Cognitive-behavioral therapy and urge urinary incontinence in women. A systematic review

Steenstrup, Benoit; Lopes, Floriane; Cornu, Jean Nicolas; Gilliaux, Maxime

doi:10.1007/s00192-021-04989-3

Cited by 7 publications

(15 citation statements)

References 47 publications

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“…Research shows that CBT is effective in treating sexual dysfunction and sexual self-esteem, especially in women, by bringing about changes in their negative attitudes [ 22 , 23 ]. In a study, Behavioral therapy was reported to be more effective than anticholinergics in treating UUI in a network meta-analysis [ 12 ].…”

Section: Discussionmentioning

confidence: 99%

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Effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence

et al. 2023

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Introduction Patients with urinary incontinence may fear sexual activity due to the unpredictability of urine leakage during intercourse. Given the effective role of cognitive–behavioral therapy in correcting negative thoughts and attitudes, this study was aimed to investigate the effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence. Methods This study was a randomized controlled clinical trial conducted on 84 reproductive-aged women (18 to 45 years old) with urinary incontinence who referred to Health Centers of Dezful, Iran. After random allocation, the participants were divided into two groups of intervention and control ( n = 42). The intervention group attended eight 45-min sessions of cognitive–behavioral therapy, while the control group received only routine interventions. The International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), the Scale of Self-Esteem Index for Women-Short-form (SSEL-W-SF), and the Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire (PISQ-12) were completed before, immediately after, and 4 weeks after the end of the intervention by patients in both groups. Results The overall scores of sexual self-esteem and sexual function immediately and 4 weeks after the end of the intervention showed a statistically significant difference in the intervention group compared to the control group ( p < 0.001). Also, the results showed that in women with urinary incontinence, an increase in the sexual self-esteem score is associated with an increase in the sexual function score (r = 0.9), p < 0.001). Conclusion Cognitive–behavioral therapy was found to increase sexual self-esteem and improve sexual function in reproductive-aged women suffering from urinary incontinence.

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Section: Discussionmentioning

confidence: 99%

“…The systematic review studies on women with urinary incontinence have reported that urinary incontinence had negative effects on women's intimacy and sexual satisfaction and caused changes in the ways they experience their sexuality and sexual function [ 11 , 12 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence

et al. 2023

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“…One well studied first-line treatment for incontinence and its effect on mental health is cognitive behavioral therapy and pelvic floor muscle exercises with lifestyle modification. 44 Cognitive behavioral treatment allows patients to become aware of their condition and analyze their known beliefs and fears about their condition. This allows them to directly address inappropriate behaviors that are associated with their voiding.…”

Section: Incontinence/urinary Tract Infectionmentioning

confidence: 99%

“…This allows them to directly address inappropriate behaviors that are associated with their voiding. 44 The goal is to increase a patient's independence in performing emotional control and coping strategies to help control their bladder and create an outline of adherence. To help urinary incontinence, other comorbidities may need to be addressed in conjunction with cognitive behavior therapy, such as weight loss, diet changes, smoking cessation, and physical therapy.…”

Section: Incontinence/urinary Tract Infectionmentioning

confidence: 99%

“…To help urinary incontinence, other comorbidities may need to be addressed in conjunction with cognitive behavior therapy, such as weight loss, diet changes, smoking cessation, and physical therapy. 44 Unfortunately, while there are some pharmacological treatments to treat certain aspects of incontinence there fails to be a pharmacological treatment that helps patients address the social and mental health impacts that incontinence has on a patients' wellbeing.…”

Section: Incontinence/urinary Tract Infectionmentioning

confidence: 99%

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Mental Health in Non-Oncologic Urology Patients

Anderson

Kumar

Divya

et al. 2022

Health Psychology Research

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This article is a literature review of mental health concerns in non-oncologic urology patients. Pathologies represented in this review include Peyronie’s Disease (PD), erectile dysfunction (ED), urinary incontinence and urinary tract infections (UTI), infertility, benign prostatic hyperplasia (BPH), kidney stones, and urinary retention. While there has been great interventional focus as of late for urogenitary malignancies (i.e. prostate cancer awareness with the Movember campaign), literature studies and intervention focused on non-oncologic urology patients has been limited. As such, we conducted a review on urology patients with non-oncologic pathologies as an effort to increase clinician awareness of mental health concerns among such patients, increase the comfort level for clinician communication on socially sensitive topics surrounding pathologies, and review ongoing interventions conducted within these pathologies. We outlined different ongoing Mental Health Illness (MHI) needs and treatments for various pathologies. Patients with non-cancerous urologic pathologies had lower quality of life and higher incidence of MHI than the general population. As such, in line with the American Urological Association recommendations, psychological and social support from peers, therapists, and healthcare providers further prove to be crucial for some subpopulations. The review also yielded pathology specific interventions such as group therapy for ED patients. Given the higher incidence of MHI in the patient population after the Covid-19 pandemic, MHI awareness in the sphere of non-oncologic urology treatment continues to be crucial when creating a collaborative treatment platform for patients.

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Multicomponent Intervention for Overactive Bladder in Women

Funada,

Luo,

Uozumi

et al. 2024

JAMA Netw Open

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ImportanceAlthough the cognitive components of behavioral therapy for overactive bladder (OAB) are widely recognized, there is a lack of studies evaluating the effectiveness of multicomponent interventions that include cognitive components as a treatment for OAB.ObjectiveTo examine the efficacy of a multicomponent intervention in improving health-related quality of life (HRQOL) for women with moderate to severe OAB.Design, Setting, and ParticipantsThis multicenter, open-label, randomized clinical trial was conducted in Japan among women aged 20 to 80 years who had moderate to severe OAB. Participants were recruited from 4 institutions between January 16, 2020, and December 31, 2022, through self-referral via advertisement or referral from the participating institutions.InterventionsParticipants were randomized 1:1 by minimization algorithm using an internet-based central cloud system to four 30-minute weekly sessions of a multicomponent intervention or waiting list. Both groups continued to receive baseline treatment throughout the study period.Main Outcomes and MeasuresThe primary outcome was the least-squares mean changes from baseline through week 13 in HRQOL total scores of the OAB questionnaire between 2 groups. Secondary outcomes included OAB symptom score and frequency volume chart.ResultsA total of 79 women were randomized to either the intervention group (39 participants; mean [SD] age, 63.5 [14.6] years) or the waiting list control group (40 participants; mean [SD] age, 63.5 [12.9] years). One participant from each group dropped out from the allocated intervention, while 5 participants in the intervention group and 2 in the control group dropped out from the primary outcome assessment at week 13. Thirty-six participants (92.3%) in the intervention group and 35 (87.5%) in the control group had moderate OAB. The change in HRQOL total score from baseline to week 13 was 23.9 points (95% CI, 18.4-29.5 points) in the intervention group and 11.3 points (95% CI, 6.2-16.4 points) in the waiting list group, a significant difference of 12.6 points (95% CI, 6.6-18.6 points; P &lt; .001). Similar superiority of the intervention was confirmed for frequency of micturition and urgency but not for OAB symptom score.Conclusions and RelevanceThese findings demonstrate that a multicomponent intervention improves HRQOL for women with moderate to severe OAB and suggest that the cognitive component may be an effective treatment option for women with OAB.Trial RegistrationUMIN Clinical Trials Registry Identifier: UMIN000038513

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Cognitive-behavioral therapy and urge urinary incontinence in women. A systematic review

Cited by 7 publications

References 47 publications

Effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence

Effect of cognitive–behavioral therapy on sexual self-esteem and sexual function of reproductive-aged women suffering from urinary incontinence

Mental Health in Non-Oncologic Urology Patients

Multicomponent Intervention for Overactive Bladder in Women

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