Depressive disorders and panic attacks in women with bladder pain syndrome/interstitial cystitis: a population-based sample.

Depressive disorders and panic attacks in women with bladder pain syndrome/interstitial cystitis: a population-based sample.
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DOI:
10.1016/j.genhosppsych.2011.01.004
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发表时间:
2011-03
影响因子:
7
通讯作者:
Berry SH
Berry SH
中科院分区:
医学2区
文献类型:
--
作者:
Watkins KE;Eberhart N;Hilton L;Suttorp MJ;Hepner KA;Clemens JQ;Berry SH

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我们报告了患有膀胱疼痛综合征/间质性膀胱炎 (BPS/IC) 症状的女性中可能的抑郁症和当前惊恐发作的人群患病率,并描述了其特征和获得护理的机会。我们对 146,231 个家庭进行了电话筛查,并对患有 BPS/IC 症状的女性进行了电话访谈。确定了 1,469 名符合 BPS/IC 标准的女性的加权概率样本。测量 BPS/IC 严重程度、抑郁症状、惊恐发作和治疗利用率。进行 T 检验和卡方检验来检查组之间的差异。超过三分之一的样本 (N = 536) 可能被诊断为抑郁症,52% (N = 776) 报告最近出现惊恐发作。可能被诊断患有抑郁症或当前惊恐发作的女性报告称,她们的功能较差,疼痛加剧,并且由于膀胱疼痛而不太可能工作。在这个基于社区的样本中,当前可能的抑郁症和恐慌症发作率很高,并且存在相当大的未满足的治疗需求。这些发现表明,临床医生应警惕寻求抑郁症或焦虑症治疗的患者的膀胱疼痛主诉,以及寻求膀胱疼痛症状治疗的患者的情绪或个人问题主诉。
We report the population prevalence of probable depressive disorders and current panic attacks in women with bladder pain syndrome/interstitial cystitis (BPS/IC) symptoms and describe their characteristics and access care. We conducted a telephone screening of 146,231 households and phone interviews with women with BPS/IC symptoms. A weighted probability sample of 1,469 women who met criteria for BPS/IC was identified. Measures of BPS/IC severity, depressive symptoms, panic attacks, and treatment utilization were administered. T-tests and chi-square tests were run to examine differences between groups. Over one-third of the sample (N = 536) had a probable diagnosis of depression and 52% (N = 776) reported recent panic attacks. Women with a probable diagnosis of depression or current panic attacks reported worse functioning, increased pain and were less likely to work because of bladder pain. In this community-based sample, rates of probable current depression and panic attacks are high and there is considerable unmet need for treatment. These findings suggest that clinicians should be alert to complaints of bladder pain in patients seeking treatment for depressive or anxiety disorders, and to complaints of emotional or personal problems in patients seeking treatment for painful bladder symptoms.
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