Does a history of bullying and abuse predict lower urinary tract symptoms, chronic pain, and sexual dysfunction?

Nault, Tori; Gupta, Priyanka; Ehlert, Michael; Dove‐Medows, Emily; Seltzer, Marlene; Carrico, Donna J.; Gilleran, Jason; Bartley, Jamie; Peters, Kenneth M.; Sirls, Larry

doi:10.1007/s11255-016-1383-z

Cited by 14 publications

(10 citation statements)

References 23 publications

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“…The other studies were retrospective, cross-sectional in nature (n=3). Fourteen studies were conducted in the US [23][24][25][26][27][28][29][30][31][32][33][34][35][36], 2 in Germany [37,38], 1 in the Netherlands [39] and 1 in Hong Kong [40].…”

Section: Resultsmentioning

confidence: 99%

“…Prevalence of childhood sexual abuse significantly associated with urinary frequency (42.6%, odds ratio 1.74), with urgency (18.1%, odds ratio 1.95) and nocturia (32.8%, odds ratio 1.31). Prevalence of adolescent/adult sexual abuse significantly associated with urinary frequency (40.8%, odds ratio 1.56), with urgency (19.0%, odds ratio 2.09) and nocturia (33.0% , odds ratio 1.31) Not reported Nault et al [ 31 ] Retrospective chart review of consecutive new female patients in their 40s and 50s presenting to a women’s urology centre; ( n =380; mean age 50 years) divided into four groups according to history: (1) abuse and bullying; (2) bullying but not abuse; (3) abuse but not bullying; (4) neither SA: unvalidated questionnaires about: sexual health. LUT: Overactive Bladder Questionnaire (OABq-SF), PFDI-20, UDI-6, CRADI-8.…”

Section: Resultsmentioning

confidence: 99%

“…Table 3 summarises the results of these studies [30][31][32][33][34][35][36]38]. SA was assessed using different methods and only one study used a validated questionnaire, The Childhood Traumatic Events Scale [36].…”

Section: Large Cross-sectional Studies Evaluating Different Health Is...mentioning

confidence: 99%

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Systematic review exploring the relationship between sexual abuse and lower urinary tract symptoms

et al. 2022

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Introduction and hypothesis Patients presenting with lower urinary tract symptoms (LUTS) may report a history of sexual abuse (SA), and survivors of SA may report LUTS; however, the nature of the relationship is poorly understood. The aim of this review is to systematically evaluate studies that explore LUT dysfunction in survivors of SA. Methods A systematic literature search of six databases, Cochrane Database of Systematic Reviews, MEDLINE, EMBASE, CINAHL, AMED, and PsycINFO, was performed. The last search date was June 2021 (PROSPERO CRD42019122080). Studies reporting the prevalence and symptoms of LUTS in patients who have experienced SA were included. The literature was appraised according to the PRISMA statement. The quality of the studies was assessed. Results Out of 272 papers retrieved, 18 publications met the inclusion criteria: studies exploring LUTS in SA survivors (n=2), SA in patients attending clinics for their LUTs (n=8), and cross-sectional studies (n=8). SA prevalence ranged between 1.3% and 49.6%. A history of SA was associated with psychosocial stressors, depression, and anxiety. LUTS included urinary storage symptoms, voiding difficulties, voluntary holding of urine and urinary tract infections. Most studies were of moderate quality. Assessment of SA and LUTS lacked standardisation. Conclusions The review highlights the need for a holistic assessment of patients presenting with LUTS. Although most of the studies were rated as being of ‘moderate’ quality, the evidence suggests the need to provide a “safe space” in clinic for patients to share sensitive information about trauma. Any such disclosure should be followed up with further assessment.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Systematic review exploring the relationship between sexual abuse and lower urinary tract symptoms

et al. 2022

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“…However, the prevalence of voiding difficulties amongst victims of sexual abuse has been poorly explored and Williams et al have reported a case of episodic urinary retention in a woman who experienced recurrent sexual trauma. Other pelvic symptoms reported by individuals who have experienced abuse include pelvic pain, dyspareunia, and symptoms of prolapse …”

Section: Resultsmentioning

confidence: 99%

Psychological comorbidities and functional neurological disorders in women with idiopathic urinary retention: International Consultation on Incontinence Research Society (ICI‐RS) 2019

Panicker

Selai

Hervé

et al. 2019

Neurourology and Urodynamics

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Chronic urinary retention occurring in young women is poorly understood and a cause may not be found in a majority of cases. Different psychological co-morbidities and functional neurological symptom disorders (FNDs) have been reported, however these have been poorly explored. Methods: At the International Consultation on Incontinence Research Society (ICI-RS) meeting in 2019, a panel of clinicians generated a proposal to explore the relationship between psychological co-morbidities, FNDs and urinary retention in women with chronic idiopathic urinary retention. Results: Psychological co-morbidities such as depression and anxiety, and FNDs such as leg weakness and loss of consciousness, have been reported in women with idiopathic urinary retention. Individuals react differently to physical and emotional stressors, and experimental models have demonstrated a relationship between the stress response and developing urinary retention. Trauma, particularly sexual trauma, may be a shared risk factor for developing psychological co-morbidities and urinary retention. Children with voiding postponement often suffer from psychological co-morbidities and behavioral disturbances, however there is

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“…Abuse is identified as a potential risk factor for CPP, 4 but only a few previous studies have provided information on the occurrence of abuse and associations with health status in women with CPP. 31,39,40 Women with a history of bullying or abuse have been shown to have poorer scores on both somatic and psychological health measures, 39 and several reports indicate that exposure to abuse of any kind can lead to a higher risk of poor health later in life. 31,[40][41][42] This is in agreement with our findings showing more symptoms of anxiety or depression and more SHCs among women exposed to abuse.…”

Section: Discussionmentioning

confidence: 99%

Characteristics of women with chronic pelvic pain referred to physiotherapy treatment after multidisciplinary assessment: a cross-sectional study

Nygaard

Stedenfeldt

Øian

et al. 2019

Scandinavian Journal of Pain

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Abstract Background and aims Chronic pelvic pain (CPP) in women is a complex condition that can seriously impact health and quality of life. Clinical guidelines for CPP place great demands on healthcare professionals, as they require both specialized knowledge about the pelvic area and knowledge of the mechanisms of chronic pain. To ensure best possible assessment and treatment of these women it is important to bring about more knowledge of the special CPP features. The purpose of this paper is to describe the characteristics of women with CPP evaluated at the University Hospital of North Norway, and further referred to physiotherapy. The frequency of having a history of abuse or previous pelvic surgery will also be reported, and analyses performed to investigate if subjective health status differs between women with and without these experiences. Methods We collected cross-sectional data from 62 women with CPP aged 20–65 (mean age 38.0), referred to physiotherapy after assessment by medical specialists. Data were collected by semi-structured interviews for demographic variables and medical history, and self-administered questionnaires on pain intensity, sexual function, urinary incontinence (UI), anal incontinence (AI), obstructed defecation syndrome (ODS), subjective health complaints (SHC) and symptoms of anxiety and depression. Results Pain duration of more than 10 years was reported by 42%, mean pain score was 4.7/10, and analgesics were used weekly by 48%. Previous pelvic or abdominal surgery was reported by 71%, and sick leave >12 weeks the last year by 34%. Reduced sexual desire was reported by 78%, dyspareunia by 73%, UI by 54%, AI by 23%, and obstructed defecation syndrome (ODS) by 34%. More than 90% reported musculoskeletal or pseudoneurologic complaints. Anxiety and depression scores defined as requiring treatment were reported by 40%. Abuse was reported by 50%, and associated with significantly more reports of ODS (p=0.02), more SHC (p=0.02) and higher anxiety scores (p=0.009). Analgesic use and sick leave were significantly higher both among women with a history of abuse (p=0.04 and p=0.005) and among those with previous surgery (p=0.04 and p=0.02). Women with previous surgery reported significantly lower pain intensity during intercourse than those without previous surgery (p=0.008). Conclusions Women with CPP have complex symptoms and high scores for both physical and psychological complaints. Women exposed to abuse have especially high scores related to analgesic use, sick leave, ODS, anxiety and SHC. Women with previous surgery report more analgesic use and sick leave, and lower pain intensity during intercourse, than those without previous surgery. Implications This study illustrates the complexity of CPP and highlights the need for health professionals to have specialized knowledge of the possible features of the condition. Previous abuse seems to be more associated with poor scores on several health outcomes than surgery, but this needs to be investigated further.

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Does a history of bullying and abuse predict lower urinary tract symptoms, chronic pain, and sexual dysfunction?

Cited by 14 publications

References 23 publications

Systematic review exploring the relationship between sexual abuse and lower urinary tract symptoms

Systematic review exploring the relationship between sexual abuse and lower urinary tract symptoms

Psychological comorbidities and functional neurological disorders in women with idiopathic urinary retention: International Consultation on Incontinence Research Society (ICI‐RS) 2019

Characteristics of women with chronic pelvic pain referred to physiotherapy treatment after multidisciplinary assessment: a cross-sectional study

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