You have accessJournal of UrologyInfections/Inflammation of the Genitourinary Tract: Prostate & Genitalia1 Apr 2010800 CATASTROPHIZING AND SPOUSAL RESPONSES IN MEN SUFFERING FROM CHRONIC PROSTATITIS/CHRONIC PELVIC PAIN SYNDROME (CP/CPPS) Dean A. Tripp, Jessica Ginting, J. Curtis Nickel, Kathleen J. Propert, and John Kusek Dean A. TrippDean A. Tripp Kingston, Canada More articles by this author , Jessica GintingJessica Ginting Kingston, Canada More articles by this author , J. Curtis NickelJ. Curtis Nickel Kingston, Canada More articles by this author , Kathleen J. PropertKathleen J. Propert Philadelphia, PA More articles by this author , and John KusekJohn Kusek Chronic Prostatitis Collaborative Research Network, Bethesda, MD More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.02.1476AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Catastrophic thinking about one's pain symptoms and ability to self-manage strongly influences patient adjustment, as does spousal support. We examined the moderating impact of psychosocial factors like catastrophizing and spousal responses on the relationship between pain and quality of life (QoL), and pain and disability in men suffering from CP/CPPS. METHODS One-hundred and eighty-eight men with CP/CPPS completed a set of questionnaires, which included demographic information, catastrophizing (Pain catastrophizing Scale), pain (Short-Form McGill Pain Questionnaire), disability (PDI), and QoL (SF-12). In addition, the types of pain-coping support responses men reported experiencing from their female spouses was assessed (West Haven-Yale Multidimensional Pain Inventory). Moderating models tested whether high or low levels of catastrophizing or spousal social support would create different associations between pain and QoL as well as pain and disability. RESULTS The mean age of the subjects was 48.4 years (SD=10.8) most were employed (76%) and 65% had a high school education or less. The association between pain and mental QoL was strongest when men reported higher levels of catastrophizing (β=-0.29,p=.00) compared to men reporting lower levels of catastrophizing (β=0.07,p=.59). The association between pain and disability was strongest when levels of solicitous spousal support (doing more tasks and work for their partners) was rated high by the patients (β=0.51,p=.00) compared to when it was rated as low by the patients (β=0.12,p=.30). All other models were not significant. CONCLUSIONS The association between pain and poorer QoL was amplified when examined across higher versus lower levels of catastrophizing. With other mounting evidence of the negative effects of catastrophizing appraisals for clinical and psychosocial outcomes, this data clearly calls for review and reduction of this particular pain appraisal in CP/CPPS. The association between pain and disability was also amplified when female spouses were reported to provide higher levels of solicitous support for males with CP/CPPS than at lower levels. This is a novel finding but no direction of cause can be offered for these data. The solicitous support from the spouse may be a reaction to patient pain and associated disability, or alternatively, solicitous support may help create or maintain the patient's pain and disability. This clarification must await future longitudinal couples studies. © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 183Issue 4SApril 2010Page: e312-e313 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dean A. Tripp Kingston, Canada More articles by this author Jessica Ginting Kingston, Canada More articles by this author J. Curtis Nickel Kingston, Canada More articles by this author Kathleen J. Propert Philadelphia, PA More articles by this author John Kusek Chronic Prostatitis Collaborative Research Network, Bethesda, MD More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...