This pain drives me crazy:Psychiatric symptoms in women with interstitial cystitis/bladder pain syndrome  

作　　者：Marianna Mazza Stella Margoni Giuseppe Mandracchia Guglielmo Donofrio Alessia Fischetti Georgios D Kotzalidis Giuseppe Marano Alessio Simonetti Delfina Janiri Lorenzo Moccia Ilaria Marcelli Greta Sfratta Domenico De Berardis Ottavia Ferrara Evelina Bernardi Antonio Restaino Francesco Maria Lisci Antonio Maria D'Onofrio Caterina Brisi Flavia Grisoni Claudia Calderoni Michele Ciliberto Andrea Brugnami Sara Rossi Maria Chiara Spera Valeria De Masi Ester Maria Marzo Francesca Abate Gianluca Boggio Maria Benedetta Anesini Cecilia Falsini Anna Quintano Alberto Torresi Miriam Militenda Giovanni Bartolucci Marco Biscosi Sara Ruggiero Luca Lo Giudice Giulia Mastroeni Elisabetta Benini Luca Di Benedetto Romina Caso Francesco Pesaresi Francesco Traccis Luca Onori Luca Chisari Leonardo Monacelli Mariateresa Acanfora Eleonora Gaetani Monia Marturano Sara Barbonetti Elettra Specogna Francesca Bardi Emanuela De Chiara Gianmarco Stella Andrea Zanzarri Flavio Tavoletta Arianna Crupi Giulia Battisti Laura Monti Giovanni Camardese Daniela Chieffo Antonio Gasbarrini Giovanni Scambia Gabriele Sani 

机构地区：[1]Department of Neurosciences,Fondazione Policlinico Universitario A Gemelli IRCCS,Universita Cattolica del Sacro Cuore,Rome 00168,Italy [2]Department of Psychiatry,UniversitàCattolica del Sacro Cuore,Rome 00168,Italy [3]Department of Neurosciences,Section of Psychiatry,Fondazione Policlinico Universitario Agostino Gemelli IRCCS,UniversitàCattolica del Sacro Cuore,Rome 00168,Italy [4]Mental Health,NHS,ASL 4 Teramo,Teramo 64100,Italy [5]Medical and Surgical Sciences,UniversitàCattolica del Sacro Cuore,Rome 00168,Italy [6]Division of Gynecologic Oncology,UniversitàCattolica del Sacro Cuore,Rome 00168,Italy [7]UOS Psicologia Clinica,Governo Clinico,Fondazione Policlinico Universitario Agostino Gemelli IRCCS,Rome 00168,Italy [8]CEMAD Digestive Disease Center,Fondazione Policlinico Universitario A.Gemelli-IRCCS,Rome 00168,Italy [9]Department of Woman and Child Health,Catholic University,Rome 00168,Italy [10]UOC Psichiatria Clinica e d’Urgenza,Dipartimento di Scienze Dell’Invecchiamento,Neurologiche,Ortopediche e Della Testa-collo,Fondazione Policlinico Universitario Agostino Gemelli IRCCS,Rome 00168,Italy

出　　处：《World Journal of Psychiatry》2024年第6期954-984,共31页世界精神病学杂志

摘　　要：BACKGROUND Interstitial cystitis/bladder pain syndrome(IC/BPS)is an at least 6-mo noninfectious bladder inflammation of unknown origin characterized by chronic suprapubic,abdominal,and/or pelvic pain.Although the term cystitis suggests an inflammatory or infectious origin,no definite cause has been identified.It occurs in both sexes,but women are twice as much affected.AIM To systematically review evidence of psychiatric/psychological changes in persons with IC/BPS.METHODS Hypothesizing that particular psychological characteristics could underpin IC/BPS,we investigated in three databases the presence of psychiatric symptoms and/or disorders and/or psychological characteristics in patients with IC/BPS using the following strategy:("interstitial cystitis"OR"bladder pain syndrome")AND("mood disorder"OR depressive OR antidepressant OR depression OR depressed OR hyperthymic OR mania OR manic OR rapid cyclasterisk OR dysthymiasterisk OR dysphoriasterisk).RESULTS On September 27,2023,the PubMed search produced 223 articles,CINAHL 62,and the combined PsycLIT/PsycARTICLES/PsycINFO/Psychology and Behavioral Sciences Collection search 36.Search on ClinicalTrials.gov produced 14 studies,of which none had available data.Eligible were peer-reviewed articles reporting psychiatric/psychological symptoms in patients with IC/BPS,i.e.63 articles spanning from 2000 to October 2023.These studies identified depression and anxiety problems in the IC/BPS population,along with sleep problems and the tendency to catastrophizing.CONCLUSION Psychotherapies targeting catastrophizing and life stress emotional awareness and expression reduced perceived pain in women with IC/BPS.Such concepts should be considered when implementing treatments aimed at reducing IC/BPS-related pain.

关 键 词：Interstitial cystitis/bladder pain syndrome Psychiatric symptoms Psychological symptoms Catastrophizing ANXIETY DEPRESSION 

分 类 号：R749[医药卫生—神经病学与精神病学]