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The relationship between illness perception and worsening of interstitial cystitis/painful bladder syndrome symptoms: A cross‐sectional study

The relationship between illness perception and worsening of interstitial cystitis/painful bladder syndrome symptoms: A cross‐sectional study
The relationship between illness perception and worsening of interstitial cystitis/painful bladder syndrome symptoms: A cross‐sectional study

Objective: To evaluate disease perception in a cohort of patients with interstitial cystitis/painful bladder syndrome (IC/PBS) using the Brief Illness Perception-Questionnaire (BIP-Q) and to evaluate how this might relate to disease severity. Materials and Methods: The study is a cross-sectional survey amongst members of Bladder Health UK who had previously received a clinical diagnosis of IC/PBS. A hyperlink containing the questionnaire was sent to the patient group's website and interested members accessed and completed the survey. Participants' inclusion was based on a prior clinical diagnosis of IC/PBS, current O'Leary Sant scores supportive of the diagnosis, and age between 18 and 80. A sample size of 171 was used in the study. The Brief Illness Perception Questionnaire (BIP-Q) and the O'Leary/Sant symptoms and problem indices questionnaire were used to collect data. A multivariable logistic regression analysis was used to test the relationship between items of BIP-Q and severity of IC/PBS. Content analysis was used for the causal domain and subsequently analysed as percentages. Results: Six hundred and one members accessed the questionnaire of whom 159 returned completed questionnaires. One hundred and twenty-two of 159 (≥75%) respondents believe that their illness will continue indefinitely. The majority of the respondents indicated that IC/PBS had a negative impact on their daily lives, caused them worry and made them emotionally unstable. Of the 8 BIP-Q items, those most predictive of disease severity were (adjusted odd ratio and confidence intervals): consequence 0.094 (0.023–0.386); treatment control 2.702 (1.256–5.812); identity 0.141 (0.033–0.600); concern 9.363 (1.521–57.632). Conclusions: Our findings show that IC/PBS negatively impacts participant's quality of life and emotional wellbeing. Higher expectation for treatment benefit and increasing levels of patient concern are predictive for severity of IC/PBS.

O'Leary Sant score, illness perception, interstitial cystitis/painful bladder syndrome, severity
0733-2467
2020-2025
Garba, Kamaluddeen
44ade4a2-0f98-4e98-885b-4a7c38c7f88c
Avery, Miriam
a678263d-a1de-486a-8553-e84c831f9149
Yusuh, Muhammadbukhoree
7c176a00-3c8c-4be8-a747-3edacd4710a2
Abdelwahab, Omar
b0107277-5b5b-46c0-942f-33f9c800beae
Harris, Scott
19ea097b-df15-4f0f-be19-8ac42c190028
Birch, Brian R.
8a94cd36-d429-4ab4-82a6-a376b4d4e10f
Lwaleed, Bashir A.
e7c59131-82ad-4a14-a227-7370e91e3f21
Garba, Kamaluddeen
44ade4a2-0f98-4e98-885b-4a7c38c7f88c
Avery, Miriam
a678263d-a1de-486a-8553-e84c831f9149
Yusuh, Muhammadbukhoree
7c176a00-3c8c-4be8-a747-3edacd4710a2
Abdelwahab, Omar
b0107277-5b5b-46c0-942f-33f9c800beae
Harris, Scott
19ea097b-df15-4f0f-be19-8ac42c190028
Birch, Brian R.
8a94cd36-d429-4ab4-82a6-a376b4d4e10f
Lwaleed, Bashir A.
e7c59131-82ad-4a14-a227-7370e91e3f21

Garba, Kamaluddeen, Avery, Miriam, Yusuh, Muhammadbukhoree, Abdelwahab, Omar, Harris, Scott, Birch, Brian R. and Lwaleed, Bashir A. (2022) The relationship between illness perception and worsening of interstitial cystitis/painful bladder syndrome symptoms: A cross‐sectional study. Neurourology and Urodynamics, 40 (8), 2020-2025. (doi:10.1002/nau.24787).

Record type: Article

Abstract

Objective: To evaluate disease perception in a cohort of patients with interstitial cystitis/painful bladder syndrome (IC/PBS) using the Brief Illness Perception-Questionnaire (BIP-Q) and to evaluate how this might relate to disease severity. Materials and Methods: The study is a cross-sectional survey amongst members of Bladder Health UK who had previously received a clinical diagnosis of IC/PBS. A hyperlink containing the questionnaire was sent to the patient group's website and interested members accessed and completed the survey. Participants' inclusion was based on a prior clinical diagnosis of IC/PBS, current O'Leary Sant scores supportive of the diagnosis, and age between 18 and 80. A sample size of 171 was used in the study. The Brief Illness Perception Questionnaire (BIP-Q) and the O'Leary/Sant symptoms and problem indices questionnaire were used to collect data. A multivariable logistic regression analysis was used to test the relationship between items of BIP-Q and severity of IC/PBS. Content analysis was used for the causal domain and subsequently analysed as percentages. Results: Six hundred and one members accessed the questionnaire of whom 159 returned completed questionnaires. One hundred and twenty-two of 159 (≥75%) respondents believe that their illness will continue indefinitely. The majority of the respondents indicated that IC/PBS had a negative impact on their daily lives, caused them worry and made them emotionally unstable. Of the 8 BIP-Q items, those most predictive of disease severity were (adjusted odd ratio and confidence intervals): consequence 0.094 (0.023–0.386); treatment control 2.702 (1.256–5.812); identity 0.141 (0.033–0.600); concern 9.363 (1.521–57.632). Conclusions: Our findings show that IC/PBS negatively impacts participant's quality of life and emotional wellbeing. Higher expectation for treatment benefit and increasing levels of patient concern are predictive for severity of IC/PBS.

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Accepted/In Press date: 26 August 2021
e-pub ahead of print date: 9 September 2021
Published date: November 2022
Keywords: O'Leary Sant score, illness perception, interstitial cystitis/painful bladder syndrome, severity

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Local EPrints ID: 453627
URI: http://eprints.soton.ac.uk/id/eprint/453627
ISSN: 0733-2467
PURE UUID: 4b2d37c5-3ffb-4da5-bb16-c8724b3ccc98

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Date deposited: 20 Jan 2022 17:39
Last modified: 17 Mar 2024 06:51

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Contributors

Author: Kamaluddeen Garba
Author: Miriam Avery
Author: Muhammadbukhoree Yusuh
Author: Omar Abdelwahab
Author: Scott Harris
Author: Brian R. Birch

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