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Papers: 13 Jan 2024 - 19 Jan 2024

2024 Jan 16

J Urol


Cognitive Behavioral Therapy for Chronic Pelvic Pain: What Is It and Does It Work?


Lackner JM, Clemens JQ, Radziwon C, Danforth TL, Ablove TS, Krasner SS, Vargovich AM, O'Leary PC, Marotto T, Naliboff BD


Urologic chronic pelvic pain syndrome (UCPPS), which encompasses interstitial cystitis/bladder pain syndrome in women and men, and chronic prostatitis/chronic pelvic pain syndrome in men, is a common, often disabling, urological disorder that is neither well understood nor satisfactorily treated with medical treatments. The past 25 years have seen the development and validation of a number of behavioral pain treatments of which cognitive behavioral therapy (CBT) is arguably the most effective. CBT combines strategies of behavior therapy, which teaches patients more effective ways of behaving, and cognitive therapy, which focuses on correcting faulty thinking patterns. As a skills-based treatment, CBT emphasizes “unlearning” maladaptive behaviors and thoughts and replacing them with more adaptive ones that support symptom self-management.