MMPI-2-RF characteristics of individuals with interstitial cystitis

• We evaluated the MMPI-2-RF profiles of patients with interstitial cystitis.
• Approximately 3/4 of those with interstitial cystitis had normal psychological profiles.
• The remainder had profiles potentially consistent with somatoform disorders.
• Psychological assessment should be performed with interstitial cystitis patients.
• Psychological assessment could determine appropriateness for invasive treatments.

ObjectivesThis study aimed to describe the psychological functioning of interstitial cystitis/bladder pain syndrome patients utilizing MMPI-2-RF scoring.MethodsThe MMPI-2 was administered to 60 individuals who reported a diagnosis of IC. Responses were scored in the MMPI-2-RF format. Fifty-one protocols were deemed valid.ResultsElevations were discovered on scales FBS-r (symptom validity), RC1 (somatic complaints), and MLS (malaise). Participants were split into two groups based on extreme elevations on RC1; the high RC1 group produced higher scores on 39 scales including clinically significant elevations on 17 scales.ConclusionOver 25% of this sample had an emotional component to their physical concerns. This knowledge about the psychological characteristics of IC patients may have clinical utility for physicians and other treatment providers. The results argue strongly for psychological evaluation as a component of IC diagnosis and treatment. Those with significant emotional overlay to their somatic complaints may be best managed through psychological interventions and minimally invasive treatments.