Patient with urethral pain syndrome: psychological portrait

Abstract

The article discusses the psychological characteristics of the patient with chronic pelvic pain syndrome, in particular with its component – urethral pain syndrome. The main specific personality traits inherent in such a patient are highlighted; the factors of development of chronic pelvic pain syndrome are determined, including psychological. Doctors were given recommendations for the management of such patients, in particular, the use of psychological scales and questionnaires directed at identifying markers and specific features.

Keywords

chronic pelvic pain syndrome / urethral pain syndrome / depressive states / psychological characteristics of the individual / anxiety

References

[1] Rothberg MB, Wong JD. All Dysuria Is Local A Cost-effectiveness Model for Designing Site-specific Management Algorithms. J Gen Intern Med. 2004;19(5 Pt 1):433–443. DOI: 10.1111/j.1525-1497.2004.10440.x

[2] Rothberg M.B., Wong J.D. All Dysuria Is Local A Cost-effectiveness Model for Designing Site-specific Management Algorithms // J Gen Intern Med. 2004. Vol. 19, No. 5, pt. 1. P. 433–443. DOI: 10.1111/j.1525-1497.2004.10440.x

[3] Sung TC. Is Urethral Pain Syndrome Really Part of Bladder Pain Syndrome? Urogenit Tract Infect. 2017;12(1):22–27. DOI: 10.14777/uti.2017.12.1.22

[4] Sung T.C. Is Urethral Pain Syndrome Really Part of Bladder Pain Syndrome? // Urogenit Tract Infect. 2017. Vol. 12, No. 1. P. 22–27. DOI: 10.14777/uti.2017.12.1.22

[5] Phillip H, Okewole I, Chilaka V. Enigma of urethral pain syndrome: Why are there so many ascribed etiologies and therapeutic approaches? International J Urol. 2014;21:544–548. DOI: 10.1111/iju.12396

[6] Phillip H., Okewole I., Chilaka V. Enigma of urethral pain syndrome: Why are there so many ascribed etiologies and therapeutic approaches? International J Urol. 2014. Vol. 21. P. 544–548. DOI: 10.1111/iju.12396

[7] Esin RG, Fedorenko AI, Gorobets EA. Chronic non-specific pelvic pain in the case of women: multidisciplinary issue. Medical Almanac. 2017;5(50):97–101. (In Russ.) DOI: 10.21145/2499-9954-2017-5-97-101

[8] Есин Р.Г., Федоренко А.И., Горобец Е.А. Хроническая неспецифическая тазовая боль у женщин: мультидисциплинарная проблема (обзор) // Медицинский альманах. 2017. № 5 (50). С. 97–101. DOI: 10.21145/2499-9954-2017-5-97-101

[9] Belyakov KM, Streltsova OS, Antipenko EA, et al. Possibilities of the pudendal nerve studying in chronic urethral pain syndrome using magnetic stimulation method. Medical Almanac. 2020;2(63):64–70. (In Russ.)

[10] Беляков К.М., Стрельцова О.С., Антипенко Е.А., и др. Возможности исследования полового нерва при хроническом уретральном болевом синдроме методом магнитной стимуляции // Медицинский альманах. 2020. № 2 (63). С. 64–70.

[11] Piontek K, Ketels G, Albrecht R, et al. Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome. J Psychosom Res. 2019;120:1–7. DOI: 10.1016/j.jpsychores.2019.02.010

[12] Piontek K., Ketels G., Albrecht R., et al. Somatic and psychosocial determinants of symptom severity and quality of life in male and female patients with chronic pelvic pain syndrome // J Psychosom Res. 2019. Vol. 120. P. 1–7. DOI: 10.1016/j.jpsychores.2019. 02.010

[13] Passavanti MB, Pota V, Sansone P, et al. Chronic Pelvic Pain: Assessment, Evaluation, and Objectivation. Pain Res. Treat. 2017;2017:9472925. DOI: 10.1155/2017/9472925

[14] Passavanti M.B., Pota V., Sansone P., et al. Chronic Pelvic Pain: Assessment, Evaluation, and Objectivation // Pain Res Treat. 2017. Vol. 2017. 9472925. DOI: 10.1155/2017/9472925

[15] Smith CP. Male chronic pelvic pain: an update. Indian J Urol. 2016;32(1):34–39. DOI: 10.4103/0970-1591.173105

[16] Smith C.P. Male chronic pelvic pain: an update // Indian J Urol. 2016. Vol. 32, No. 1. P. 34–39. DOI: 10.4103/0970-1591.173105

[17] Aziz Q, Giamberardino MA, Barke A, et al. The IASP classification of chronic pain for ICD-11: Chronic visceral pain. Pain. 2019;160(1);69–76. DOI: 10.1097/j.pain.0000000000001362

[18] Aziz Q., Giamberardino M.A., Barke A., et al. The IASP classification of chronic pain for ICD-11: Chronic visceral pain // Pain. 2019. Vol. 160, No. 1. P. 69–76. DOI: 10.1097/j.pain.0000000000001362

[19] EAU [Internet]. Engeler D, Baranowski AP, Borovicka J, et al. European Association of Urology. Guidelines on Chronic Pelvic Pain, 2021. Available from: https://uroweb.org/guideline/chronic-pelvic-pain

[20] EAU.org [Internet]. Engeler D., Baranowski A.P., Borovicka J., et al. European Association of Urology. Guidelines on Chronic Pelvic Pain, 2021. Доступ по ссылке: https://uroweb.org/guideline/chronic-pelvic-pain

[21] Stenjaeva NN, Apolihina IA. Hronicheskaja tazovaja bol’: psihosomaticheskie aspekty. Consilium Medicum. 2012;6(14):19–20. (In Russ.)

[22] Стеняева Н.Н., Аполихина И.А. Хроническая тазовая боль: психосоматические аспекты // Consilium Medicum. 2012. Т. 14, № 6. С. 19–20.

[23] Naliboff BD, Stephens AJ, Afari N, et al. Widespread Psychosocial Difficulties in Men and Women with Urologic Chronic Pelvic Pain Syndromes: Casecontrol Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network. J Urol. 2015;85(6):1319–1327. DOI: 10.1016/j.urology.2015.02.047.14

[24] Naliboff B.D., Stephens A.J., Afari N., et al. Widespread Psychosocial Difficulties in Men and Women with Urologic Chronic Pelvic Pain Syndromes: Casecontrol Findings From the Multidisciplinary Approach to the Study of Chronic Pelvic Pain Research Network // J Urol. 2015. Vol. 85, No. 6. P. 1319–1327. DOI: 10.1016/j.urology.2015.02.047.14

[25] Kirmayer LJ, Groleau D, Looper KJ, et al. Explaining medically unexplained symptoms. Can J Psychiatry. 2004;49(10):663–671. DOI: 10.1177/070674370404901003

[26] Kirmayer L.J., Groleau D., Looper K.J., et al. Explaining medically unexplained symptoms // Can J Psychiatry. 2004. Vol. 49, No. 10. P. 663–671. DOI: 10.1177/070674370404901003

[27] Osipova VV. Pain: psychological aspects. Neurology, Neuropsychiatry, Psychosomatics. 2010;2(1):4–9. (In Russ.) DOI: 10.14412/2074-2711-2010-62

[28] Осипова В.В. Психологические аспекты боли // Неврология, нейропсихиатрия, психосоматика. 2010. Т. 2, № 1. С. 4–9. DOI: 10.14412/2074-2711-2010-62

[29] Shoskes DA, Nickel JC, Kattan MW. Phenotypically directed multimodal therapy for chronic prostatitis/chronic pelvic pain syndrome: a prospective study using UPOINT. Urology. 2010;75(6):1249–1253. DOI: 10.1016/j.urology.2010.01.021

[30] Shoskes D.A., Nickel J.C., Kattan M.W. Phenotypically directed multimodal therapy for chronic prostatitis/chronic pelvic pain syndrome: a prospective study using UPOINT // Urology. 2010. Vol. 75, No. 6. P. 1249–1253. DOI: 10.1016/j.urology.2010.01.021

[31] Woolf CJ. Evidence for a central component of post-injury pain hypersensitivity. Nature. 1983;306(5944):686–688. DOI: 10.1038/ 306686a0

[32] Woolf C.J. Evidence for a central component of post-injury pain hypersensitivity // Nature. 1983. Vol. 306(5944). P. 686–688. DOI: 10.1038/306686a0

[33] Savidge CJ, Slade P. Psychological aspects of chronic pelvic pain. J Psychosom Res. 1997;42(5):433–444. DOI: 10.1017/CBO9781107478084.008

[34] Savidge C.J., Slade P. Psychological aspects of chronic pelvic pain // J Psychosom Res. 1997. Vol. 42, No. 5. P. 433–444. DOI: 10.1017/CBO9781107478084.008

[35] Parker J, Buga S, Sarria JE, Spiess PE. Advancements in the Management of Urologic Chronic Pelvic Pain: What is New and What Do We Know? Curr Urol Rep. 2010;11(4):286–291. DOI: 10.1007/s11934-010-0121-9

[36] Parker J., Buga S., Sarria J.E., Spiess P.E. Advancements in the Management of Urologic Chronic Pelvic Pain: What is New and What Do We Know? // Curr Urol Rep. 2010. Vol. 11, No. 4. P. 286–291. DOI: 10.1007/s11934-010-0121-9

[37] Sobchik LN. Standartizirovannyj mnogofaktornyj metod issledovanija lichnosti SMIL. (Praktikum po psihodiagnostike). Saint Petersburg: Rech’, 2002. 217 p. (In Russ.)

[38] Собчик Л.Н. Стандартизированный многофакторный метод исследования личности СМИЛ. (Практикум по психодиагностике). Санкт-Петербург: Речь, 2002. 217 с.

[39] Naboka YL, Gudima IA, Mordanov SV, et al Virusuria as a component of the urine microbiota and its significance for assessing the health of the urinary tract: a descriptive clinical study. Urologiia. 2020;(1):12–18. (In Russ.) DOI: 10.18565/urology.2020.1.12-18

[40] Набока Ю.Л., Гудима И.А., Морданов С.В., и др. Вирусурия как составляющая микробиоты мочи и ее значение для оценки состояния здоровья мочевого тракта: описательное клиническое исследование // Урология. 2020. № 1. С. 12–18. DOI: 10.18565/urology.2020.1.12-18

[41] Naboka YL, Kogan MI, Gudima IA, et al. Is there a relationship between the urine, vagina, and gut microbiota in patients with an infection of the upper urinary tract? Vestnik Urologii. 2019;7(1):38–45. (In Russ.) DOI: 10.21886/2308-6424-2019-7-1-38-45

[42] Набока Ю.Л., Коган М.И., Гудима И.А., и др. Существует ли взаимосвязь между микробиотой мочи, влагалища и кишечника при инфекции верхних мочевых путей? // Вестник урологии. 2019. Т. 7, № 1. С. 38–45. DOI: 10.21886/2308-6424-2019-7-1-38-45

[43] Zmushko EI, Belozerov ES, Minin JA. Klinicheskaja immunologija. Saint Petersburg: Piter, 2001. (In Russ.)

[44] Змушко Е.И., Белозеров Е.С., Минин Ю.А. Клиническая иммунология. Санкт-Петербург: Питер, 2001.

[45] Kiseleva EB, Moiseev AA, Kuyarov AS, et al. In vivo assessment of structural changes of the urethra in lower urinary tract disease using cross-polarization optical coherence tomography. J Innov Opt Health Sci. 2020;13(903848). DOI: 10.1142/S1793545820500248

[46] Kiseleva E.B., Moiseev A.A., Kuyarov A.S., et al. In vivo assessment of structural changes of the urethra in lower urinary tract disease using cross-polarization optical coherence tomography // J Innov Opt Health Sci. 2020. Vol. 13. 903848. DOI: 10.1142/S1793545820500248

[47] Dubatova IV, Voyakina VG, Lepyavka SV, et al. The use of psychometric methods for the diagnosis of anxiety and depressive disorders in patients with a general somatic profile. Kazan medical journal. 2019;100(4):565–570. (In Russ.) DOI: 10.17816/KMJ 2019-565

[48] Дубатова И.В., Воякина В.Г., Лепявка С.В., и др. Использование психометрических методик для диагностики тревожно-депрессивных расстройств у пациентов общесоматического профиля // Казанский медицинский журнал. 2019. Т. 100, № . 4. С. 565–570. DOI: 10.17816/KMJ2019-565

[49] Osin EN, Leontiev DA. Brief Russian-Language Instruments to Measure Subjective Well-Being: Psychometric Properties and Comparative Analysis. Monitoring of Public Opinion: Economic and Social Changes Journal. 2020;(1):117–142. (In Russ.) DOI: 10.14515/monitoring.2020.1.06

[50] Осин Е.Н., Леонтьев Д.А. Краткие русскоязычные шкалы диагностики субъективного благополучия: психометрические характеристики и сравнительный анализ // Мониторинг общественного мнения: Экономические и социальные перемены. 2020. № 1. С. 117–142. DOI: 10.14515/monitoring.2020.1.06

Funding

Российский фонд фундаментальных исследованийRussian Foundation for Basic Research(19-07-00395)

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