Rees D L, Farhoumand N
Br J Urol. 1977;49(7):651-8. doi: 10.1111/j.1464-410x.1977.tb04547.x.
Using both psychometric questionnaires and psychiatric interview it has been shown that women with recurrent cystitis have significantly more psychiatric symptoms (particularly those of anxiety) than the population as a whole. By comparison with the expected prevalence, the study group shows a 3-fold increase in psychiatric symptoms antedating micturition symptoms, and a 10-fold increase in psychiatric symptoms overall. Significant differences in psychometric profiles have been demonstrated between different clinical subgroups of patients (e.g. bladder instability, outlet obstruction and dyspareunia). A multifactorial approach (including an awareness of psychiatric factors) to patients complaining of recurrent cystitis can produce a treatment failure rate as low as 4.4%.
通过使用心理测量问卷和精神科访谈发现,复发性膀胱炎女性的精神症状(尤其是焦虑症状)明显多于普通人群。与预期患病率相比,研究组在排尿症状出现之前精神症状增加了3倍,总体精神症状增加了10倍。已证实在不同临床亚组患者(如膀胱不稳定、出口梗阻和性交困难)之间,心理测量特征存在显著差异。对抱怨复发性膀胱炎的患者采用多因素方法(包括认识到精神因素),可使治疗失败率低至4.4%。