Dalhousie UniversityClinical Psychology · PhDCanada · Halifax
Article: Update on urologic pelvic pain syndromes: highlights from the 2010 international chronic pelvic pain symposium and workshop, august 29, 2010, kingston, ontario, Canada.J Curtis Nickel, Dean Tripp, Allan Gordon, Michel Pontari, Daniel Shoskes, Kenneth M Peters, Ragi Doggweiler, Andrew Paul BaranowskiReviews in urology 01/2011; 13(1):39-49.
Article: Childhood sexual trauma in women with interstitial cystitis/bladder pain syndrome: a case control study.J Curtis Nickel, Dean A Tripp, Michel Pontari, Robert Moldwin, Robert Mayer, Lesley K Carr, Ragi Doggweiler, Claire C Yang, Nagendra Mishra, Jorgen Nordling[show abstract] [hide abstract]
ABSTRACT: The impact of early lifetime trauma on symptom severity and quality of life of patients with interstitial cystitis/bladder pain syndrome (IC/BPS) has not been fully elucidated. We wanted to determine and compare the prevalence and impact of childhood traumatic events, with an emphasis on childhood sexual abuse, on patient symptoms, quality of life and other biopsychosocial parameters. Subjects (female patients with IC/BPS and controls without IC/BPS) completed psychosocial phenotyping questionnaires, including a demographics/history form, and validated questionnaires focused on presenting symptoms (IC symptom indices, pain), psychosocial parameters (depression, anxiety, pain catastrophizing, sexual functioning, social support) and quality of life. Participants also completed the Childhood Traumatic Events Scale. Questionnaires were completed by 207 IC/BPS patients and 117 controls matched for age, partner status and education. It was found that before 17 years of age, the IC/BPS cases reported higher prevalence of "raped or molested" compared to controls (24.0% vs. 14.7%; p = 0.047). Within the IC/BPS group, cases reporting previous sexual abuse endorsed greater sensory pain, depression and poorer physical quality of life at the present time compared to IC cases without a sexual abuse history. In the controls only, those reporting previous sexual abuse endorsed more depression, anxiety, stress, social maladjustment poorer mental quality of life in the present time. When the analysis was corrected for potential multiple comparison error, none of the findings remained significant in either the IC/BPS or control groups. Childhood traumatic events, in particular sexual abuse and extreme illness, are reported as more common in IC/BPS patients than controls. Early trauma, such as the occurrence of sexual abuse, is associated with some differences in patient adjustment (e.g., pain, quality of life, depression) but this impact appears to be, at most, very modest.Canadian Urological Association journal = Journal de l'Association des urologues du Canada 12/2011; 5(6):410-5. · 1.24 Impact Factor
Article: Self-reported spousal support modifies the negative impact of pain on disability in men with chronic prostatitis/chronic pelvic pain syndrome.[show abstract] [hide abstract]
ABSTRACT: To examine changes in the association between pain and patient quality of life (QoL), depressive symptoms, and disability in men with chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) at varying levels of spouse responses to pain. One-hundred eighty-eight men with CP/CPPS completed a questionnaire, including demographic information. The outcome variables were mental QoL (SF-12 MCS), physical QoL (SF-12 PCS), depressive symptoms (Center for Epidemiological Studies Depression Scale), and disability (Pain Disability Index). Patients also reported on the types of responses they had from their spouses (Multidimensional Pain Inventory), and pain (Short-Form McGill Pain Questionnaire). The association between pain and disability was stronger at higher levels of solicitous responses (eg, "Does some of my chores") (β = 0.66, P <.05) than it was at moderate (β = 0.44, P <.05) and lower (β = 0.23, ns) levels. In contrast, the association between pain and disability was stronger at lower levels (β = 0.64, P <.05) of distracting responses (eg, "Tries to get me involved in some activity") than it was at moderate (β = 0.44, P <.05) and higher (β = 0.25, P <.05) levels. Solicitous responses to pain increased the negative impact of pain on disability, whereas distracting responses to pain decreased the negative impact of pain on disability in men with CP/CPPS. Solicitous responses may be a reaction to patient pain and associated disability, or may help create or maintain the patient's pain and disability. In either case, distracting rather than solicitous responses to patient pain are to be encouraged in symptom management.Urology 11/2011; 78(5):1136-41. · 2.43 Impact Factor
Article: A feasibility trial of a cognitive-behavioural symptom management program for chronic pelvic pain for men with refractory chronic prostatitis/chronic pelvic pain syndrome.[show abstract] [hide abstract]
ABSTRACT: Our objective was to determine the feasibility of a cognitive behavioural symptom management program for the acute improvement of psychosocial risk factors of diminished quality of life (QoL) in men suffering from chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). We assessed CP/CPPS symptoms and impact (i.e., chronic prostatitis symptom index [CPSI] pain, urinary, QoL domains), psychosocial risk factors were assessed at baseline and weekly for 8 weeks. We included the following psychosocial risk factors: catastrophizing (Pain Catastrophizing Scale, PCS), mood (Center for Epidemiological Studies in Depression Scale, CES-D), social support (Multidimensional Scale of Perceived Social Support, MSPSS) and general pain (McGill Pain Questionnaire). Patient sessions dispute and replace pessimistic thinking with health-focused thinking and behaviour. Eleven men completed the psychosocial management program (mean age = 51.3, standard deviaton [SD] = 12.49). Mean CPSI baseline total score was 25.2 (SD = 10.21). Repeated measures ANOVAs showed the program was associated with significant linear reductions for pain (p = 0.051), disability (p= 0.020) and catastrophizing (p = 0.005), but no changes in depressive symptoms or social support. The CPSI baseline scores compared to follow-up scores (n = 8) were significantly reduced (p = 0.007), with CPSI pain (p = 0.015) and QoL impact (p = 0.013) reduced, but not for urinary scores. Correlations between change scores at the baseline and at 8 weeks for CPSI and psychosocial risk factors indicated that reductions in catastrophizing were most strongly associated with score reductions for the CPSI; these reductions, however, were not significant. The psychosocial management program targets and significantly reduces several empirically supported psychosocial risk factors associated with poorer CP/CPPS outcomes. Psychosocial management for CP/CPPS is feasible, but requires a randomized controlled trial with longitudinal follow-up.Canadian Urological Association journal = Journal de l'Association des urologues du Canada 10/2011; 5(5):328-32. · 1.24 Impact Factor
Article: Fear of reinjury, negative affect, and catastrophizing predicting return to sport in recreational athletes with anterior cruciate ligament injuries at 1 year postsurgery.[show abstract] [hide abstract]
ABSTRACT: This reprinted article originally appeared in Rehabilitation Psychology, 2007, Vol. 52, No. 1, 74–81. (The following abstract of the original article appeared in record 2007-02366-008.) Objective: To examine fear of reinjury, negative affect, and pain catastrophizing as determinants of athletes' confidence in their ability to take part in sport activity and their reported return to sport 1 year after undergoing anterior cruciate ligament (ACL) reconstruction. Participants: 49 recreational-level athletes (27 men and 22 women; Mage = 29.15 years, SD = 11.57). Results: Negative affect was inversely associated with sport confidence, and fear of reinjury was inversely associated with reported return to sport. Regression models showed that negative affect was the lone significant predictor (β = −.32, p < .05) of lower sport confidence after activity and education were controlled. Greater fear of reinjury was the lone significant predictor (β = −.40, p < .05) of lower levels of return to sporting activity. Conclusions: Findings indicate that athletes' confidence in returning to their sport was reduced in those with greater negative mood and that greater fear of reinjury was related to a lower return to sporting activity. Outcomes are discussed in relation to research and implications. (PsycINFO Database Record (c) 2012 APA, all rights reserved)07/2011; 1(S):74–81.