nevertheless, psychosocial influences on CP/CPPS only recently became a research focus. Therefore, we aimed to synthesize the existing data and to identify further research topics. Then, based on our results, diagnosis and treatment can be improved. METHODS: In a systematic review conducted according to the PRISMA reporting guidelines we searched different databases (MEDLINE, EMBASE, PsychINFO) using the broad search terms "chronic pelvic pain syndrome AND men". Two raters independently screened the literature and assessed the risk of bias. RESULTS: We included 69 original research articles which considered psychosocial variables. We found studies investigating different psychosocial factors (pain catastrophizing, stress, personality factors, social aspects), co-morbid psychiatric disorders (depression, anxiety and trauma-related disorders, somatization disorder, substance abuse) and Quality of Life (QoL). In addition, there is a high risk of bias in most studies e.g. concerning the study design or the measures. CONCLUSIONS: There is evidence suggesting that psychological factors are important in understanding CP/CPPS. However, research concentrated on a few aspects while the others were not covered adequately. We found evidence of a higher number of psychosocial factors and psychiatric co-morbidities than is currently included in the UPOINT system. More high quality research is needed to understand the interplay of psychosocial factors in CP/CPPS. Furthermore, these factors should be incorporated into treatment approaches.
Find related publications in this database (using NLM MeSH Indexing)
Anxiety - epidemiology, etiology
Chronic Pain - epidemiology, etiology, psychology
Comorbidity - administration & dosage
Databases, Factual - administration & dosage
Depression - epidemiology, etiology
Humans - administration & dosage
Male - administration & dosage
Pelvic Pain - epidemiology, etiology, psychology
Prevalence - administration & dosage
Prostatitis - complications, epidemiology, psychology
Quality of Life - administration & dosage
Somatoform Disorders - epidemiology
Stress, Psychological - epidemiology, etiology

Find related publications in this database (Keywords)
Chronic prostatitis with Chronic pelvic pain syndrome
Mental disorder
Psychosocial aspects
Quality of life
Systematic review
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