Stressful life events and painful recurrent colic of renal lithiasis

Stressful life events and painful recurrent colic of renal lithiasis

Author Diniz, Denise H. M. P. Google Scholar
Schor, Nestor Google Scholar
Blay, Sergio Luis Google Scholar
Institution Universidade Federal de São Paulo (UNIFESP)
Abstract Purpose: There is strong evidence concerning the influence of life event stress on the onset and course of painful acute episodes in primary care. However, few studies have analyzed stressful life events in painful recurrent episodes of renal stone disease. We evaluated the association between painful recurrent colic of renal lithiasis and stressful life events.Materials and Methods: We performed this case-control study in a primary care setting. Study participants were 194 subjects (97 cases and 97 controls) matched according to age and gender. Cases were outpatients with a confirmed diagnosis of nephrolithiasis. the control group consisted of patients seen at the Ophthalmology Outpatient Clinic of the University Hospital, reporting only refraction symptoms and presenting no chronic or acute pathology. Main outcome measures reported were stressful life events as measured by the Social Readjustment Rating Scale.Results: the mean Social Readjustment Rating Scale of cases was significantly higher than controls at 257.56 (+/- 193.81) vs 144 (+/- 131.24), respectively. Logistic regression revealed that belonging to the case group increased the chances of showing positive results on the scale greater than or equal to 100 (OR 3.02, 95% CI 1.64-5.59) and the chance of presenting results of 200 or greater was 2.87 (OR 2.87, 95% CI 1.58-5.22).Conclusions: Stressful life events were significantly greater among cases than controls.
Keywords kidney calculi
life change events
lithiasis
colic
stress
Language English
Date 2006-12-01
Published in Journal of Urology. New York: Elsevier B.V., v. 176, n. 6, p. 2483-2487, 2006.
ISSN 0022-5347 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 2483-2487
Origin http://dx.doi.org/10.1016/j.juro.2006.07.156
Access rights Closed access
Type Article
Web of Science ID WOS:000242028800038
URI http://repositorio.unifesp.br/handle/11600/29293

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