Cognition, Emotion, and the Bladder: Psychosocial Factors in bladder pain syndrome and interstitial cystitis (BPS/IC).

Cognition, Emotion, and the Bladder: Psychosocial Factors in bladder pain syndrome and interstitial cystitis (BPS/IC).
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DOI:
10.1007/s11884-019-00571-2
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发表时间:
2020-03
影响因子:
0.4
通讯作者:
McKernan L
McKernan L
中科院分区:
其他
文献类型:
--
作者:
Windgassen S;McKernan L

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回顾评估心理社会因素在膀胱疼痛综合征和间质性膀胱炎(BPS/IC)中作用的实证研究结果。BPS/IC中心理社会共病的发生率很高,包括焦虑和抑郁水平升高。最近的研究评估的BPS/IC中的疾病的看法的作用较差的疾病的看法,更无益的疾病应对模式。相反,积极的疾病认知,包括疾病管理中的自我效能,与更适应的应对行为,如锻炼和接受。新的研究正在调查创伤在BPS/IC中的作用以及自杀倾向的影响。在过去5年中,对BPS/IC的心理社会干预很少。回顾的三项小规模研究包括为BPS/IC量身定制的正念减压(MBSR)干预,旨在增加患者知识和症状管理技术的简短自我管理干预,以及旨在提高对IC中生理情感关系的认识的90分钟访谈。疾病相关认知影响BPS/IC中疾病相关应对行为、痛苦、症状严重程度和生活质量。积极的疾病认知可以积极影响对疾病和疾病结果的行为反应。创伤、情绪调节和自杀倾向在BPS/IC中是心理社会干预和多学科治疗的重要因素。从现有的证据基础和其他功能性疾病领域,如IBS的见解可以用来通知干预措施的设计和评估,旨在了解和治疗BPS/IC作为一种生物心理社会疾病。医疗保健从业人员的作用是根本通知病人的看法,他们的疾病,并提供足够的支持,为自己的自我管理方法。
To review findings from empirical studies assessing the role of psychosocial factors in bladder pain syndrome and interstitial cystitis (BPS/IC) There is a high rate of psychosocial comorbidity in BPS/IC, including elevated levels of anxiety and depression. Recent studies assessing the role of illness perceptions in BPS/ICrelate poorer illness perceptions to more unhelpful illness coping patterns. Conversely, positive illness perceptions including self-efficacy in illness management are associated with more adaptive coping behaviors such as exercising and acceptance. New research is investigating the role of trauma in BPS/ICand the impact of suicidality. There is a paucity of psychosocial interventions for BPS/ICover the last 5 years. The three small-scale studies reviewed included a mindfulness-based stress reduction (MBSR) intervention tailored for BPS/IC, a brief self-management intervention designed to increase patient knowledge and symptom management techniques and a 90-minute interview aimed at increasing awareness about physiological-affective relationship in IC. Illness-related cognitions impact illness related coping behavior, distress, symptom severity and QoL in BPS/IC. Positive illness perceptions can positively impact behavioral responses to illness and illness outcomes. Trauma, emotion regulation, and suicidality in BPS/IC are important factors for psychosocial interventions and multidisciplinary treatments to address. Insight from the existing evidence base and other functional illness areas such as IBS can be used to inform the design and assessment of interventions aimed to understand and treat BPS/IC as a biopsychosocial illness. The role of healthcare practitioners is fundamental to informing patient perceptions of their illness and providing adequate support for their own self-management approaches.
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