Suicidal ideation among patients with bladder pain syndrome/interstitial cystitis.
Suicidal ideation among patients with bladder pain syndrome/interstitial cystitis.
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DOI：
10.1016/j.urology.2011.12.053
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发表时间：
2012-08
期刊：
影响因子：
2.1
通讯作者：
Berry SH
中科院分区：
文献类型：
--
作者：
Hepner KA;Watkins KE;Elliott MN;Clemens JQ;Hilton LG;Berry SH
膀胱疼痛综合征或间质性膀胱炎（BPS/IC）与精神健康障碍（包括抑郁症）的高发病率相关。关于BPS/IC患者的自杀风险或支持自杀意念（SI）的BPS/IC患者的特征知之甚少。我们比较了在BPS/IC症状女性的全国概率样本中支持SI的受访者与否认SI的受访者。数据收集作为兰德间质性膀胱炎流行病学（RICE）研究的一部分，该研究筛选了146，246个美国家庭，以确定符合BPS/IC症状标准的成年女性。除了估计SI的患病率外，还根据人口统计学、抑郁症状、BPS/IC症状、功能和治疗利用情况对近期有SI和无SI的女性进行了比较。在1,019名有BPS/IC症状的女性中，11.0%（95%CI：8.73-13.25）的女性在过去2周内报告了SI。那些患有SI的人更有可能是年轻，失业，未婚，无保险，受教育程度较低和收入较低。赞同SI的女性报告了更差的心理健康功能，身体健康功能和BPS/IC症状。患有SI的女性更有可能接受心理健康治疗，但在是否接受BPS/IC治疗方面没有差异。多变量逻辑回归分析表明，BPS/IC症状的严重程度并不能独立预测支持SI的可能性。结果表明，BPS/IC的严重程度可能不会增加SI的可能性，除非通过抑郁症状的严重程度。还需要开展更多的工作，以了解如何满足患有BPS/IC和SI的妇女日益增加的需求。
Bladder pain syndrome or interstitial cystitis (BPS/IC) is associated with a high rate of mental health disorders, including depression. Little is known about suicide risk in patients with BPS/IC or the characteristics of patients with BPS/IC who endorse suicidal ideation (SI). We compared respondents who endorsed SI with respondents who denied SI within a national probability sample of women with BPS/IC symptoms. Data were collected as part of the RAND Interstitial Cystitis Epidemiology (RICE) Study, which screened 146,246 U.S. households to identify adult women who met BPS/IC symptom criteria. In addition to estimating SI prevalence, women with and without recent SI were compared based on demographics, depression symptoms, BPS/IC symptoms, functioning, and treatment utilization. Of 1,019 women with BPS/IC symptoms asked about SI, 11.0% (95% CI: 8.73–13.25) reported SI in the past 2 weeks. Those with SI were more likely to be younger, unemployed, unmarried, uninsured, less educated, and of lower income. Women who endorsed SI reported worse mental health functioning, physical health functioning, and BPS/IC symptoms. Women with SI were more likely to have received mental health treatment, but did not differ on whether they had received BPS/IC treatment. Multivariate logistic regression analyses indicated that severity of BPS/IC symptoms did not independently predict likelihood of endorsing SI. Results suggest that BPS/IC severity may not increase the likelihood of SI except via severity of depression symptoms. Additional work is needed to understand how to address the increased needs of women with both BPS/IC and SI.
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