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Kenneth M. Peters - One of the best experts on this subject based on the ideXlab platform.

  • The Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial.
    Pain medicine (Malden Mass.), 2018
    Co-Authors: Jennifer N. Carty, Kenneth M. Peters, Janice Tomakowsky, Maisa S. Ziadni, Hannah J. Holmes, Howard Schubiner, Mark A. Lumley
    Abstract:

    Objective Women with chronic Urogenital Pain (CUP) conditions have elevated rates of lifetime trauma, relational stress, and emotional conflicts, but directly assessing and treating psychological stress is rarely done in women's health care settings. We developed and tested the effects on patients' somatic and psychological symptoms of a life stress interview that encourages disclosure about stressors and uses experiential techniques to increase awareness of links between stress, emotions, and symptoms. Methods In this randomized trial, women with CUP recruited at a multidisciplinary women's urology center received either a single 90-minute life stress interview (N = 37) or no interview (treatment-as-usual control; N = 25). Self-report measures of Pain severity (primary outcome), Pain interference, pelvic floor symptoms, and psychological symptoms (anxiety and depression) were completed at baseline and six-week follow-up. Results Differences between the life stress interview and control conditions at follow-up were tested with analyses of covariance, controlling for baseline level of the outcome and baseline depression. Compared with the control condition, the interview resulted in significantly lower Pain severity and pelvic floor symptoms, but the interview had no effect on Pain interference or psychological symptoms. Conclusions An intensive life stress emotional awareness expression interview improved physical but not psychological symptoms among women with CUP seen in a tertiary care clinic. This study suggests that targeting stress and avoided emotions and linking them to symptoms may be beneficial for this complex group of patients.

  • Does a history of bullying and abuse predict lower urinary tract symptoms, chronic Pain, and sexual dysfunction?
    International Urology and Nephrology, 2016
    Co-Authors: Tori Nault, Donna J. Carrico, Kenneth M. Peters, Priyanka Gupta, Michael Ehlert, Emily Dove-medows, Marlene Seltzer, Jason Gilleran, Jamie Bartley, Larry Sirls
    Abstract:

    Purpose To investigate associations of bullying and abuse with pelvic floor symptoms, Urogenital Pain, and sexual health characteristics of women presenting to a multidisciplinary women’s urology center. Methods Retrospective review of a prospective database. Patients completed questions about bullying, abuse, sexual health and validated questionnaires including the Pelvic Floor Dysfunction Inventory (PFDI-20), Overactive Bladder Questionnaire (OAB-q), and visual analog scale (VAS 0–10) for genitourinary Pain. Statistical analyses included Chi-squared and t tests, which compared victims of bullying and/or abuse to non-victims. Results Three hundred and eighty patients were reviewed. Three hundred and thirty-eight had data on bullying and abuse history. Out of 380, 94 (24.7 %) reported that they were victims of bullying. Out of 380, 104 (27.4 %) reported that they were victims of abuse. Women with a history of bullying and abuse had increased overall Pain scores compared to those without a history of either. Women with a history of abuse and bullying had increased PFDI-20, POPDI, and UDI-6 scores compared to women who were not bullied or abused. There was no difference in being sexually active or in sexual satisfaction between the groups. Patients with a history of abuse and bullying had the greatest percentage of dyspareunia ( p  = 0.009). Conclusions Women with a history of bullying, abuse, or both predict increased pelvic floor distress, urological symptoms, increased Urogenital Pain, and increased dyspareunia. Clinicians should screen for exposure to bullying or abuse in order to provide comprehensive resources to address these psychosocial issues.

  • Does a history of bullying and abuse predict lower urinary tract symptoms, chronic Pain, and sexual dysfunction?
    International urology and nephrology, 2016
    Co-Authors: Tori Nault, Donna J. Carrico, Kenneth M. Peters, Priyanka Gupta, Michael Ehlert, Emily Dove-medows, Marlene Seltzer, Jason Gilleran, Jamie Bartley, Larry Sirls
    Abstract:

    To investigate associations of bullying and abuse with pelvic floor symptoms, Urogenital Pain, and sexual health characteristics of women presenting to a multidisciplinary women’s urology center. Retrospective review of a prospective database. Patients completed questions about bullying, abuse, sexual health and validated questionnaires including the Pelvic Floor Dysfunction Inventory (PFDI-20), Overactive Bladder Questionnaire (OAB-q), and visual analog scale (VAS 0–10) for genitourinary Pain. Statistical analyses included Chi-squared and t tests, which compared victims of bullying and/or abuse to non-victims. Three hundred and eighty patients were reviewed. Three hundred and thirty-eight had data on bullying and abuse history. Out of 380, 94 (24.7 %) reported that they were victims of bullying. Out of 380, 104 (27.4 %) reported that they were victims of abuse. Women with a history of bullying and abuse had increased overall Pain scores compared to those without a history of either. Women with a history of abuse and bullying had increased PFDI-20, POPDI, and UDI-6 scores compared to women who were not bullied or abused. There was no difference in being sexually active or in sexual satisfaction between the groups. Patients with a history of abuse and bullying had the greatest percentage of dyspareunia (p = 0.009). Women with a history of bullying, abuse, or both predict increased pelvic floor distress, urological symptoms, increased Urogenital Pain, and increased dyspareunia. Clinicians should screen for exposure to bullying or abuse in order to provide comprehensive resources to address these psychosocial issues.

  • The role of social constraints and catastrophizing in pelvic and Urogenital Pain
    International Urogynecology Journal, 2016
    Co-Authors: Janice Tomakowsky, Jennifer N. Carty, Mark A. Lumley, Kenneth M. Peters
    Abstract:

    Introduction and hypothesis Pelvic and Urogenital Pain is complex and highly prevalent in women, and increased attention to psychosocial influences can guide more effective treatments. This study tested the hypothesis that social constraints (the perception that close others inhibit, discourage, or dissuade a person from disclosing one’s feelings or talking about one’s problems) would be associated with distress, Pain, and problems with functioning, beyond the influence of the widely recognized risk factor of Pain catastrophizing. Methods A total of 122 women completed psychosocial and Pain questionnaires during an initial evaluation at a multidisciplinary urology center. Correlational and multiple regression analyses examined Pain catastrophizing and social constraints in association with general distress, general Pain severity, Urogenital Pain, and Pain interference with functioning. Results In zero-order correlations, Pain catastrophizing and social constraints were significantly associated with all Pain measures ( p  

  • The role of social constraints and catastrophizing in pelvic and Urogenital Pain.
    International urogynecology journal, 2016
    Co-Authors: Janice Tomakowsky, Jennifer N. Carty, Mark A. Lumley, Kenneth M. Peters
    Abstract:

    Introduction and hypothesis Pelvic and Urogenital Pain is complex and highly prevalent in women, and increased attention to psychosocial influences can guide more effective treatments. This study tested the hypothesis that social constraints (the perception that close others inhibit, discourage, or dissuade a person from disclosing one’s feelings or talking about one’s problems) would be associated with distress, Pain, and problems with functioning, beyond the influence of the widely recognized risk factor of Pain catastrophizing.

Ursula Wesselmann - One of the best experts on this subject based on the ideXlab platform.

  • AAPT Diagnostic Criteria for Chronic Abdominal, Pelvic, and Urogenital Pain: Irritable Bowel Syndrome.
    The journal of pain : official journal of the American Pain Society, 2017
    Co-Authors: Qi Qi Zhou, Ursula Wesselmann, Lynn S. Walker, Linda Lee, Lonnie K. Zeltzer, G. Nicholas Verne
    Abstract:

    Abstract In conjunction with the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks public-private partnership with the U.S. Food and Drug Administration and the American Pain Society, the Analgesic, Anesthetic, and Addiction Clinical Trial Translations, Innovations, Opportunities, and Networks-American Pain Society Pain Taxonomy (AAPT) initiative strove to develop the characteristics of a diagnostic system useful for clinical and research purposes across disciplines and types of chronic Pain conditions. After the establishment of these characteristics, a working group of clinicians and clinical and basic scientists with expertise in abdominal, pelvic, and Urogenital Pain began generating core diagnostic criteria and defining the related extraintestinal somatic Pain and other symptoms experienced by patients. Systematic diagnostic criteria for several common abdominal, pelvic, and Urogenital Pain conditions are in development. In this report, we present the proposed AAPT criteria for irritable bowel syndrome (IBS), the most common chronic, noncancer abdominal Pain condition. A systematic review and synthesis was conducted to complement the Rome IV Diagnostic Criteria for IBS. Future efforts will subject these proposed AAPT criteria to systematic empirical evaluation of their feasibility, reliability, and validity. The AAPT IBS criteria are part of an evidence-based classification system that provides a consistent vocabulary regarding diagnostic criteria, common features, comorbidities, consequences, and putative mechanisms of the disorder. A similar approach is being applied to other chronic and often debilitating abdominal, pelvic, and Urogenital Pain conditions. Perspective The AAPT's goal is to develop an evidence-based taxonomy for chronic Pain on the basis of a consistently applied multidimensional framework, and encourage experts to apply this taxonomy to specific chronic Pain conditions. In this report, the taxonomy is applied to IBS, a chronic abdominal Pain condition.

  • Animal Models for the Study of Female Sexual Dysfunction.
    Sexual medicine reviews, 2013
    Co-Authors: Lesley Marson, Maria Adele Giamberardino, Raffaele Costantini, Peter Czakanski, Ursula Wesselmann
    Abstract:

    Abstract Introduction Significant progress has been made in elucidating the physiological and pharmacological mechanisms of female sexual function through preclinical animal research. The continued development of animal models is vital for the understanding and treatment of the many diverse disorders that occur in women. Aim To provide an updated review of the experimental models evaluating female sexual function that may be useful for clinical translation. Methods Review of English written, peer‐reviewed literature, primarily from 2000 to 2012, that described studies on female sexual behavior related to motivation, arousal, physiological monitoring of genital function and Urogenital Pain. Main Outcomes Measures Analysis of supporting evidence for the suitability of the animal model to provide measurable indices related to desire, arousal, reward, orgasm, and pelvic Pain. Results The development of female animal models has provided important insights in the peripheral and central processes regulating sexual function. Behavioral models of sexual desire, motivation, and reward are well developed. Central arousal and orgasmic responses are less well understood, compared with the physiological changes associated with genital arousal. Models of nociception are useful for replicating symptoms and identifying the neurobiological pathways involved. While in some cases translation to women correlates with the findings in animals, the requirement of circulating hormones for sexual receptivity in rodents and the multifactorial nature of women's sexual function requires better designed studies and careful analysis. The current models have studied sexual dysfunction or pelvic Pain in isolation; combining these aspects would help to elucidate interactions of the pathophysiology of Pain and sexual dysfunction. Conclusions Basic research in animals has been vital for understanding the anatomy, neurobiology, and physiological mechanisms underlying sexual function and Urogenital Pain. These models are important for understanding the etiology of female sexual function and for future development of pharmacological treatments for sexual dysfunctions with or without Pain. Marson L, Giamberardino MA, Costantini R, Czakanski P, and Wesselmann U. Animal models for the study of female sexual dysfunction. Sex Med Rev 2013;1:108–122.

  • Urogenital Pain--time to accept a new approach to phenotyping and, as a consequence, management.
    European urology, 2007
    Co-Authors: Andrew P. Baranowski, Paul Abrams, Richard E. Berger, C.a. Tony Buffington, Amanda C. De C. Williams, Phil Hanno, John D. Loeser, J. Curtis Nickel, Ursula Wesselmann
    Abstract:

    Andrew P. Baranowski *, Paul Abrams , Richard E. Berger , C.A. Tony Buffington , Amanda C. de C. Williams , Phil Hanno , John D. Loeser , J. Curtis Nickel , Ursula Wesselmann h University College London Hospitals Foundation Trust, National Hospital for Neurology and Neurosurgery, London, United Kingdom Bristol Urological Institute, Southmead Hospital, Bristol, United Kingdom University of Washington, Seattle, WA, United States Ohio State University Veterinary Hospital, Columbus, OH, United States University College London, London, United Kingdom Division of Urology, University of Pennsylvania, Philadelphia, PA, United States Queen’s University at Kingston, ON, Canada Department of Neurology, Johns Hopkins University School of Medicine, Baltimore, MD, United States avai lab le at www.sciencedi rect .com journa l homepage: www.europeanurology.com

  • psychological factors in pelvic Urogenital Pain the influence of site of Pain versus sex
    Pain, 2004
    Co-Authors: Leslie J Heinberg, Ursula Wesselmann, Betty J Fisher, Jeffrey Reed, Jennifer A Haythornthwaite
    Abstract:

    Chronic pelvic Pain (CPP), a fairly common gynecological complaint in women, has been associated with multiple psychological sequelae, including depression and somatization. Previous work has compared these patients to gynecological controls and women with headache, but has failed to include male comparison groups with a comparable site of chronic Pain. In order to test possible sex and Pain site differences, the present study compared 22 women with CPP, 22 men with either penile or testicular Pain, 22 women with low back Pain and 28 men with low back Pain referred for a psychological evaluation as part of multidisciplinary Pain treatment. Depression, coping, Pain intensity and interference were assessed. Two-way analyses of variance (sex by Pain site) were conducted to determine if there were group differences on demographic variables and medical history. Pain duration, age, and Pain severity differed among the groups and were entered as covariates in hierarchical regression analyses designed to identify predictors of adjustment and Pain coping. Sex and Pain site did not contribute independently to the prediction of depressive symptoms. Pain site predicted physical functioning with low back Pain patients reporting greater Pain-related interference. Similar findings were demonstrated for coping. A variety of Pain-coping strategies, including catastrophizing, were more frequently utilized by low back Pain patients, regardless of sex. In the present study, Pain severity and Pain site explained more variance in depressive symptoms, physical functioning, and Pain-coping than sex.

  • Psychological factors in pelvic/Urogenital Pain: the influence of site of Pain versus sex.
    Pain, 2004
    Co-Authors: Leslie J Heinberg, Ursula Wesselmann, Betty J Fisher, Jeffrey Reed, Jennifer A Haythornthwaite
    Abstract:

    Chronic pelvic Pain (CPP), a fairly common gynecological complaint in women, has been associated with multiple psychological sequelae, including depression and somatization. Previous work has compared these patients to gynecological controls and women with headache, but has failed to include male comparison groups with a comparable site of chronic Pain. In order to test possible sex and Pain site differences, the present study compared 22 women with CPP, 22 men with either penile or testicular Pain, 22 women with low back Pain and 28 men with low back Pain referred for a psychological evaluation as part of multidisciplinary Pain treatment. Depression, coping, Pain intensity and interference were assessed. Two-way analyses of variance (sex by Pain site) were conducted to determine if there were group differences on demographic variables and medical history. Pain duration, age, and Pain severity differed among the groups and were entered as covariates in hierarchical regression analyses designed to identify predictors of adjustment and Pain coping. Sex and Pain site did not contribute independently to the prediction of depressive symptoms. Pain site predicted physical functioning with low back Pain patients reporting greater Pain-related interference. Similar findings were demonstrated for coping. A variety of Pain-coping strategies, including catastrophizing, were more frequently utilized by low back Pain patients, regardless of sex. In the present study, Pain severity and Pain site explained more variance in depressive symptoms, physical functioning, and Pain-coping than sex.

Jennifer A Haythornthwaite - One of the best experts on this subject based on the ideXlab platform.

  • psychological factors in pelvic Urogenital Pain the influence of site of Pain versus sex
    Pain, 2004
    Co-Authors: Leslie J Heinberg, Ursula Wesselmann, Betty J Fisher, Jeffrey Reed, Jennifer A Haythornthwaite
    Abstract:

    Chronic pelvic Pain (CPP), a fairly common gynecological complaint in women, has been associated with multiple psychological sequelae, including depression and somatization. Previous work has compared these patients to gynecological controls and women with headache, but has failed to include male comparison groups with a comparable site of chronic Pain. In order to test possible sex and Pain site differences, the present study compared 22 women with CPP, 22 men with either penile or testicular Pain, 22 women with low back Pain and 28 men with low back Pain referred for a psychological evaluation as part of multidisciplinary Pain treatment. Depression, coping, Pain intensity and interference were assessed. Two-way analyses of variance (sex by Pain site) were conducted to determine if there were group differences on demographic variables and medical history. Pain duration, age, and Pain severity differed among the groups and were entered as covariates in hierarchical regression analyses designed to identify predictors of adjustment and Pain coping. Sex and Pain site did not contribute independently to the prediction of depressive symptoms. Pain site predicted physical functioning with low back Pain patients reporting greater Pain-related interference. Similar findings were demonstrated for coping. A variety of Pain-coping strategies, including catastrophizing, were more frequently utilized by low back Pain patients, regardless of sex. In the present study, Pain severity and Pain site explained more variance in depressive symptoms, physical functioning, and Pain-coping than sex.

  • Psychological factors in pelvic/Urogenital Pain: the influence of site of Pain versus sex.
    Pain, 2004
    Co-Authors: Leslie J Heinberg, Ursula Wesselmann, Betty J Fisher, Jeffrey Reed, Jennifer A Haythornthwaite
    Abstract:

    Chronic pelvic Pain (CPP), a fairly common gynecological complaint in women, has been associated with multiple psychological sequelae, including depression and somatization. Previous work has compared these patients to gynecological controls and women with headache, but has failed to include male comparison groups with a comparable site of chronic Pain. In order to test possible sex and Pain site differences, the present study compared 22 women with CPP, 22 men with either penile or testicular Pain, 22 women with low back Pain and 28 men with low back Pain referred for a psychological evaluation as part of multidisciplinary Pain treatment. Depression, coping, Pain intensity and interference were assessed. Two-way analyses of variance (sex by Pain site) were conducted to determine if there were group differences on demographic variables and medical history. Pain duration, age, and Pain severity differed among the groups and were entered as covariates in hierarchical regression analyses designed to identify predictors of adjustment and Pain coping. Sex and Pain site did not contribute independently to the prediction of depressive symptoms. Pain site predicted physical functioning with low back Pain patients reporting greater Pain-related interference. Similar findings were demonstrated for coping. A variety of Pain-coping strategies, including catastrophizing, were more frequently utilized by low back Pain patients, regardless of sex. In the present study, Pain severity and Pain site explained more variance in depressive symptoms, physical functioning, and Pain-coping than sex.

Cara R. King - One of the best experts on this subject based on the ideXlab platform.

Janice Tomakowsky - One of the best experts on this subject based on the ideXlab platform.

  • The Effects of a Life Stress Emotional Awareness and Expression Interview for Women with Chronic Urogenital Pain: A Randomized Controlled Trial.
    Pain medicine (Malden Mass.), 2018
    Co-Authors: Jennifer N. Carty, Kenneth M. Peters, Janice Tomakowsky, Maisa S. Ziadni, Hannah J. Holmes, Howard Schubiner, Mark A. Lumley
    Abstract:

    Objective Women with chronic Urogenital Pain (CUP) conditions have elevated rates of lifetime trauma, relational stress, and emotional conflicts, but directly assessing and treating psychological stress is rarely done in women's health care settings. We developed and tested the effects on patients' somatic and psychological symptoms of a life stress interview that encourages disclosure about stressors and uses experiential techniques to increase awareness of links between stress, emotions, and symptoms. Methods In this randomized trial, women with CUP recruited at a multidisciplinary women's urology center received either a single 90-minute life stress interview (N = 37) or no interview (treatment-as-usual control; N = 25). Self-report measures of Pain severity (primary outcome), Pain interference, pelvic floor symptoms, and psychological symptoms (anxiety and depression) were completed at baseline and six-week follow-up. Results Differences between the life stress interview and control conditions at follow-up were tested with analyses of covariance, controlling for baseline level of the outcome and baseline depression. Compared with the control condition, the interview resulted in significantly lower Pain severity and pelvic floor symptoms, but the interview had no effect on Pain interference or psychological symptoms. Conclusions An intensive life stress emotional awareness expression interview improved physical but not psychological symptoms among women with CUP seen in a tertiary care clinic. This study suggests that targeting stress and avoided emotions and linking them to symptoms may be beneficial for this complex group of patients.

  • The role of social constraints and catastrophizing in pelvic and Urogenital Pain
    International Urogynecology Journal, 2016
    Co-Authors: Janice Tomakowsky, Jennifer N. Carty, Mark A. Lumley, Kenneth M. Peters
    Abstract:

    Introduction and hypothesis Pelvic and Urogenital Pain is complex and highly prevalent in women, and increased attention to psychosocial influences can guide more effective treatments. This study tested the hypothesis that social constraints (the perception that close others inhibit, discourage, or dissuade a person from disclosing one’s feelings or talking about one’s problems) would be associated with distress, Pain, and problems with functioning, beyond the influence of the widely recognized risk factor of Pain catastrophizing. Methods A total of 122 women completed psychosocial and Pain questionnaires during an initial evaluation at a multidisciplinary urology center. Correlational and multiple regression analyses examined Pain catastrophizing and social constraints in association with general distress, general Pain severity, Urogenital Pain, and Pain interference with functioning. Results In zero-order correlations, Pain catastrophizing and social constraints were significantly associated with all Pain measures ( p  

  • The role of social constraints and catastrophizing in pelvic and Urogenital Pain.
    International urogynecology journal, 2016
    Co-Authors: Janice Tomakowsky, Jennifer N. Carty, Mark A. Lumley, Kenneth M. Peters
    Abstract:

    Introduction and hypothesis Pelvic and Urogenital Pain is complex and highly prevalent in women, and increased attention to psychosocial influences can guide more effective treatments. This study tested the hypothesis that social constraints (the perception that close others inhibit, discourage, or dissuade a person from disclosing one’s feelings or talking about one’s problems) would be associated with distress, Pain, and problems with functioning, beyond the influence of the widely recognized risk factor of Pain catastrophizing.