The incorporation of a therapist/facilitator appears to enhance t

The incorporation of a therapist/facilitator appears to enhance the effects of self-management programs.

Conclusions. Self-management outcomes may be inconsistent across studies partly because there

is very limited standardization and manualization of self-management approaches. A manualized self-management program is described as an example of an approach that could easily be standardized and facilitate future investigations. It would be important for subsequent research to focus on the identification of subgroups of older patients who are most likely to benefit from self-management, and to determine whether self-management improves outcomes of future professionally administered treatments.”

The European Society for the Study of Interstitial Cystitis (ESSIC) recommended that interstitial cystitis (IC) should be replaced by bladder pain syndrome (BPS), which focused more attention on the painful or discomfort MK-4827 feeling related to bladder and weakened the importance of cystoscopy in diagnosis process. Our study aimed to explore whether

this alteration changed the treatment outcomes of amitriptyline and whether cystoscopy was meaningful for the treatment of this disease.


We conducted a retrospective study including 25 IC patients fulfilled the National Institute of Diabetes and Digestive and Kidney Disease (NIDDK) criteria selleck and 42 BPS patients diagnosed according to ESSIC criteria. All the patients received amitriptyline with a self-uptitration protocol. We compared the response rates of two groups by a patient reported global response assessment after 3 months and reclassified all the 67

patients according to ESSIC criteria, the response rates of different BPS types were also assessed.


There was no significant difference of response rate between IC patients (12/25, 48%) and BPS patients (19/42, 45.2%) according to different criteria (P = 0.337). The response rate of BPS type 1 (13/30, 43.3%) was similar to that of type 2 or 3 (18/37, 48.6%) (P = 0.664).


ESSIC criteria did not decrease the response rate of amitriptyline treatment for BPS patients compared to IC patients with complaint of bladder pain or discomfort. Cystoscopy showed no predictive effect for the treatment outcome of amitriptyline. Neurourol. Urodynam. 33:341-344, 2014. (c) 2013 Wiley Periodicals, Inc.”
“The extent to which psychiatric patients with a broad spectrum of disability can validly self-report on their quality of life (QOL) remains unknown. Therefore, the aim of this study was to clarify the measurement limit of a QOL questionnaire in psychiatric settings.

We examined this issue by assessing data quality, reliability, and validity of the MOS 36-Item Short-Form Health Survey (SF-36) in 137 chronically mentally ill inpatients.

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