MP58-04 PAIN CATASTROPHIZING AFFECTS THE OUTCOMES OF PELVIC FLOOR PHYSICAL THERAPY

Abstract

You have accessJournal of UrologyInfections/Inflammation/Cystic Disease of the Genitourinary Tract: Prostate & Genitalia (MP58)1 Apr 2020MP58-04 PAIN CATASTROPHIZING AFFECTS THE OUTCOMES OF PELVIC FLOOR PHYSICAL THERAPY Danielle Wang*, Stephanie Goldstein, Kate Kunkle, Jennifer Fariello, and Robert Moldwin Danielle Wang*Danielle Wang* More articles by this author , Stephanie GoldsteinStephanie Goldstein More articles by this author , Kate KunkleKate Kunkle More articles by this author , Jennifer FarielloJennifer Fariello More articles by this author , and Robert MoldwinRobert Moldwin More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000000927.04AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Chronic pelvic pain and pelvic floor myalgia is still underrecognized and true incidence is unknown. Higher pain catastrophizing scores have been correlated to worse health outcomes. We studied the impact of pain catastrophizing behavior upon the effectiveness of specialized pelvic floor physical therapy (PT). METHODS: A retrospective chart review was conducted among patients receiving pelvic floor PT as part of their pelvic pain treatment. Patients are given validated survey instruments at initial evaluation, 6-week follow up, and 12-week follow up. These three instruments are the 6-item short form Pain Catastrophizing Scale (PCS), Genitourinary Pain Index (GUPI), and Pelvic Floor Disability Index (PFDI-20). Patients were separated into non-catastrophizing or catastrophizing cohort if their PCS scores were >20 at any time point. Patients' changes on their GUPI and PFDI scores were compared utilizing two sample t-test, mixed-effects ANOVA, and non-parametric test. RESULTS: Catastrophizing patients (n=9, 28%) had a mean of 5 comorbidities while non-catastrophizing patients (n=23, 72%) had a mean of 6.13 comorbidities. After 12 weekly PT sessions, 74% of non-catastrophizing patients saw improvement in their GUPI and PFDI scores while only 44% of catastrophizing patients saw improvements. Non-catastrophizing patients showed a mean decrease of 14.96% (GUPI) and 20.80% (PDFI) at 3 months. Conversely, catastrophizing patient showed a mean decrease of 4.44% (GUPI) and 4.21% (PFDI) (see a_image). Factors which were not predictive of PT outcomes include comorbidities, pain medications, gender, and past abdominal or genitourinary surgeries. CONCLUSIONS: This is the first study evaluating catastrophizing behavior and how it affects pelvic floor PT outcomes. The preliminary data suggests that pain catastrophizing negatively affects pelvic floor PT outcomes as assessed by GUPI and PFDI-20. Source of Funding: None © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 203Issue Supplement 4April 2020Page: e872-e872 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.MetricsAuthor Information Danielle Wang* More articles by this author Stephanie Goldstein More articles by this author Kate Kunkle More articles by this author Jennifer Fariello More articles by this author Robert Moldwin More articles by this author Expand All Advertisement PDF downloadLoading ...