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A Cross-Sectional Investigation of the Prevalence of Depression and Abuse Among Women Diagnosed with Interstitial Cystitis/Painful Bladder Syndrome
Pegah Safaeian*1, Howard B Goldstein*2, Krista Garrod*1, Peter Finamore*2, Kristene E. Whitmore1
1The Pelvic and Sexual Health Institute, Philadelphia, PA;2Cooper University Hospital, Voorhees, NJ
Introduction: The objective of this study was to evaluate the prevalence of depression and abuse among women diagnosed with interstitial cystitis/painful bladder syndrome (IC/PBS).
Methods: One-hundred forty-four consecutive women over a six month period with the diagnosis of IC/PBS were approached for this study. All subjects completed the validated Beck’s Depression Inventory II Questionnaire (BDI-II) and the validated Drossman Questionnaire of Abuse.
Results: One-hundred forty-one women agreed to participate. The mean age was 45.9 years old. Seventy-eight subjects (55.3%) were also diagnosed with vulvodynia and or high tone pelvic floor dysfunction. Ninety-seven (69%) subjects scored 10 or higher on the BDI-II which corresponds to depression. The mean score was 14.99. When compared to the population depression prevalence of 9%, this was statistically significant (P<.001). Of those that scored 10 or higher, their mean score was 19.3, which represents moderate to severe depression. Seventy-seven subjects (55%) reported either sexual or physical abuse. Fifty-one subjects (36%) reported sexual abuse, 44 subjects (31%) reported physical abuse, and 80 subjects (57%) reported emotional abuse. When compared to the general population of women reporting sexual and or physical abuse of 45%, this was not statistically significant.
Conclusions: Women with IC/PBS appear to have a significantly higher prevalence of depression than the general population. Women with IC/PBS should be screened for depression and referred to a mental health expert as necessary for treatment. Although women with IC/PBS do not have a significantly higher rate of abuse then the general population they could still benefit from screening.
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