{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T01:32:14Z","timestamp":1775093534134,"version":"3.50.1"},"reference-count":20,"publisher":"Georg Thieme Verlag KG","issue":"06","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Aktuelle Urol"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Das Risiko von Komorbidit\u00e4ten chronischer Schmerzst\u00f6rungen ist bei IC\/BPS Patienten h\u00f6her als\n      in der gesunden Population. Die h\u00e4ufigsten sind: Endometriose, Reizdarmsyndrom, Fibromyalgie,\n      chronischem Ersch\u00f6pfungssyndrom (CFS), Migr\u00e4ne, Panikattacken, Multiple Chemische\n      Sensitivit\u00e4t, rheumatologische und Autoimmunerkrankungen. Das Leiden unter chronischem Schmerz\n      kann zu Depression f\u00fchren. Nicht selten folgt ein sozialer R\u00fcckzug. Chronische Schmerzen\n      k\u00f6nnen nur erkl\u00e4rt und behandelt werden, wenn die biopsychosoziale Einheit des Menschen\n      betrachtet wird. Wechselbeziehungen zwischen Umwelt und Individuum sind von zentraler\n      Bedeutung f\u00fcr die Aufrechterhaltung der Gesundheit sowie die Entstehung und den Verlauf der\n      Krankheit. Die Situation wird noch delikater, dadurch dass sich die Schmerzen im\n      Urogenitalbereich lokalisieren. Hier sind gleich drei Funktionsebenen angesiedelt:\n      Ausscheidung, Reproduktion und Lust. Diese Konstellation pr\u00e4disponiert zu hoher Anf\u00e4lligkeit\n      f\u00fcr ein psychosomatisches Geschehen. Dies bedeutet, dass urogenitale Schmerzen neben der\n      Erfahrung unangenehmer Sinneserlebnisse auch Gef\u00fchlserlebnisse beinhalten, zu welchen neben\n      der Angst vor Schaden auch Scham und Versagen z\u00e4hlen. <\/jats:p>","DOI":"10.1055\/a-1665-9615","type":"journal-article","created":{"date-parts":[[2021,11,4]],"date-time":"2021-11-04T00:02:46Z","timestamp":1635984166000},"page":"569-574","source":"Crossref","is-referenced-by-count":2,"title":["Physische und psychische Komorbidit\u00e4ten der Interstitiellen Zystitis\/Bladder Pain Syndrom"],"prefix":"10.1055","volume":"52","author":[{"given":"Regula","family":"Doggweiler","sequence":"additional","affiliation":[{"name":"NeuroUrologie, KontinenzZentrum Hirslanden, Z\u00fcrich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4008-4598","authenticated-orcid":false,"given":"Thomas","family":"Bschleipfer","sequence":"additional","affiliation":[{"name":"Klinik f\u00fcr Urologie, Kinderurologie und Andrologie, Kliniken Nordoberpfalz AG, Weiden, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,11,3]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-642-18825-1","volume-title":"Psychosoziale Medizin. 3. 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Experiences of a practising urologist (author\u02bcs\n          transl)]","volume":"19","author":"EA G\u00fcnthert","year":"1980","journal-title":"Urologe A"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"129","DOI":"10.3233\/RNN-139003","article-title":"Chronic pain: the role of learning and brain plasticity","volume":"32","author":"AR Mansour","year":"2014","journal-title":"Restor Neurol Neurosci"},{"key":"ref22","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.juro.2015.10.198","article-title":"Urine Trouble: Alterations in Brain Function Associated with Bladder Pain","volume":"196","author":"KE Sadler","year":"2016","journal-title":"J Urol"},{"key":"ref23","doi-asserted-by":"publisher","DOI":"10.1155\/2015\/504691","article-title":"Neuroplasticity underlying the comorbidity of pain and depression","author":"L Doan","year":"2015","journal-title":"Neural Plast"},{"key":"ref24","doi-asserted-by":"publisher","first-page":"131","DOI":"10.5056\/jnm.2011.17.2.131","article-title":"Biopsychosocial model of irritable bowel syndrome","volume":"17","author":"Y Tanaka","year":"2011","journal-title":"J Neurogastroenterol Motil"},{"key":"ref25","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-211-69159-5","volume-title":"Psychosomatik in der Gastroenterologie und HepatologieAuflage, Series","author":"G Moser","year":"2007"},{"key":"ref26","doi-asserted-by":"publisher","first-page":"R893","DOI":"10.1152\/ajpregu.00500.2013","article-title":"Social stress induces changes in urinary bladder function, bladder NGF content, and generalized bladder inflammation in mice","volume":"307","author":"GC Mingin","year":"2014","journal-title":"Am J Physiol Regul Integr Comp Physiol"},{"key":"ref28","first-page":"167","article-title":"Chronic Pain: Where the Body Meets the Brain","volume":"126","author":"LJ Crofford","year":"2015","journal-title":"Trans Am Clin Climatol Assoc"}],"container-title":["Aktuelle Urologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1665-9615.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,11,30]],"date-time":"2021-11-30T23:43:25Z","timestamp":1638315805000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1665-9615"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,11,3]]},"references-count":20,"journal-issue":{"issue":"06","published-online":{"date-parts":[[2021,11,30]]},"published-print":{"date-parts":[[2021,12]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1665-9615","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0001-7868","1438-8820"],"issn-type":[{"value":"0001-7868","type":"print"},{"value":"1438-8820","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,11,3]]}}}