A MAPP Network Case-control Study of Urological Chronic Pelvic Pain Compared With Nonurological Pain Conditions, 2020, Afari et al

Andy · Dec 4, 2019

Not a recommendation.

Objectives: Limited research suggests commonalities between urological chronic pelvic pain syndromes (UCPPS) and other nonurological chronic overlapping pain conditions (COPCs) including fibromyalgia, chronic fatigue syndrome, and irritable bowel syndrome. The goal of this case-control study was to examine similarities and differences between UCPPS and these other COPCs.

Materials and Methods: As part of the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research (MAPP) Network, we examined 1039 individuals with UCPPS (n=424), nonurological COPCs (n=200), and healthy controls (HCs; n=415). Validated standardized measures were used to assess urological symptoms, nonurological pain symptoms, and psychosocial symptoms and traits.

Results: Participants with UCPPS had more urological symptoms than nonurological COPCs or HCs (P<0.001); nonurological COPC group also had significantly worse urological symptoms than HCs (P<0.001). Participants with nonurological COPCs reported more widespread pain than those with UCPPS (P<0.001), yet both groups had similarly increased symptoms of anxiety, depression, negative affect, perceived stress, neuroticism, and lower levels of extraversion than HCs (P<0.001). Participants with UCPPS with and without COPCs reported more catastrophizing than those with nonurological COPCs (P<0.001).

Discussion: Findings are consistent with the hypothesis of common underlying biopsychosocial mechanisms and can guide the comprehensive assessment and treatment of these conditions regardless of the primary site of pain or diagnosis. Heightened catastrophizing in UCPPS should be examined to inform psychosocial interventions and improve patient care.
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Paywall, https://journals.lww.com/clinicalpa...twork_Case_control_Study_of_Urological.2.aspx
Not available via Scihub at time of posting.

James Morris-Lent · Dec 4, 2019

I don't understand why these people think it's plausible that pelvic symptoms would be related to being neurotic or whatever. Unless the idea is that you're so tightly puckered all the time that it starts to hurt?

(sorry...)

rvallee · Dec 4, 2019

The conclusion has nothing to do with, frankly, anything else. If anything it concludes the exact opposite of what the data suggests. What the hell is extraversion even doing there? Decades later and this psychosocial crap is still at the stage of "maybe there could be something there" while doing the same thing over and over again and never actually finding anything. Research where the conclusion is always more research is needed. What's even the point here?

Stop wasting resources on dumb things like that. And bring back the damn scientific method. This rhetoric-based garbage is a complete waste.

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A MAPP Network Case-control Study of Urological Chronic Pelvic Pain Compared With Nonurological Pain Conditions, 2020, Afari et al

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A MAPP Network Case-control Study of Urological Chronic Pelvic Pain Compared With Nonurological Pain Conditions, 2020, Afari et al

Andy Committee Member

James Morris-Lent Senior Member (Voting Rights)

rvallee Senior Member (Voting Rights)

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