Journal article
Stress and symptoms in patients with interstitial cystitis: a life stress model
Urology (Ridgewood, N.J.), Vol.57(3), pp.422-427
2001
DOI: 10.1016/S0090-4295(00)00988-2
PMID: 11248609
Abstract
Objectives. Stress-related exacerbation of interstitial cystitis (IC) symptoms has frequently been reported. Previous research has found stress-related IC symptom exacerbation in an experimental model. However, this relationship has not been objectively examined with daily life stressors. We used a prospective daily symptom diary method to investigate the relationships among stress and bladder symptoms in patients with IC and age-matched healthy controls.
Methods. Forty-five previously diagnosed female patients with IC completed a bladder symptom and stress diary nightly for 1 month; 31 female age-matched healthy controls completed a similar diary for 7 days. The symptom questions were modified from the Interstitial Cystitis Data Base study.
Results. Patients reported greater mean daily stress, bladder pain, urgency, and daytime and nocturnal frequency than controls (all
P values less than 0.001). Among all patients, a significant relationship between stress and urgency was observed. In addition, a significant relationship between stress and pain was observed among patients with moderate and severe disease. As the disease severity increased, more pronounced relationships between stress and the symptoms of urgency and pain were evidenced. Greater stress was associated with greater nocturnal frequency among patients with more severe disease. These stress-symptom relationships were not observed among the controls.
Conclusions. Higher levels of stress were related to greater pain and urgency in patients with IC but not in the controls. In addition, the relationship of stress and these IC symptoms was stronger among patients with more severe disease. The results indicate that life stress is associated with greater IC symptoms, particularly among patients whose disease is not well controlled.
Details
- Title: Subtitle
- Stress and symptoms in patients with interstitial cystitis: a life stress model
- Creators
- Nan E Rothrock - Department of Psychology, University of Iowa, Iowa City, Iowa, USASusan K Lutgendorf - Department of Psychology, University of Iowa, Iowa City, Iowa, USAKarl J Kreder - Department of Urology, University of Iowa, Iowa City, Iowa, USATimothy Ratliff - Department of Urology, University of Iowa, Iowa City, Iowa, USABridget Zimmerman - Department of Preventive Medicine and Biostatistics, University of Iowa, Iowa City, Iowa, USA
- Resource Type
- Journal article
- Publication Details
- Urology (Ridgewood, N.J.), Vol.57(3), pp.422-427
- DOI
- 10.1016/S0090-4295(00)00988-2
- PMID
- 11248609
- NLM abbreviation
- Urology
- ISSN
- 0090-4295
- eISSN
- 1527-9995
- Publisher
- Elsevier Inc
- Language
- English
- Date published
- 2001
- Academic Unit
- Psychological and Brain Sciences; Iowa Neuroscience Institute; Biostatistics; Obstetrics and Gynecology; Urology
- Record Identifier
- 9983997480702771
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