这种疼痛让我抓狂间质性膀胱炎/膀胱疼痛综合征女性患者的精神症状。

IF 4.3 3区 材料科学 Q1 ENGINEERING, ELECTRICAL & ELECTRONIC
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 Milintenda, 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
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引用次数: 0

摘要

背景:间质性膀胱炎/膀胱疼痛综合征(IC/BPS间质性膀胱炎/膀胱疼痛综合征(IC/BPS)是一种至少持续 6 个月的原因不明的非感染性膀胱炎症,以慢性耻骨上、腹部和/或盆腔疼痛为特征。虽然膀胱炎一词暗示了炎症或感染的起源,但目前还没有明确的病因。目的:系统回顾 IC/BPS 患者精神/心理变化的证据。方法:我们推测特定的心理特征可能是 IC/BPS 的基础,因此使用以下策略在三个数据库中调查了 IC/BPS 患者是否存在精神症状和/或精神障碍和/或心理特征:("间质性膀胱炎 "或 "膀胱疼痛综合征")和("情绪障碍 "或抑郁或抗抑郁或抑郁或抑郁或亢进或躁狂或躁狂症或快速循环综合征或癔症综合征或精神障碍综合征):2023 年 9 月 27 日,PubMed 检索结果为 223 篇文章,CINAHL 检索结果为 62 篇文章,PsycLIT/PsycARTICLES/PsycINFO/心理学与行为科学文集联合检索结果为 36 篇文章。在 ClinicalTrials.gov 上搜索到 14 项研究,其中没有一项研究有可用数据。符合条件的是报道 IC/BPS 患者精神/心理症状的同行评审文章,即从 2000 年到 2023 年 10 月的 63 篇文章。这些研究发现了 IC/BPS 患者的抑郁和焦虑问题,以及睡眠问题和灾难化倾向:结论:针对灾难化和生活压力情绪意识与表达的心理疗法可降低患有 IC/BPS 的女性患者的疼痛感。在实施旨在减轻 IC/BPS 相关疼痛的治疗时,应考虑这些概念。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
This pain drives me crazy: Psychiatric symptoms in women with interstitial cystitis/bladder pain syndrome.

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.

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