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Published on: April 27, 2014
Depression, abuse and its relationship to interstitial cystitis
H B Goldstein1, P Safaeian, K Garrod
1Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, Cooper University Hospital, Voorhees, NJ, USA. hgoldstein@christianacare.org
Women with interstitial cystitis (IC) show higher rates of depression and sexual abuse compared to the general population. Early screening and mental health referrals are recommended for these patients.
Area of Science:
- Urology
- Psychiatry
- Women's Health
Background:
- Interstitial cystitis (IC) is a chronic condition affecting women.
- The psychological and abuse history in IC patients requires further investigation.
- Understanding comorbidities is crucial for comprehensive patient care.
Purpose of the Study:
- To determine the prevalence of depression, sexual abuse, and physical abuse in women with IC.
- To compare these prevalence rates with the general US population.
- To inform clinical screening and referral practices for IC patients.
Main Methods:
- 141 women diagnosed with IC participated.
- Validated questionnaires were used: Beck's Depression Inventory II (BDI-II) and Drossman Abuse Questionnaire.
- Data were analyzed to calculate prevalence and compare with US averages.
Main Results:
- 69% of women with IC met criteria for depression (BDI-II score ≥14), significantly higher than the US average of 9%.
- 36% reported sexual abuse, exceeding the US average.
- Prevalence of childhood sexual abuse and physical abuse were not significantly different from US averages.
Conclusions:
- Women with IC exhibit a higher prevalence of depression and sexual abuse.
- Routine screening for depression and abuse is recommended for women with IC.
- Referral to mental health professionals is advised for necessary treatment.
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