title: A 2-year follow-up of quality of life, pain, and psychosocial factors in patients with chronic prostatitis/chronic pelvic pain syndrome and their spouses.
abstract: OBJECTIVE
  There are two objectives: (1) Examine quality of life (QoL) and mood between chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) patients and spouses over a 2-year period; (2) Longitudinally assess CP/CPPS patient pain, disability, and pain catastrophizing over a 2-year period.
  
  
  METHODS
  Forty-four CP/CPPS diagnosed men and their spouses participated. Patients completed demographics, QoL, depression, anxiety, pain, disability, and catastrophizing across the study. Spouses completed QoL, depression, and anxiety. Patients/spouses were not different in education, but patients were older (49 years; SD = 9.56). The average symptom duration was 8.68 (SD = 7.61). Couples were married or common law, and majority of patients were employed. Due to attrition, approximately 21 couples provided analyzable data.
  
  
  RESULTS
  Patients and spouses physical QoL did not statistically differ over time from one another, and both increased over the study period. Mental QoL increased over time, but patients reported lower QoL. Patients reported more depression and anxiety, but both measures remained stable over time for spouses and patients. Finally, patient only analyses showed that disability did decrease over time from a high at 6 months, but pain and catastrophizing showed stability over the 2 years.
  
  
  CONCLUSIONS
  Patients reported worse mental QoL, depression, and anxiety compared to spouses, and spouses reported significant stable levels of depression and anxiety similar to patients. Further, patient catastrophizing, pain, and disability did not reduce over the 2-year assessment period. These results provide further impetus for the development and implementation of mental health strategies alongside continued medical efforts in couples suffering from CP/CPPS.
authors.affiliation: Departments of Psychology, Anesthesiology and Urology, Queen's University, Humphrey Hall, 62 Arch Street, Kingston, ON, K7L 3N6, Canada. dean.tripp@queensu.ca
authors.forename: Dean A
authors.initials: DA
authors.lastname: Tripp
authors.forename: J Curtis
authors.initials: JC
authors.lastname: Nickel
authors.forename: Daniel
authors.initials: D
authors.lastname: Shoskes
authors.forename: Adrijana
authors.initials: A
authors.lastname: Koljuskov
mesh_terms: D000328:Adult; D001007:Anxiety / Q000453:epidemiology; D003863:Depression / Q000453:epidemiology; D004185:Disability Evaluation; D018450:Disease Progression; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000453:epidemiology; D010147:Pain Measurement; D011472:Prostatitis / Q000523:psychology*; D011584:Psychology; D011788:Quality of Life / Q000523:psychology*; D018454:Spouses / Q000523:psychology*