Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial
Objective To explore feasibility in terms of delivering and evaluating a combination of physiotherapy and psychotherapy for patients with chronic pelvic pain syndrome (CPPS).Design Prospective non-randomised controlled pilot study.Setting Tertiary care facility with a specialised interdisciplinary o...
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BMJ Publishing Group
2021-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/12/e053421.full |
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| author | Bernd Löwe Margit Fisch Christian A Brünahl Susanne G R Klotz Christoph Dybowski Rebecca Albrecht Johanna Höink Gesche Ketels |
| author_facet | Bernd Löwe Margit Fisch Christian A Brünahl Susanne G R Klotz Christoph Dybowski Rebecca Albrecht Johanna Höink Gesche Ketels |
| author_sort | Bernd Löwe |
| collection | DOAJ |
| description | Objective To explore feasibility in terms of delivering and evaluating a combination of physiotherapy and psychotherapy for patients with chronic pelvic pain syndrome (CPPS).Design Prospective non-randomised controlled pilot study.Setting Tertiary care facility with a specialised interdisciplinary outpatient clinic for patients with CPPS.Participants A total of 311 patients was approached; 60 participated. 36 patients were included in the intervention group (mean age ±SD 48.6 years±14.8; 52.8% female) and 24 in the control group (mean age ±SD 50.6 years±14.5; 58.3% female). Fourteen participants were lost to follow-up.Interventions Participants were non-randomly allocated to the intervention group with two consecutive treatment modules (physiotherapy and cognitive behavioural therapy) with a duration of 9 weeks each or to the control group (treatment as usual).Main outcome measures Feasibility was operationalised in terms of delivering and evaluating the therapeutic combination. Regarding eligibility as the first aspect of feasibility, willingness to participate, dropout and satisfaction were assessed; for the second aspect, standardised self-report questionnaires measuring health-related quality of life, depression severity and pain were applied.Results Although eligibility and willingness-to-participate rates were low, satisfaction of the participants in the intervention group was high and dropout rates were low. Results indicated a small and non-significant intervention effect in health-related quality of life and significant effects regarding depression severity and pain.Conclusions The combination of physiotherapy and psychotherapy for patients with CPPS seems to be feasible and potentially promising with regard to effect. However, a subsequent fully powered randomised controlled trial is needed.Trial registration number German Clinical Trials Register (DRKS00009976) and ISRCTN (ISRCTN43221600). |
| format | Article |
| id | doaj-art-c7527f1bc7ea4308aeb3e0b9f2c3b5b5 |
| institution | DOAJ |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-c7527f1bc7ea4308aeb3e0b9f2c3b5b52025-08-20T02:39:24ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2021-053421Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trialBernd Löwe0Margit Fisch1Christian A Brünahl2Susanne G R Klotz3Christoph Dybowski4Rebecca Albrecht5Johanna Höink6Gesche Ketels74 Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Urology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Psychosomatic Medicine and Psychotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Gynaecology, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyDepartment of Physiotherapy, University Medical Center Hamburg-Eppendorf, Hamburg, GermanyObjective To explore feasibility in terms of delivering and evaluating a combination of physiotherapy and psychotherapy for patients with chronic pelvic pain syndrome (CPPS).Design Prospective non-randomised controlled pilot study.Setting Tertiary care facility with a specialised interdisciplinary outpatient clinic for patients with CPPS.Participants A total of 311 patients was approached; 60 participated. 36 patients were included in the intervention group (mean age ±SD 48.6 years±14.8; 52.8% female) and 24 in the control group (mean age ±SD 50.6 years±14.5; 58.3% female). Fourteen participants were lost to follow-up.Interventions Participants were non-randomly allocated to the intervention group with two consecutive treatment modules (physiotherapy and cognitive behavioural therapy) with a duration of 9 weeks each or to the control group (treatment as usual).Main outcome measures Feasibility was operationalised in terms of delivering and evaluating the therapeutic combination. Regarding eligibility as the first aspect of feasibility, willingness to participate, dropout and satisfaction were assessed; for the second aspect, standardised self-report questionnaires measuring health-related quality of life, depression severity and pain were applied.Results Although eligibility and willingness-to-participate rates were low, satisfaction of the participants in the intervention group was high and dropout rates were low. Results indicated a small and non-significant intervention effect in health-related quality of life and significant effects regarding depression severity and pain.Conclusions The combination of physiotherapy and psychotherapy for patients with CPPS seems to be feasible and potentially promising with regard to effect. However, a subsequent fully powered randomised controlled trial is needed.Trial registration number German Clinical Trials Register (DRKS00009976) and ISRCTN (ISRCTN43221600).https://bmjopen.bmj.com/content/11/12/e053421.full |
| spellingShingle | Bernd Löwe Margit Fisch Christian A Brünahl Susanne G R Klotz Christoph Dybowski Rebecca Albrecht Johanna Höink Gesche Ketels Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial BMJ Open |
| title | Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial |
| title_full | Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial |
| title_fullStr | Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial |
| title_full_unstemmed | Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial |
| title_short | Physiotherapy and combined cognitive-behavioural therapy for patients with chronic pelvic pain syndrome: results of a non-randomised controlled feasibility trial |
| title_sort | physiotherapy and combined cognitive behavioural therapy for patients with chronic pelvic pain syndrome results of a non randomised controlled feasibility trial |
| url | https://bmjopen.bmj.com/content/11/12/e053421.full |
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