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    Please use this identifier to cite or link to this item: http://ir.cnu.edu.tw/handle/310902800/29599


    標題: Increased risks of healthcare-seeking behaviors of anxiety, depression and insomnia among patients with bladder pain syndrome/interstitial cystitis: a nationwide population-based study
    作者: Chuang, Yao-Chi
    Weng, Shih-Feng
    Hsu, Ya-Wen
    Huang, Charles Lung-Cheng
    Wu, Ming-Ping
    貢獻者: 醫務管理系
    社會工作系
    通識教育中心
    關鍵字: Anxiety
    Depression
    Insomnia
    Bladder pain syndrome/interstitial cystitis (BPS/IC)
    National Health Insurance Research Database (NHIRD)
    日期: 2015-02
    上傳時間: 2016-04-19 19:01:35 (UTC+8)
    出版者: Springer
    摘要: To explore the association between bladder pain syndrome/interstitial cystitis (BPS/IC) and the risk of subsequent healthcare-seeking behavior for common mental disorders in Taiwan using a population-based administrative database.Both BPS/IC subjects and their age- and sex-matched non-BPS/IC control subjects who had no previous insomnia and mental diseases, including anxiety, depression, were subsequent serviced for these mental disorders by psychiatrists from the recruited date between 2002 and 2010. The risk of outcomes was assessed with Kaplan-Meier curves; and the impact of BPS/IC was estimated with Poisson regression analysis and Cox proportional hazards models.We included 16,185 BPS/IC subjects and 32,370 non-BPS/IC subjects, with a mean age of 46 years and 73.5 % of women. Difference of the prevalence of hypertension, diabetes, chronic kidney disease, and hyperlipidemia between groups was not significant difference. Subjects with BPS/IC had a significant higher incidence rate of anxiety, depression, and insomnia than the matched controls (92.9 vs 38.4, 101.0 vs 42.2, 47.5 vs 23.0; per 10,000 person-year). After adjusting for age, sex, and common comorbidities in multivariable analysis, BPS/IC remained a significant predictor with hazard ratio and 95 % confidence incidence, 2.4 (2.2-2.7), 2.4 (2.2-2.6), and 2.1 (1.8-2.4) for anxiety, depression, and insomnia, respectively.Patients with BPS/IC are at risk of development of anxiety, depression, and insomnia. These findings can help guide urologists, urogynecologists, and psychiatrists toward early identification and treatment of psychological complications that may develop in BPS/IC patients.
    關聯: International Urology And Nephrology, v.47 n.2, pp.275-281
    Appears in Collections:[通識教育中心] 期刊論文
    [社會工作系] 期刊論文
    [醫務管理系(所)] 期刊論文

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