STUDY OBJECTIVES: To characterize the nature and impact of sleep disturbances on quality of life (QOL) in women with interstitial cystitis/ bladder pain syndrome (IC/BPS). METHODS: Participants were 3,397 women from a telephone probability survey who met IC/BPS symptom criteria. Sleep quality, duration, and IC/BPS nocturnal symptoms (i.e., trouble sleeping due to bladder pain, urgency, or needing to use the bathroom), general QOL (mental and physical health and sexual functioning), and IC/BPS QOL impairment were assessed via self-report during telephone interview. RESULTS: Over half of the sample reported poor sleep quality, sleep duration =6 hours, or trouble sleeping due to IC/ BPS symptoms. After covariate adjustment, short sleep duration was significantly associated with greater IC/ BPS QOL impairment (beta = -0.04; p<0.001) and poorer self-reported physical health (beta = 1.86; p < 0.001). Poor sleep quality was significantly associated with greater IC/ BPS QOL impairment (beta = 0.06; p < 0.001), poorer self-reported physical health (beta = -2.86; p < 0.001), and greater sexual dysfunction (beta = -0.04; p < 0.05). IC/ BPS nocturnal symptoms were significantly associated with greater IC/ BPS impairment (beta = 0.14; p < 0.001), poorer physical health (beta = -2.76; p < 0.001) and mental health (beta = 0.52; p < 0.01), and greater sexual dysfunction (beta = -0.10; p < 0.001), after covariate adjustment. After further adjustment for IC/ BPS nocturnal symptoms, we found that poor sleep quality and short sleep duration were independent correlates of poor self-reported physical health. CONCLUSIONS: Poor sleep quality and short sleep duration, as well as disorder-specific sleep disturbances, are highly prevalent in women with IC/ BPS and are associated with poorer disease-specific and general QOL.
Key Takeaways
- Sleep problems are very prevalent among women with interstitial cystitis/bladder pain syndrome.
- Some sleep disturbances experienced by patients with this condition are general in nature, rather than symptoms of the disorder itself.
Recommendation
Interventions to improve sleep could improve quality of life for this population.
Author Statement
Interstitial cystitis/ bladder pain syndrome (IC/BPS) is a prevalent and debilitating chronic pain condition which disproportionately affects women. Although there has been a great deal of research on musculoskeletal pain conditions and sleep disturbances, there has been very little research on the nature or impact of sleep disturbances in populations with organ-specific pain conditions, such as IC/ BPS. \n\nIn this population-based sample of women with IC/ BPS symptoms, sleep problems, including short sleep duration, poor sleep quality, and disorder-specific nocturnal symptoms, were highly prevalent and were associated with greater impairment in quality of life. Findings suggest that augmenting IC/ BPS treatment strategies with sleep-focused treatments may improve quality of life in IC/ BPS patients.
Topics
Document Details
- Copyright: American Academy of Sleep Medicine
- Availability: Non-RAND
- Year: 2014
- Pages: 7
- Document Number: EP-50561
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