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Cited by 68Urinary Bladder and Prostate ResearchMindfulness and Compassion InterventionsPelvic floor disorders treatments

Mindfulness-based stress reduction as a novel treatment for interstitial cystitis/bladder pain syndrome: a randomized controlled trial

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Kanter, Gregory, Komesu, Yuko M., Qaedan, Fares, Jeppson, Peter C., Dunivan, Gena C., Cichowski, Sara B., Rogers, Rebecca G.·2016·International Urogynecology Journal
DOI 10.1007/s00192-016-3022-8PMC PMC5067184
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Abstract

Introduction and hypothesis Mindfulness-based stress reduction (MBSR) is a standardized meditation program that may be an effective therapy for interstitial cystitis/bladder pain syndrome (IC/BPS), a condition exacerbated by stress. The aims of this study were to explore whether MBSR improved IC/BPS symptoms and the feasibility/acceptability of MSBR among women with IC/BPS.Methods This randomized controlled trial included women with IC/BPS undergoing first- or second-line therapies. Women were randomized to continuation of usual care (UC) or an 8-week MBSR class + usual care (MBSR). Participants completed baseline and 8-week post-treatment questionnaires, including the O'Leary-Sant Symptom Problem Index (OSPI), the visual analog pain scale (VAS), the Short Form Health Survey (SF-12), the Female Sexual Function Index (FSFI), and the Pain Self-Efficacy Questionnaire (PSEQ). The Global Response Assessment (GRA) was completed post-treatment. Analyses were performed using Student's t test, Chi-squared, and MANOVA where appropriate.Results Eleven women were randomized to UC and 9 to MBSR, without differences in group characteristics. More MBSR participants' symptoms were improved on the GRA (7 out of 8 [87.5 %] vs 4 out of 11 [36.4 %], p = 0.03). The MBSR group showed greater improvement in the OSPI total (p = 0.0498) and problem scores (p = 0.036); the OSPI symptom score change did not differ. PSEQ scores improved in MBSR compared with UC (p = 0.035). VAS, SF-12, and FSFI change did not differ between groups. Eighty-six percent of MBSR participants felt more empowered to control symptoms, and all participants planned to continue MBSR.Conclusions This trial provides initial evidence that MBSR is a promising adjunctive therapy for IC/BPS. Its benefit may arise from patients' empowerment and ability to cope with symptoms.

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  • The importance of patient-centred care and decision making has been identified in BPS/IC and in chronic condition management generally.

    “The importance of patient-centred care and decision making has previously been identified in BPS/IC [44] but also more generally in chronic condition management [48, 49].”

    From Cognition, Emotion, and the Bladder: Psychosocial Factors in Bladder Pain Syndrome and Interstitial Cystitis (BPS/IC) (2020) · cites this paper as [49]

    The Discussion (page not available) describes MBSR for IC/BPS as patient-centred care that enables patients to manage their symptoms themselves. It does not identify patient-centred decision making; the broader claim about chronic-condition management is attributed to other citations, not this paper. (LLM, conf=0.82)

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Authors
Kanter, G., Komesu, Y. M., Qaedan, F., Jeppson, P. C., Dunivan, G. C., Cichowski, S. B., & Rogers, R. G.
Affiliations
University of New Mexico (US)
Corresponding author
Komesu, Yuko M.
ORCID
Venue
International Urogynecology Journal
Publisher
Springer Science and Business Media LLC
Published
2016-04-26
Volume
27
Issue
11
Pages
1705-1711
ISSN
  • 0937-3462 (ISSN-L)
  • 1433-3023
DOI
10.1007/s00192-016-3022-8
PMC
PMC5067184
OpenAlex
W2343164268
Cited by
68
References
27
Citations by year
2026: 6 · 2025: 7 · 2024: 6 · 2023: 6 · 2022: 9 · 2021: 6 · 2020: 11 · 2019: 8 · 2018: 3 · 2017: 3 · 2016: 3
FWCI
8.23
Type
journal article
Language
en
Open access
Licence
Locations
  • International Urogynecology Journal (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Center for Research Resources (UL1TR001449)
  • National Center for Advancing Translational Sciences (UL1TR001449)
Topics
  • Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
  • Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
  • Health Sciences › Medicine › Rheumatology › Pelvic floor disorders treatments
Keywords
mindfulness-based stress reduction, interstitial cystitis, meditation, stress, women, symptom management, pain self-efficacy, quality of life, sexual function, adjunctive therapy, treatment acceptability
MeSH terms
Adult, Analysis of Variance, Female, Humans, Middle Aged, Quality of Life, Surveys and Questionnaires, Stress, Psychological, Chi-Square Distribution, Treatment Outcome, Cystitis, Interstitial, Mindfulness

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