Depression, abuse and its relationship to interstitial cystitis

  • H. B. Goldstein
  • P. Safaeian
  • K. Garrod
  • P. S. Finamore
  • S. Kellogg-Spadt
  • K. E. Whitmore
Original Article

Abstract

This study evaluated the prevalence of depression, sexual abuse, and physical abuse among women diagnosed with interstitial cystitis (IC). One hundred forty-one subjects completed the validated Beck's Depression Inventory II Questionnaire (BDI-II) and the validated Drossman Abuse Questionnaire. Ninety-seven (69%) subjects scored 14 or higher on the BDI-II, corresponding to depression. When compared to the US prevalence of 9%, this was significantly higher. Fifty-one subjects (36%) reported sexual abuse which is higher than the US average. The prevalence of childhood sexual abuse in the sample was not significantly different than the US average. The prevalence of physical abuse in the sample was not statistically different than the US average. Women with IC appear to have a higher prevalence of depression and sexual abuse than the general population. Women with IC should be screened for depression and abuse and referred to a mental health expert as necessary for treatment.

Keywords

Interstitial cystitis Depression Sexual abuse Physical abuse 

References

  1. 1.
    Executive Committee Summary (2004) In: Interstitial Cystitis Epidemiology Task Force meeting. National Institutes of Diabetes and Digestive and Kidney Diseases, October 29, 2003. National Institutes of Health, BethesdaGoogle Scholar
  2. 2.
    Hanno PM (2002) Interstitial cystitis and related disorders. In: Walsh PC, Retik AB, Vaughan ED et al (eds) Campbell's urology. 8th edn. W.B. Saunders Co, Philadelphia, p 631Google Scholar
  3. 3.
    Rabin CR, O'Leary A, Neighbors C et al (2000) Pain and depression experienced by women with interstitial cystitis. Women Health 31(4):67–81PubMedGoogle Scholar
  4. 4.
    American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, fourth edition, text revision. American Psychiatric Association, Washington, DCGoogle Scholar
  5. 5.
    Arnow BA, Hunkeler EM, Blasey CM et al (2006) Comorbid depression, chronic pain, and disability in primary care. Psychosom Med 68:262–268PubMedCrossRefGoogle Scholar
  6. 6.
    Fishbain DA, Cutler R, Rosomoff HL et al (1997) Chronic pain-associated depression: antecedent or consequence of chronic pain? A review. Clin J Pain 13(2):116–137PubMedCrossRefGoogle Scholar
  7. 7.
    Heiskanen M, Piispa M (1998) Faith, hope, battering: a survey of men's violence against women in Finland. Statistics Fineland, Helsinki, FinlandGoogle Scholar
  8. 8.
    Pikarinen U, Saisto T, Schei B et al (2007) Experiences of physical and sexual abuse and their implications for current health. Obstet Gynecol 109:1116–1122PubMedGoogle Scholar
  9. 9.
    Kaplow JB, Widom CS (2007) Age of onset of child maltreatment predicts long-term mental health outcome. J Abnorm Psychol 116(1):176–187PubMedCrossRefGoogle Scholar
  10. 10.
    Leserman J (2005) Sexual abuse history: prevalence, health effects, mediators, and psychological treatment. Psychosom Med 76:906–915CrossRefGoogle Scholar
  11. 11.
    Poole H, Branwell R, Murphy P (2006) Factor structure of the Beck Depression Inventory-II in patients with chronic pain. Clin J Pain 22(9):790–798PubMedCrossRefGoogle Scholar
  12. 12.
    Leserman J, Drossman DA (1995) The reliability and validity of a sexual and physical abuse history questionnaire in female patients with gastrointestinal disorders. Behav Med 21(3):141–150PubMedGoogle Scholar
  13. 13.
    Gillenwater JY, Wein AJ (1988) Summary of the National Institute of Arthritis, Diabetes, Digestive, and Kidney Diseases workshop on interstitial cystitis. National Institute of Health, Bethesda, Maryland. August 28–29, 1987. J Urol 140:203–206PubMedGoogle Scholar
  14. 14.
    Elliott DM, Mok DS, Briere J (2004) Adult sexual assault: prevalence, symptomatology, and sex differences in the general population. J Trauma Stress 17(3):203–211PubMedCrossRefGoogle Scholar
  15. 15.
    Molnar BE, Buka SL, Kessler RC et al (2001) Child sexual abuse and subsequent psychotherapy: results from the National Comorbidity Survey. Am J Public Health 91:753–760PubMedCrossRefGoogle Scholar
  16. 16.
    U.S. Department of Justice (2000) Full report of the Prevalence, Incidence, and Consequences of Violence Against Women Survey by Patricia Tjaden and Nancy Thoennes. U.S. Department of Justice, National Institute of Justice, NCJ 183781, Washington, DCGoogle Scholar
  17. 17.
    Finkelhor D, Hotaling G, Lewis IA et al (1990) Sexual abuse in a national survey of adult men and women: prevalence, characteristics, and risk factors. Child Abuse Negl 14:19–28PubMedCrossRefGoogle Scholar
  18. 18.
    Dube SR, Anda RF, Whitfield CL et al (2005) Long-term consequences of childhood sexual abuse by gender of victim. Am J Prev Med 28(5):430–438PubMedCrossRefGoogle Scholar
  19. 19.
    McCauley J, Kern DE, Kolodner K et al (1997) Clinical characteristics of women with a history of childhood abuse: unhealed wounds. JAMA 277(17):1362–1368PubMedCrossRefGoogle Scholar
  20. 20.
    Putnam FW (2003) Ten-year research update review: child sexual abuse. J Am Acad Child Adolesc Psychiatry 42(3):269–278PubMedCrossRefGoogle Scholar
  21. 21.
    Raiford JL, Wingood GM, Diclemente RJ (2007) Prevalence, incidence, and predictors of dating violence: a longitudinal study of African American female adolescents. J Womens Heal 16(6):822–832CrossRefGoogle Scholar
  22. 22.
    Mouton CP, Rodabough RJ, Rovi SL et al (2004) Prevalence and 3-year incidence of abuse among postmenopausal women. Am J Public Health 94(4):605–612PubMedGoogle Scholar
  23. 23.
    John R, Johnson JK, Kukreja S et al (2004) Domestic violence: prevalence and association with gynecological symptoms. BJOG 111(10):1128–1132PubMedCrossRefGoogle Scholar
  24. 24.
    Pikarinen U, Saisto T, Schei B et al (2007) Experiences of physical and sexual abuse and their implications for current health. Obstet Gynecol 109:1116–1122PubMedGoogle Scholar
  25. 25.
    Johnson JK, Haider F, Ellis K et al (2003) The prevalence of domestic violence in pregnant women. BJOG 110(3):272–275PubMedCrossRefGoogle Scholar
  26. 26.
    Lanteri-Minet M, Radat F, Chautard MH et al (2005) Anxiety and depression associated with migraine: influence on migraine subjects' disability and quality of life, and acute migraine management. Pain 118(3):319–326PubMedCrossRefGoogle Scholar
  27. 27.
    Mirzamani SM, Sadidi A, Sahrai J et al (2005) Anxiety and depression in patients with lower back pain. Psychol Rep 96:553–558PubMedCrossRefGoogle Scholar
  28. 28.
    Buskila D, Cohen H (2007) Comorbidity of fibromyalgia and psychiatric disorders. Curr Pain Headache Rep 11(5):333–338PubMedCrossRefGoogle Scholar
  29. 29.
    Novi JM, Jeronis S, Srinivas S et al (2005) Risk of irritable bowel syndrome and depression in women with interstitial cystitis: a case-control study. J Urol 174:937–940PubMedCrossRefGoogle Scholar
  30. 30.
    Peters KM, Kalinowski SE, Carrico DJ et al (2007) Fact or fiction—is abuse prevalent in patients with interstitial cystitis? Results from a community survey and clinic population. J Urol 178:891–895PubMedCrossRefGoogle Scholar

Copyright information

© The International Urogynecological Association 2008

Authors and Affiliations

  • H. B. Goldstein
    • 1
    • 3
  • P. Safaeian
    • 2
  • K. Garrod
    • 2
  • P. S. Finamore
    • 1
  • S. Kellogg-Spadt
    • 2
  • K. E. Whitmore
    • 2
  1. 1.Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and GynecologyCooper University HospitalVoorheesUSA
  2. 2.The Pelvic and Sexual Health InstitutePhiladelphiaUSA
  3. 3.NewarkUSA

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