Lower Urinary Tract Dysfunction in Male Iraq and Afghanistan War Veterans: Association With Mental Health Disorders: A Population-based Cohort Study

Breyer, Benjamin N.; Cohen, Beth E.; Bertenthal, Daniel; Rosen, Raymond C.; Neylan, Thomas C.; Seal, Karen H.

doi:10.1016/j.urology.2013.08.047

Cited by 12 publications

(10 citation statements)

References 26 publications

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“…Studies have established relationships between psychosocial aspects of HRQoL factors and general QoL outcomes following SCI and how psychosocial factors such as depression, chronic pain, and independence all can influence the way people perceive biologic function [ 5 , 7 , 9 ]. A good example of this is the association between post-traumatic stress disorder (PTSD) and lower urinary tract symptoms in veterans [ 14 ].…”

Section: Introductionmentioning

confidence: 99%

Psychosocial aspects of health-related quality of life and the association with patient-reported bladder symptoms and satisfaction after spinal cord injury

et al. 2021

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Study Design: Prospective, multi-centered, observational Objectives: To characterize the relationship between psychosocial aspects of health-related quality of life (HRQoL) and patient-reported bladder outcomes. Setting: Multi-institutional sites in the United States, cohort drawn from North America Methods: We performed a cross-sectional analysis of data collected as part of the multicenter, prospective Neurogenic Bladder Research Group Spinal Cord Injury (SCI) Registry. Outcomes were: Neurogenic Bladder Symptom Score ( NBSS ), Neurogenic Bladder Symptom Score Satisfaction ( NBSS-Satisfaction ), and SCI-QoL Bladder Management Difficulties ( SCI-QoL Difficulties ). Adjusted multiple linear regression models were used with variables including demographic, injury characteristics, and the following psychosocial HRQoL measures; SCI-QoL Pain Interference (Pain), SCI-QoL Independence , and SCI-QoL Positive Affect and Well-being (Positive Affect) . Psychosocial variables were sub-divided by tertiles for the analysis. Results: There were 1479 participants, 57% had paraplegia, 60% were men, and 51% managed their bladder with clean intermittent catheterization. On multivariate analysis, higher tertiles of SCI-QoL Pain were associated with worse bladder symptoms, satisfaction, and bladder management difficulties; upper tertile SCI-QoL Pain ( NBSS 3.8, p <0.001; NBSS-satisfaction 0.6, p <0.001; SCI-QoL Difficulties 2.4, p<0.001). In contrast, upper tertiles of SCI-QoL Independence and SCI-QoL Positive Affect were associated with improved bladder-related outcomes; upper tertile SCI-QoL Independence ( NBSS −2.3, p=0.03; NBSS-satisfaction −0.4, p<0.001) and upper tertile SCI-QoL Positive Affect ( NBSS −2.8, p<0.001; NBSS-satisfaction −0.7, p<0.001; SCI-QoL Difficulties −0.7, p<0.001). Conclusion: In individuals with SCI, there is an association between psychosocial HRQoL and bladder-related QoL outcomes. Clinician awareness of this relationship can provide insight into optimizing long-term management after SCI.

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Section: Introductionmentioning

confidence: 99%

Psychosocial aspects of health-related quality of life and the association with patient-reported bladder symptoms and satisfaction after spinal cord injury

et al. 2021

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“…Studies concerning urinary symptoms in sexually abused adults confirm an association between the occurrence of sexual exploitation and urological symptoms [ 8 – 10 ]. A similar observation concerns people with urinary symptoms and posttraumatic stress disorder [ 11 , 12 ]. However, only a few papers were published about children and some have failed to demonstrate a statistically significant association ( Table 1 ).…”

Section: Discussionmentioning

confidence: 70%

Urogenital tract disorders in children suspected of being sexually abused

Krajewski

Wojciechowska

Krefft

et al. 2016

CEJU

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IntroductionChild sexual abuse (CSA) is generally defined as child exploitation that leads to achievement of sexual satisfaction. According to data from European countries, sexual abuse of children affects 10–40% of girls and 5–20% of boys.Material and methodsThe Medline, and Web of Science databases were searched with no date limitation on May 2015 using the terms ‘child abuse’ in conjunction with ‘urinary tract’, ‘urologist’, ‘urological dysfunction’, ‘urologic symptoms’, ‘LUTS’ or ‘urinary infection’.ResultsAwareness of the CSA problem among paediatricians and urologists is very important, because they are often the only physicians who are able to recognize the problem. CSA diagnosis is possible only through the proper collection of a medical history and a thorough physical examination.Urologists have to remember that children exposed to sexual abuse rarely exhibit abnormal genital findings. In fact, absence of genital findings is the rule rather than the exception. In most cases, the final diagnosis of sexual abuse is based on the child's history and behavior, along with the onset and exacerbation of urologic symptoms.ConclusionsIn this article, we present a review of studies and literature concerning urinary symptoms in sexually abused children to clarify the problem for a broad group of urologists. We present common symptoms and premises that can point to the right diagnosis and basic guidelines of proceeding after suspicion of abuse.

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“…Similarly, children with LUTDs commonly report psychological symptoms and disorders ( Oliver et al, 2013 ). The causative effects of psychological stress on LUTD can be further supported by the findings from veterans, who with psychiatric comorbidities were significantly more likely to have a LUTD diagnosis ( Klausner et al, 2009 ; Bradley et al, 2014 , 2017 ; Breyer et al, 2014 ). Therefore, chronic psychological stress may play a role in both the development and exacerbation of bladder symptoms.…”

Section: Introductionmentioning

confidence: 74%

The Effect of Chronic Psychological Stress on Lower Urinary Tract Function: An Animal Model Perspective

Gao

Rodríguez

2022

Front. Physiol.

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Chronic psychological stress can affect urinary function and exacerbate lower urinary tract (LUT) dysfunction (LUTD), particularly in patients with overactive bladder (OAB) or interstitial cystitis–bladder pain syndrome (IC/BPS). An increasing amount of evidence has highlighted the close relationship between chronic stress and LUTD, while the exact mechanisms underlying it remain unknown. The application of stress-related animal models has provided powerful tools to explore the effect of chronic stress on LUT function. We systematically reviewed recent findings and identified stress-related animal models. Among them, the most widely used was water avoidance stress (WAS), followed by social stress, early life stress (ELS), repeated variable stress (RVS), chronic variable stress (CVS), intermittent restraint stress (IRS), and others. Different types of chronic stress condition the induction of relatively distinguished changes at multiple levels of the micturition pathway. The voiding phenotypes, underlying mechanisms, and possible treatments of stress-induced LUTD were discussed together. The advantages and disadvantages of each stress-related animal model were also summarized to determine the better choice. Through the present review, we hope to expand the current knowledge of the pathophysiological basis of stress-induced LUTD and inspire robust therapies with better outcomes.

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Lower Urinary Tract Dysfunction in Male Iraq and Afghanistan War Veterans: Association With Mental Health Disorders: A Population-based Cohort Study

Cited by 12 publications

References 26 publications

Psychosocial aspects of health-related quality of life and the association with patient-reported bladder symptoms and satisfaction after spinal cord injury

Psychosocial aspects of health-related quality of life and the association with patient-reported bladder symptoms and satisfaction after spinal cord injury

Urogenital tract disorders in children suspected of being sexually abused

The Effect of Chronic Psychological Stress on Lower Urinary Tract Function: An Animal Model Perspective

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