Depression and catastrophizing predict suicidal ideation in tertiary care patients with interstitial cystitis/bladder pain syndrome
Open accessAbstract
Introduction: We sought to evaluate psychosocial factors as predictors of suicidal ideation (SI) in a tertiary care outpatient sample of women suffering from interstitial cystitis/bladder pain syndrome(IC/BPS).Methods: The patients are women managed at tertiary care centres (n=190). Controls were recruited from the community (n=117). Both groups completed questionnaires on demographics, pain (McGill Pain Questionnaire), IC/BPS symptoms, and psychological variables. Univariate and multivariate hierarchical regression modelling was conducted to examine the strength of associations and unique effects of psychosocial variables on patient SI.Results: Compared to 6% in healthy controls, 23% of patients endorsed SI in the past two weeks. Correlations between SI, depression, and catastrophizing across controls and cases show that forcontrols, SI is associated with greater pain (0.31; p<0.01) and depression only (0.59; p<0.01). For tertiary care centre cases, SI is associated with pain (0.24; p<0.01), depression (0.64; p<0.01), and catastrophizing (0.35; p<0.01). Regression analyses indicated that psychosocial variables accounted for a significant amount of variance over and above IC/BPS symptoms. Catastrophizing (i.e., helplessness) about pain and depression were significant univariate predictors of SI, but only depression predicted SI in multivariable analyses.Conclusions: Limitations of this study include its cross-sectional design and primarily correlation-based statistics. The present study is the first to implicate multiple psychosocial risk factors over and above IC/BPS-specific symptoms and patient pain experience in SI in women with IC/BPS. Depression in particular is uniquely important in predicting suicidality. These results support a multidisciplinary,proactive approach to IC/BPS involving not only treatment of disease symptoms, but also early detection/treatment of associated psychosocial problems.
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In a study of 2,765 individuals with BPS/IC, symptom severity, depression and comorbidity impacted ability to work, increasing sick days and withdrawal from work.
“Further, a recent study of 2,765 individuals with BPS/IC indicated that symptom severity, depression and comorbidity impacted on individuals’ ability to work culminating in increased days off sick and withdrawal from work [19].”
From Cognition, Emotion, and the Bladder: Psychosocial Factors in Bladder Pain Syndrome and Interstitial Cystitis (BPS/IC) (2020) · cites this paper as [19]
The Abstract describes a study of 190 patients with IC/BPS, not 2,765. The Results examine suicidal ideation and identify depression as its strongest predictor; they do not report increased sick days or withdrawal from work. The claimed study size directly conflicts with this source. (LLM, conf=0.88)
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References 33 · Cited by 47
- Authors
- Tripp, D. A., Nickel, J. C., Krsmanovic, A., Pontari, M., Moldwin, R., Mayer, R., Carr, L. K., Yang, C. C., & Nordling, J.
- Affiliations
- Queen's University (CA)
- Temple University (US)
- Hofstra University (US)
- University of Toronto (CA)
- University of Washington (US)
- Venue
- Canadian Urological Association Journal
- Published
- 2016-12-15
- Volume
- 10
- Issue
- 11-12
- Pages
- 383
- ISSN
- 1911-6470 (ISSN-L)
- 1920-1214
- PMC
- PMC5167592
- OpenAlex
- W2568092111
- Cited by
- 47
- References
- 33
- Citations by year
- 2026: 4 · 2025: 10 · 2024: 1 · 2023: 3 · 2022: 8 · 2021: 6 · 2020: 6 · 2019: 2 · 2018: 3 · 2017: 3 · 2016: 1
- FWCI
- 4.02
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Locations
- Canadian Urological Association Journal (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Research at the University of Copenhagen (University of Copenhagen) (publishedVersion, other-oa)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Suicide and Self-Harm Studies
- Health Sciences › Medicine › Urology › Urinary Bladder and Prostate Research
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- suicidal ideation, interstitial cystitis, depression, pain catastrophizing, psychosocial risk factors, women, chronic pain, helplessness, multidisciplinary care
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