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Coping With Interstitial Cystitis/Bladder Pain Syndrome.

Susanna Sutherland1, A Grace Kelly2,3, Lindsey C McKernan1,3,4,5

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|September 16, 2024
PubMed
Summary
This summary is machine-generated.

Women with interstitial cystitis/bladder pain syndrome (IC/BPS) who use disengaged coping strategies experience more psychological distress. Understanding coping mechanisms is key for developing effective IC/BPS interventions.

Keywords:
IC/BPSanxietycopingdepressioninterstitial cystitispsychological distress

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Area of Science:

  • Urology
  • Psychology
  • Pain Management

Background:

  • Compensatory coping behaviors are increasingly recognized in bladder conditions like interstitial cystitis/bladder pain syndrome (IC/BPS).
  • Previous research has linked coping behaviors to psychological distress but has not differentiated between coping strategies or their adaptive potential.
  • The heterogeneity of coping mechanisms and their varying impact on distress in IC/BPS requires further investigation.

Purpose of the Study:

  • To examine the relationship between primary control coping and disengaged coping behaviors and distress in women with IC/BPS.
  • To explore the role of pain phenotype in mediating the association between coping behaviors and psychological distress.
  • To identify specific coping strategies that may predict distress and inform intervention development for IC/BPS.

Main Methods:

  • Secondary data analysis of a large community dataset comprising 677 women diagnosed with IC/BPS.
  • Descriptive and inferential statistical methods were used to analyze coping patterns and predictors of distress.
  • Multiple regression models were employed to assess the associations between coping behaviors, pain phenotype, and psychological distress, controlling for clinical variables.

Main Results:

  • Nearly all participants reported engaging in at least one compensatory coping behavior.
  • Both primary control and disengaged coping behaviors were correlated with psychological symptoms.
  • Disengaged coping behaviors were significantly associated with psychological distress, even after controlling for age and urinary symptom severity.
  • Incorporating pain phenotype into regression models improved the prediction of depression in relation to coping behaviors.

Conclusions:

  • Disengaged coping is a significant predictor of psychological distress in women with IC/BPS.
  • Understanding the nuances of coping strategies, including pain phenotype, is crucial for developing targeted interventions.
  • Further research into coping mechanisms can enhance our understanding of risk factors and inform more effective treatment approaches for IC/BPS patients.