Characterization of Whole Body Pain in Urological Chronic Pelvic Pain Syndrome at Baseline: A MAPP Research Network Study.
Characterization of Whole Body Pain in Urological Chronic Pelvic Pain Syndrome at Baseline: A MAPP Research Network Study.
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DOI：
10.1016/j.juro.2017.03.132
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发表时间：
2017-09
期刊：
影响因子：
--
通讯作者：
MAPP Research Network
中科院分区：
文献类型：
--
作者：
Lai HH;Jemielita T;Sutcliffe S;Bradley CS;Naliboff B;Williams DA;Gereau RW 4th;Kreder K;Clemens JQ;Rodriguez LV;Krieger JN;Farrar JT;Robinson N;Landis JR;MAPP Research Network
我们使用身体地图描述了泌尿系统慢性盆腔疼痛综合征（UCPPS）患者全身疼痛的位置和空间分布;并比较了不同疼痛模式患者的泌尿系统症状、盆腔疼痛、非盆腔疼痛和心理健康的严重程度。233名女性和191名男性UCPPS患者参加了一项为期一年的多中心观察性研究，完成了一系列基线测量，包括描述过去一周疼痛位置的身体地图。如果参与者仅报告腹部和骨盆疼痛，则将其归类为“仅骨盆疼痛”。根据受疼痛影响的更广泛身体区域的数量，将报告骨盆以外疼痛的参与者进一步分为两个亚组：“中间”组（骨盆外1-2个额外区域）和“广泛疼痛”组（3-7个额外区域）。在424例入组患者中，25%仅报告骨盆疼痛，75%报告骨盆以外疼痛，其中38%报告广泛疼痛。疼痛部位较多的参与者的非盆腔疼痛严重程度（p<0.0001）、睡眠障碍（p=0.035）、抑郁（p=0.005）、焦虑（p=0.011）、心理压力（p=0.005）、负面情绪评分（p=0.0004）和生活质量（p≤0.021）更高。通过增加疼痛分布，未观察到盆腔疼痛和泌尿系统症状严重程度的差异。四分之三的UCPPS男性和女性报告骨盆外疼痛。广泛性疼痛与非盆腔疼痛症状的严重程度、心理健康状况和生活质量相关，但与盆腔疼痛或泌尿系统症状无关。
We characterized the location and spatial distribution of whole body pain among patients with urologic chronic pelvic pain syndrome (UCPPS) using a body map; and compared the severity of urinary symptoms, pelvic pain, non-pelvic pain, and psychosocial health among patients with different pain patterns. 233 women and 191 men with UCPPS enrolled in a multi-center, one-year observational study completed a battery of baseline measures, including a body map describing the location of pain during the past week. Participants were categorized as having “pelvic pain only” if they reported pain in the abdomen and pelvis only. Participants who reported pain beyond the pelvis were further divided into two sub-groups based on the number of broader body regions affected by pain: an “intermediate” group (1–2 additional regions outside the pelvis) and a “widespread pain” group (3–7 additional regions). Of the 424 enrolled patients 25% reported pelvic pain only, and 75% reported pain beyond the pelvis of which 38% reported widespread pain. Participants with greater number of pain locations had greater non-pelvic pain severity (p<0.0001), sleep disturbance (p=0.035), depression (p=0.005), anxiety (p=0.011), psychological stress (p=0.005), negative affect scores (p=0.0004), and worse quality of life (p≤0.021). No difference in pelvic pain and urinary symptom severity were observed by increasing pain distribution. Three-quarters of men and women with UCPPS reported pain outside the pelvis. Widespread pain was associated with greater severity of non-pelvic pain symptoms, poorer psychosocial health and worse quality of life, but not worse pelvic pain or urinary symptoms.
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影响因子：
2.1
作者：
Nickel, J. Curtis;Irvine-Bird, Karen;Shoskes, Daniel A.
通讯作者：
Shoskes, Daniel A.
影响因子：
7.4
作者：
Bagarinao E;Johnson KA;Martucci KT;Ichesco E;Farmer MA;Labus J;Ness TJ;Harris R;Deutsch G;Apkarian VA;Mayer EA;Clauw DJ;Mackey S
通讯作者：
Mackey S
影响因子：
2.3
作者：
Williams, David A.;Schilling, Stephen
通讯作者：
Schilling, Stephen
影响因子：
6.6
作者：
Nickel, J. Curtis;Tripp, Dean A.;Nordling, Jorgen
通讯作者：
Nordling, Jorgen
影响因子：
6.6
作者：
Nickel, J. Curtis;Tripp, Dean A.
通讯作者：
Tripp, Dean A.