Windgassen Sula, McKernan Lindsey
Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
South London and Maudsley NHS Trust, Maudsley Hospital, Denmark Hill, London, SE5 8AZ.
Curr Bladder Dysfunct Rep. 2020 Mar;15(1):9-14. doi: 10.1007/s11884-019-00571-2. Epub 2020 Jan 31.
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.
回顾实证研究的结果，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）中的作用。
BPS/IC中存在较高的心理社会共病率，包括焦虑和抑郁水平升高。最近评估疾病认知在BPS/IC中作用的研究表明，较差的疾病认知与更无益的疾病应对模式相关。相反，积极的疾病认知，包括疾病管理中的自我效能感，与更多适应性应对行为相关，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，针对BPS/IC的心理社会干预措施很少。所审查的三项小规模研究包括一项为BPS/IC量身定制的基于正念减压（MBSR）干预、一项旨在增加患者知识和症状管理技巧的简短自我管理干预以及一次旨在提高对IC中生理-情感关系认识的90分钟访谈。
