Somatic symptoms are sensitive in predicting interstitial cystitis/bladder pain syndrome: A nationwide cohort study
Author(s)
Chen, I-Chun
Lee, MingHuei
Wu, Shang-Liang
Lin, Hsuan-Hung
Chang, Kun-Min
Lin, HsiuYing
Griffith University Author(s)
Year published
2017
Metadata
Show full item recordAbstract
Objectives: Somatic symptoms are somatic complaints accompanied by disproportionate
thoughts, feelings, and behaviors related to such symptoms. The study investigated
five International Classification of Diseases, Ninth Revision, Clinical
Modification diagnoses hallmarked by somatic symptoms. The study hypothesized
an increased risk of interstitial cystitis/bladder pain syndrome in patients with somatic
symptoms.
Methods: The raw data were obtained from a nationwide health insurance reimbursement
database over a 12-year period from 2002 to 2013. The study followed a
somatic symptoms cohort (n ¼ 34,393) and non-somatic symptoms ...
View more >Objectives: Somatic symptoms are somatic complaints accompanied by disproportionate thoughts, feelings, and behaviors related to such symptoms. The study investigated five International Classification of Diseases, Ninth Revision, Clinical Modification diagnoses hallmarked by somatic symptoms. The study hypothesized an increased risk of interstitial cystitis/bladder pain syndrome in patients with somatic symptoms. Methods: The raw data were obtained from a nationwide health insurance reimbursement database over a 12-year period from 2002 to 2013. The study followed a somatic symptoms cohort (n ¼ 34,393) and non-somatic symptoms cohort (n ¼ 637,999) for interstitial cystitis/bladder pain syndrome. Both cohorts were stratified into three subgroups based on propensity scores calculated by sex, age, and 17 comorbidities of interstitial cystitis/bladder pain syndrome. Results: The incidence density of interstitial cystitis/bladder pain syndrome between the somatic symptoms cohort and non-somatic symptoms cohort was significantly different in the three subgroups (relative ratio [95% confidence interval], 2.14 [1.01, 4.53], 1.52 [1.47, 1.57], and 1.59 [1.28, 1.98], respectively). The adjusted hazard ratio for interstitial cystitis/bladder pain syndrome was significantly greater in the femaledominant and older age subgroups—subgroup 2 and subgroup 3 (adjusted hazard ratios, 1.47 [1.07, 2.01] and 1.72 [1.38, 2.16], respectively). Conclusion: The longitudinal investigation identified a subsequent risk of interstitial cystitis/bladder pain syndrome in patients with somatic symptoms. Somatic symptoms might be linked to biological pathways that might increase the risk of interstitial cystitis/bladder pain syndrome, much like more traditional psychosocial factors.
View less >
View more >Objectives: Somatic symptoms are somatic complaints accompanied by disproportionate thoughts, feelings, and behaviors related to such symptoms. The study investigated five International Classification of Diseases, Ninth Revision, Clinical Modification diagnoses hallmarked by somatic symptoms. The study hypothesized an increased risk of interstitial cystitis/bladder pain syndrome in patients with somatic symptoms. Methods: The raw data were obtained from a nationwide health insurance reimbursement database over a 12-year period from 2002 to 2013. The study followed a somatic symptoms cohort (n ¼ 34,393) and non-somatic symptoms cohort (n ¼ 637,999) for interstitial cystitis/bladder pain syndrome. Both cohorts were stratified into three subgroups based on propensity scores calculated by sex, age, and 17 comorbidities of interstitial cystitis/bladder pain syndrome. Results: The incidence density of interstitial cystitis/bladder pain syndrome between the somatic symptoms cohort and non-somatic symptoms cohort was significantly different in the three subgroups (relative ratio [95% confidence interval], 2.14 [1.01, 4.53], 1.52 [1.47, 1.57], and 1.59 [1.28, 1.98], respectively). The adjusted hazard ratio for interstitial cystitis/bladder pain syndrome was significantly greater in the femaledominant and older age subgroups—subgroup 2 and subgroup 3 (adjusted hazard ratios, 1.47 [1.07, 2.01] and 1.72 [1.38, 2.16], respectively). Conclusion: The longitudinal investigation identified a subsequent risk of interstitial cystitis/bladder pain syndrome in patients with somatic symptoms. Somatic symptoms might be linked to biological pathways that might increase the risk of interstitial cystitis/bladder pain syndrome, much like more traditional psychosocial factors.
View less >
Journal Title
International Journal of Psychiatry in Medicine
Volume
52
Issue
1
Subject
Clinical sciences
Clinical sciences not elsewhere classified
Psychology