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Association Between Depression Subtypes and Interstitial Cystitis/Bladder Pain Syndrome.

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  • 1Department of Obstetrics and Gynecology, Feng Yuan Hospital, Ministry of Health and Welfare, Taichung, Taiwan.

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Summary
This summary is machine-generated.

Persistent and recurrent depression significantly increase the risk of developing interstitial cystitis/bladder pain syndrome (IC/BPS). Early management of these depression subtypes may delay IC/BPS onset.

Keywords:
Interstitial cystitis/bladder pain syndrome (IC/BPS)National Health Insurance Research Database (NHIRD)Persistent depressionRecurrent depressionSingle-episodic depression

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Area of Science:

  • Urology
  • Psychiatry
  • Epidemiology

Background:

  • Interstitial cystitis/bladder pain syndrome (IC/BPS) and depression are chronic conditions with unclear origins.
  • The relationship between depression subtypes and IC/BPS risk is not well-established.

Purpose of the Study:

  • To investigate the association between different subtypes of depression and the risk of developing IC/BPS.
  • To compare the incidence and time to onset of IC/BPS among patients with recurrent major depression, single-episodic major depression, and persistent depression.

Main Methods:

  • Utilized a nationwide database to identify patients newly diagnosed with depression between 2002 and 2013.
  • Stratified depression patients into recurrent major depression (RD), single-episodic major depression (SD), and persistent depression (PD) groups.
  • Employed propensity-score matching to compare IC/BPS risk between depression cohorts and a non-depression cohort, also evaluating incidence rates and time to IC/BPS onset.

Main Results:

  • Patients with recurrent major depression (RD) and persistent depression (PD) showed a significantly higher likelihood of developing IC/BPS compared to the non-depression cohort.
  • RD and PD cohorts experienced a significantly shorter time interval to IC/BPS onset.
  • Single-episodic depression (SD) showed a shorter time to onset but a non-significant increase in IC/BPS risk.

Conclusions:

  • Persistent and recurrent major depressive disorders are linked to an elevated risk and shorter onset time for IC/BPS.
  • These findings suggest increased susceptibility to IC/BPS in patients with persistent and recurrent depression.
  • Early detection and management of persistent and recurrent depression are crucial for potentially mitigating IC/BPS risk or delaying its onset.