医学
间质性膀胱炎
盆腔疼痛
前列腺炎
物理疗法
苦恼
泌尿系统
慢性疼痛
结构效度
外阴痛
判别效度
内科学
外科
前列腺
心理测量学
临床心理学
癌症
内部一致性
作者
Bruce D. Naliboff,Kenneth D. Locke,Andrew Schrepf,James F. Griffith,Robert M. Moldwin,John N. Krieger,Larissa V. Rodriguez,J. C. Clemens,H. Henry Lai,Siobhan Sutcliffe,Bayley J. Taple,David R. Williams,Michael A. Pontari,Chris Mullins,J. Richard Landis
标识
DOI:10.1097/ju.0000000000002438
摘要
We assessed the reliability and validity of an efficient severity assessment for pelvic pain and urinary symptoms in urological chronic pelvic pain syndrome, which consists of interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome.A total of 578 patients were assessed using brief, empirically derived self-report scales for pelvic pain severity (PPS) and urinary symptom severity (USS) 4 times during a 1-month period and baseline clinic visit that included urological, pain and illness-impact measures. Mild, moderate and severe categories on each dimension were examined for measurement stability and construct validity.PPS and USS severity categories had adequate reliability and both discriminant validity (differential relationships with specific clinical and self-report measures) and convergent validity (common association with nonurological somatic symptoms). For example, increasing PPS was associated with pelvic tenderness and widespread pelvic pain, whereas USS was associated with urgency during a bladder filling test and increased sensory sensitivity. PPS and USS categories were independently associated with nonurological pain and emotional distress. A descriptive analysis identified higher likelihood characteristics associated with having moderate to severe PPS or USS or both. Lack of sex interactions indicated that the measures are comparable in interstitial cystitis/bladder pain syndrome and chronic prostatitis/chronic pelvic pain syndrome.Women and men with urological chronic pelvic pain syndrome can be reliably subgrouped using brief self-report measures of mild, moderate or severe pelvic pain and urinary symptoms. Comparisons with a broad range of clinical variables demonstrate the validity and potential clinical utility of these classifications, including use in clinical trials, health services and biological research.
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