Psychological distress in Interstitial Cystitis/Bladder Pain Syndrome: A cross-sectional study on emotional patterns

Authors

  • Dina Di Giacomo Life, Public Health and Envornmental Sciences Department Laboratory of Clinical Psychology, University of L'Aquila
  • Jessica Ranieri University of L'Aquila, Italy
  • Loredana Nasta Italian Association of Interstitial Cystitis (AICI)
  • Selenia Moscato Italian Association of Interstitial Cystitis (AICI)
  • Federica Guerra Life, Public Health and Envornmental Sciences Department Laboratory of Clinical Psychology, University of L'Aquila
  • Domenico Passafiume Life, Public Health and Envornmental Sciences Department Laboratory of Clinical Psychology, University of L'Aquila

DOI:

https://doi.org/10.6092/2282-1619/2019.7.2135

Keywords:

Interstitial Cystitis/Bladder Pain Syndrome, Intimacy, Sexual distress, Depression, Anxiety, Stress.

Abstract

Interstitial Cystitis/Bladder Pain Syndrome (IC/BPS) is a chronic condition well studied in the urology and gynaecology fields, but its psychological impact on patients’ quality of life has been neglected. Our study prioritised the psychological impact of IC/BPS on the quality of life and wellness of patients in an effort to identify the emotional impact of this pathology on the sex lives of women. A cross-sectional study was conducted on sample composed of 132 women (aged 20-75 years). Statistical analysis evidenced significant differences in diagnosis time (p<0.02) associated with sexual distress and characterised by significant metacognitions, such as negative beliefs (p<0.01), cognitive confidence (p<0.08), stress (p<0.00), anxiety (p<0.001), and depression (p<0.001). This finding highlighted that women suffer significant psychological distress related to IC/BPS. Personalised treatments using an integrated clinical approach should be the innovative solution for co-morbid psychological distress in IC/BPS pathology.

 

References

Bogart L., Suttorp M., Elliot M., Clemens Q., Berry S., (2010) Prevalence and correlates of sexual disfunction among women with bladder pain syndrome/interstitial cystitis (BPS/IC). Urology 77(3):576-580

Davis NF, Brady CM., Creagh T (2014) Interstitial cystitis/painful bladder syndrome: epidemiology, pathophysiology and evidence-based treatment options. Eur J Obstet Gynecol 175:30-37

Goldstein H, Safaeian P, Garrod K, Finamore P, Kellogg-Spadt S, Whitmore K. (2008) Depression, abuse and its relationship to Interstitial Cystitis. Int Urogynecol J. 19:1683.

Lai H., Gardner V., Vetter J., Andriole G. (2015) Correlation between psychological stress levelsand the severity of overactive bladder. BMC Urology 15:14

Leonard R. Derogatis , Raymond Rosen , Sandra Leiblum , Arthur Burnett & Julia Heiman (2002) The Female Sexual Distress Scale (FSDS): Initial Validation of a Standardized Scale for Assessment of Sexually Related Personal Distress in Women, Journal of Sex &Marital Therapy, 28:4, 317-330

Lutgendorf SK, Kreder KJ, Rothrock NE, Ratliff TL, Zimmerman B. (2000) Stress and symptomatology in patients with interstitial cystitis: a laboratory stress model. Journal of Urology 164:1265–9.

Peters K.M. Killinger K.A. Carrico D.J. Ibrahim I.A. Diokno A.C. Graziottin A. (2007) Sexual function and sexual distress in women with interstitial cystitis: a case control study Urology 70 (3);543-547

Rothrock NE, Lutgendorf SK, Kreder KJ, Ratliff T, Zimmerman B. (2001) Stress and symptoms in patients with interstitial cystitis: a life stress model. Urology 57:422–7.

Tonyali S. & Yilmaz M. (2017) Sexual dysfunction in interstitial cystitis. Current Urology 11;1-3

Watkins KE, Eberhart N, Hilton L, et al. (2011) Depressive disorders and panic attacks in women with bladder pain syndrome/interstitial cystitis: a population-based sample. Gen Hosp Psychiatry 33:143–149.

Wells A, Cartwright-Hatton S. (2004) A short form of the metacognitions questionnaire: properties of the MCQ-30. Behaviour Research and Therapy 42;385–396.

Zhang C, Hai T, Yu L, Liu S, Li Q, Zhang X, et al. (2013) Association between occupational stress and risk of overactive bladder and other lower urinary tract symptoms: a cross-sectional study of female nurses in China. Neurourol Urodyn 32(3):254–60

Downloads

Published

10-08-2019

Issue

Vol. 7 No. 2 (2019)

Section

Articles

License

Creative Commons License Articles and conference papers published in Mediterranean Journal of Clinical Psychology are distributed under the terms and conditions of a Creative Commons Attribution 4.0 Unported License. Correspondingly, authors who publish with this journal agree to the following terms:

    1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.

    1. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.

  1. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).