Fazio Rachel L, Wunderlich Ted, Wilson Nicolas, Akeson Steven
School of Professional Psychology at Forest Institute, United States.
School of Professional Psychology at Forest Institute, United States.
J Psychosom Res. 2014 Nov;77(5):359-62. doi: 10.1016/j.jpsychores.2014.09.010. Epub 2014 Sep 28.
This study aimed to describe the psychological functioning of interstitial cystitis/bladder pain syndrome patients utilizing MMPI-2-RF scoring.
The MMPI-2 was administered to 60 individuals who reported a diagnosis of IC. Responses were scored in the MMPI-2-RF format. Fifty-one protocols were deemed valid.
Elevations were discovered on scales FBS-r (symptom validity), RC1 (somatic complaints), and MLS (malaise). Participants were split into two groups based on extreme elevations on RC1; the high RC1 group produced higher scores on 39 scales including clinically significant elevations on 17 scales.
Over 25% of this sample had an emotional component to their physical concerns. This knowledge about the psychological characteristics of IC patients may have clinical utility for physicians and other treatment providers. The results argue strongly for psychological evaluation as a component of IC diagnosis and treatment. Those with significant emotional overlay to their somatic complaints may be best managed through psychological interventions and minimally invasive treatments.
本研究旨在利用明尼苏达多相人格调查表第二版修订版（MMPI - 2 - RF）评分来描述间质性膀胱炎/膀胱疼痛综合征患者的心理功能。
对60名报告诊断为间质性膀胱炎的个体进行MMPI - 2测试。以MMPI - 2 - RF格式对回答进行评分。51份测试结果被认为有效。
在FBS - r量表（症状效度）、RC1量表（躯体主诉）和MLS量表（不适）上发现得分升高。根据RC1量表上的极端高分，参与者被分为两组；高RC1组在39个量表上得分更高，其中17个量表上有临床显著升高。
该样本中超过25%的患者身体问题存在情绪成分。关于间质性膀胱炎患者心理特征的这一认识可能对医生和其他治疗提供者具有临床实用价值。结果有力地支持将心理评估作为间质性膀胱炎诊断和治疗的一个组成部分。那些躯体主诉伴有明显情绪叠加的患者可能最好通过心理干预和微创治疗来管理。
