Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.
ADVANCED SEARCH
Log in
Top
Journal of General Internal Medicine
Published in: Journal of General Internal Medicine 11/2007

01-11-2007 | Original Article

The Association of Abuse and Symptoms Suggestive of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Results from the Boston Area Community Health Survey

Authors: Jim C. Hu, MD, MPH, Carol L. Link, PhD, Mary McNaughton-Collins, MD, MPH, Michael J. Barry, MD, John B. McKinlay, PhD

Published in: Journal of General Internal Medicine | Issue 11/2007

Login to get access

Abstract

Objective

To determine the effect of reported sexual, physical, or emotional abuse on the symptoms suggestive of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) and to determine the effect of race/ethnicity on these patterns.

Methods

The Boston Area Community Health (BACH) survey used a multi-stage stratified cluster sample to randomly sample 5,506 adults aged 30–79 from the city of Boston. BACH recruited 2,301 men (700 Black, 766 Hispanic, and 835 White). Interviewers administered questions approximating the National Institutes of Health chronic prostatitis symptom index (CPSI), and symptoms suggestive of CP/CPPS were measured by the definition of perineal and/or ejaculatory pain and CPSI pain score of 4+. Questions about previous abuse were obtained from a validated self-administered questionnaire during the home visit. Logistic regression was used to determine the effect of abuse on the likelihood of a man having symptoms suggestive of CP/CPPS.

Results

The prevalence of symptoms suggestive of CP/CPPS was 6.5%. Men who reported having experienced sexual, physical, or emotional abuse had increased odds (1.7–3.3) for symptoms suggestive of CP/CPPS. Previous abuse increased both the pain and urinary scores from the CPSI.

Conclusion

Symptoms suggestive of CP/CPPS are not uncommon in a community-based population of men. For men presenting with symptoms suggestive of CP/CPPS, clinicians may wish to consider screening for abuse.
Literature
1.
Mehik A, Hellstrom P, Lukkarinen O, Sarpola A, Jarvelin M. Epidemiology of prostatitis in Finnish men: a population-based cross-sectional study. BJU Int. 2000;86(4):443–8.PubMedCrossRef
2.
Nickel JC, Downey J, Hunter D, Clark J. Prevalence of prostatitis-like symptoms in a population based study using the National Institutes of Health chronic prostatitis symptom index. J Urol. 2001;165(3):842–5.PubMedCrossRef
3.
Roberts RO, Jacobson DJ, Girman CJ, Rhodes T, Lieber MM, Jacobsen SJ. Prevalence of prostatitis-like symptoms in a community based cohort of older men. J Urol. 2002;168(6):2467–71.PubMedCrossRef
4.
McNaughton Collins M, Pontari MA, O’Leary MP, et al. Quality of life is impaired in men with chronic prostatitis: the Chronic Prostatitis Collaborative Research Network. J Gen Intern Med. 2001;16(10):656–62.PubMedCrossRef
5.
Turner JA, Ciol MA, Von Korff M, Berger R. Prognosis of patients with new prostatitis/pelvic pain syndrome episodes. J Urol. 2004;172(2):538–41.PubMedCrossRef
6.
Calhoun EA, McNaughton Collins M, Pontari MA, et al. The economic impact of chronic prostatitis. Arch Intern Med. 2004;164(11):1231–6.PubMedCrossRef
7.
McCauley J, Kern DE, Kolodner K, et al. Clinical characteristics of women with a history of childhood abuse: unhealed wounds. Jama. 1997;277(17):1362–8.PubMedCrossRef
8.
Schaeffer AJ, Landis JR, Knauss JS, et al. Demographic and clinical characteristics of men with chronic prostatitis: the national institutes of health chronic prostatitis cohort study. J Urol. 2002;168(2):593–8.PubMedCrossRef
9.
Flor H, Turk DC. Etiological theories and treatments for chronic back pain. I. Somatic models and interventions. Pain. 1984;19(2):105–21.PubMedCrossRef
10.
Lampe A, Solder E, Ennemoser A, Schubert C, Rumpold G, Sollner W. Chronic pelvic pain and previous sexual abuse. Obstet Gynecol. 2000;96(6):929–33.PubMedCrossRef
11.
Reiter RC, Gambone JC. Demographic and historic variables in women with idiopathic chronic pelvic pain. Obstet Gynecol. 1990;75(3 Pt 1):428–32.PubMed
12.
Walker EA, Katon WJ, Neraas K, Jemelka RP, Massoth D. Dissociation in women with chronic pelvic pain. Am J Psychiatry. 1992;149(4):534–7.PubMed
13.
Harrop-Griffiths J, Katon W, Walker E, Holm L, Russo J, Hickok L. The association between chronic pelvic pain, psychiatric diagnoses, and childhood sexual abuse. Obstet Gynecol. 1988;71(4):589–94.PubMed
14.
Briere J, Elliott DM. Prevalence and psychological sequelae of self-reported childhood physical and sexual abuse in a general population sample of men and women. Child Abuse Negl. 2003;27(10):1205–22.PubMedCrossRef
15.
MacMillan HL, Fleming JE, Trocme N, et al. Prevalence of child physical and sexual abuse in the community. Results from the Ontario Health Supplement. Jama. 1997;278(2):131–5.PubMedCrossRef
16.
Drossman DA, Leserman J, Nachman G, et al. Sexual and physical abuse in women with functional or organic gastrointestinal disorders. Ann Intern Med. 1990;113(11):828–33.PubMed
17.
Bailey BE, Freedenfeld RN, Kiser RS, Gatchel RJ. Lifetime physical and sexual abuse in chronic pain patients: psychosocial correlates and treatment outcomes. Disabil Rehabil. 2003;25(7):331–42.PubMedCrossRef
18.
Linton SJ. A population-based study of the relationship between sexual abuse and back pain: establishing a link. Pain. 1997;73(1):47–53.PubMedCrossRef
19.
Mustard CA, Kalcevich C, Frank JW, Boyle M. Childhood and early adult predictors of risk of incident back pain: Ontario Child Health Study 2001 follow-up. Am J Epidemiol. 2005;162(8):779–86.PubMedCrossRef
20.
Green CR, Flowe-Valencia H, Rosenblum L, Tait AR. The role of childhood and adulthood abuse among women presenting for chronic pain management. Clin J Pain. 2001;17(4):359–64.PubMedCrossRef
21.
McMahon MJ, Gatchel RJ, Polatin PB, Mayer TG. Early childhood abuse in chronic spinal disorder patients. A major barrier to treatment success. Spine. 1997;22(20):2408–15.PubMedCrossRef
22.
Mckinlay JB, Link CL. Measuring the urologic iceberg: Design and implementation of the Boston Area Community Health (BACH) Survey. Eur Urol. 2007 Aug;52(2):389–96.PubMedCrossRef
23.
Litwin MS, McNaughton-Collins M, Fowler FJ, Jr., et al. The National Institutes of Health chronic prostatitis symptom index: development and validation of a new outcome measure. Chronic Prostatitis Collaborative Research Network. J Urol. 1999;162(2):369–75.PubMedCrossRef
24.
Leserman J, Drossman DA, Li Z. The reliability and validity of a sexual and physical abuse history questionnaire in female patients with gastrointestinal disorders. Behav Med. 1995;21(3):141–50.PubMedCrossRef
25.
Green LW. Manual for scoring socioeconomic status for research on health behavior. Public Health Rep. 1970;85(9):815–27.PubMed
26.
Kish L. Survey Sampling. New York: Wiley; 1965.
27.
Rubin DB. Multiple Imputation for Nonresponse in Survey. New York: Wiley; 1987.
28.
Schafer J. Analysis of Incomplete Multivariate Data. New York: Chapman and Hall; 1997.
29.
Cochran WG. Sampling Techniques, 3rd edn. New York: Wiley; 1977.
30.
Hill AB. The environment and disease: association or causation? Proc R Soc Med. 1965;58:295–300.PubMed
31.
Holmes WC, Slap GB. Sexual abuse of boys: definition, prevalence, correlates, sequelae, and management. Jama. 1998;280(21):1855–62.PubMedCrossRef
32.
Finkelhor D. Current information on the scope and nature of child sexual abuse. Future Child. 1994;4(2):31–53.PubMedCrossRef
33.
Moore KA, Nord CW, Peterson JL. Nonvoluntary sexual activity among adolescents. Fam Plann Perspect. 1989;21(3):110–4.PubMedCrossRef
34.
Muram D, Dorko B, Brown JG, Tolley EA. Child sexual abuse in Shelby County, Tennessee: a new epidemic? Child Abuse Negl. 1991;15(4):523–9.PubMedCrossRef
35.
36.
Resnick MD, Blum RW. The association of consensual sexual intercourse during childhood with adolescent health risk and behaviors. Pediatrics. 1994;94(6 Pt 1):907–13.PubMed
37.
Latthe P, Mignini L, Gray R, Hills R, Khan K. Factors predisposing women to chronic pelvic pain: systematic review. Bmj. 2006;332(7544):749–55.PubMedCrossRef
38.
Walling MK, Reiter RC, O’Hara MW, Milburn AK, Lilly G, Vincent SD. Abuse history and chronic pain in women: I. Prevalences of sexual abuse and physical abuse. Obstet Gynecol. 1994;84(2):193–9.PubMed
39.
Walker EA, Katon WJ, Hansom J, et al. Medical and psychiatric symptoms in women with childhood sexual abuse. Psychosom Med. 1992;54(6):658–64.PubMed
40.
Talley NJ, Fett SL, Zinsmeister AR, Melton LJ, 3rd. Gastrointestinal tract symptoms and self-reported abuse: a population-based study. Gastroenterology. 1994;107(4):1040–9.PubMed
41.
Paolucci EO, Genuis ML, Violato C. A meta-analysis of the published research on the effects of child sexual abuse. J Psychol. 2001;135(1):17–36.PubMed
42.
Golding JM. Sexual assault history and limitations in physical functioning in two general population samples. Res Nurs Health. 1996;19(1):33–44.PubMedCrossRef
43.
Sachs-Ericsson N, Blazer D, Plant EA, Arnow B. Childhood sexual and physical abuse and the 1-year prevalence of medical problems in the National Comorbidity Survey. Health Psychol. 2005;24(1):32–40.PubMedCrossRef
44.
Bendixen M, Muus KM, Schei B. The impact of child sexual abuse—a study of a random sample of Norwegian students. Child Abuse Negl. 1994;18(10):837–47.PubMedCrossRef
45.
Golding JM, Cooper ML, George LK. Sexual assault history and health perceptions: seven general population studies. Health Psychol. 1997;16(5):417–25.PubMedCrossRef
46.
Neumark-Sztainer D, Story M, Hannan PJ, Beuhring T, Resnick MD. Disordered eating among adolescents: associations with sexual/physical abuse and other familial/psychosocial factors. Int J Eat Disord. 2000;28(3):249–58.PubMedCrossRef
47.
Laws A, Golding JM. Sexual assault history and eating disorder symptoms among White, Hispanic, and African-American women and men. Am J Public Health. 1996;86(4):579–82.PubMed
48.
Molnar BE, Buka SL, Kessler RC. Child sexual abuse and subsequent psychopathology: results from the National Comorbidity Survey. Am J Public Health. 2001;91(5):753–60.PubMedCrossRef
49.
Bensley LS, Van Eenwyk J, Simmons KW. Self-reported childhood sexual and physical abuse and adult HIV-risk behaviors and heavy drinking. Am J Prev Med. 2000;18(2):151–8.PubMedCrossRef
50.
Berghuis JP, Heiman JR, Rothman I, Berger RE. Psychological and physical factors involved in chronic idiopathic prostatitis. J Psychosom Res. 1996;41(4):313–25.PubMedCrossRef
51.
Keltikangas-Jarvinen L, Jarvinen H, Lehtonen T. Psychic disturbances in patients with chronic prostatis. Ann Clin Res. 1981;13(1):45–9.PubMed
52.
Metadata
Title
The Association of Abuse and Symptoms Suggestive of Chronic Prostatitis/Chronic Pelvic Pain Syndrome: Results from the Boston Area Community Health Survey
Authors
Jim C. Hu, MD, MPH
Carol L. Link, PhD
Mary McNaughton-Collins, MD, MPH
Michael J. Barry, MD
John B. McKinlay, PhD
Publication date
01-11-2007
Publisher
Springer-Verlag
Published in
Journal of General Internal Medicine / Issue 11/2007
Print ISSN: 0884-8734
Electronic ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-007-0341-y

Other articles of this Issue 11/2007

Journal of General Internal Medicine 11/2007 Go to the issue

Original Article

Practice Constraints, Behavioral Problems, and Dementia Care: Primary Care Physicians’ Perspectives

Original Article

Geographic Variation in Chronic Obstructive Pulmonary Disease Exacerbation Rates

Original Article

Understanding Patient Preference for Integrative Medical Care: Results from Patient Focus Groups

Original Article

The Medical Dialogue: Disentangling Differences between Hispanic and non-Hispanic Whites

Populations at Risk

Differences in the Quality of the Patient–Physician Relationship Among Terminally Ill African-American and White Patients: Impact on Advance Care Planning and Treatment Preferences

Editorial

Demystifying the NIH Grant Application Process: The Rest of the Story
Obesity Clinical Trial Summary

At a glance: The STEP trials

Read more

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Pediatric Cardiology Video

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

Cardiopulmonary Comorbidity Video

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Valvular Heart Disease Video

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

ACC 2024 Congress Coverage

Year in Review: Heart failure and cardiomyopathies

Heart Failure Video

Watch this official video from ACC.24. Dr. Biykem Bozkurt discusses last year's major advances in heart failure and cardiomyopathies.

Watch now

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits