Psychosocial Risk Factors and Patient Outcomes for Bladder Pain Syndrome



Bladder pain syndrome (BPS) is considered a frustrating and prevalent urological condition by both patients and treating physicians. Pain and voiding symptoms are cardinal symptoms of BPS and is strongly associated with intra- and interpersonal difficulties that correspond to diminished quality of life (QoL). Unfortunately, the biomedical model of BPS targeting possible mechanisms of disease such as infection, inflammation, overactive bladder, and organ centric pain has no advanced cure and clinicians must consider BPS as a syndrome where symptom management is primary. Psychosocial factors have clear associations to outcomes such as pain and diminished QoL (stress, social support, catastrophizing, sexual functioning, depression, and abuse) suggesting that a biopsychosocial model for BPS is necessary. Under such a model, physical and psychosocial predictors of BPS are important targets for assessment and treatment as well as new clinical research areas for exploration.


Sexual Abuse Irritable Bowel Syndrome Chronic Fatigue Syndrome Sexual Dysfunction Sexual Functioning 



Beck depression inventory


Bladder pain syndrome


Cognitive behavioral therapies


Chronic fatigue syndrome


Central nervous system


Hypothalamic pituitary adrenal


Hamilton rating scale of depression


Irritable bowel syndrome


Interstitial cystitis/painful bladder syndrome


Lower urinary tract symptoms


National Institutes of Health


Pain catastrophizing scale


Quality of life


Urogenital chronic pelvic pain syndromes


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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Departments of Psychology, Anesthesia & UrologyQueen’s UniversityKingstonCanada
  2. 2.Department of Urology, Kingston General HospitalQueen’s UniversityKingstonCanada

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