UROPSYCHIATRY: The Relationship Between Overactive Bladder and Psychiatric Disorders

Dolat, MaryEllen T.; Klausner, Adam P.

doi:10.1007/s11884-012-0164-5

Cited by 4 publications

(7 citation statements)

References 55 publications

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“…In general the association of a somatic disease with a depressive disorder is not uncommon and affects 25% of hospital inpatient populations . The co‐occurrence and association between common psychiatric conditions (i.e., affective symptoms) and overactive bladder is extensively described in literature . Depression and anxiety disorders are affective psychiatric disorders and diagnosed according to the DSM‐IV criteria.…”

Section: Introductionmentioning

confidence: 99%

Screening for depression and anxiety in patients with storage or voiding dysfunction: A retrospective cohort study predicting outcome of sacral neuromodulation

Drossaerts

Vrijens

Leue

et al. 2015

Neurourology and Urodynamics

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The present study did not reveal a significant relationship between an abnormal HADS score and failure of the SNM test period in a mixed group of OAB and NOR patients. However, differences between OAB and NOR patients concerning affective symptoms were present. It is known that psychological factors play a role in the severity of LUTS, but they may not predict SNM outcome. Neurourol. Urodynam. 35:1011-1016, 2016. © 2015 Wiley Periodicals, Inc.

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Section: Introductionmentioning

confidence: 99%

Screening for depression and anxiety in patients with storage or voiding dysfunction: A retrospective cohort study predicting outcome of sacral neuromodulation

Drossaerts

Vrijens

Leue

et al. 2015

Neurourology and Urodynamics

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“…Several studies report a negative impact of lower urinary tract symptoms in general on QoL and on mental health [86, 87]. Also, in the literature, an association is described between the overactive bladder and the presence of affective symptoms [88, 89]. Recent studies show that affective symptoms do not predict SNM outcome (both test stimulation and long term) [45, 60, 63].…”

Section: Discussionmentioning

confidence: 99%

Predictive Factors in Sacral Neuromodulation: A Systematic Review

et al. 2021

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Introduction: Sacral neuromodulation (SNM) is an effective treatment in patients with overactive bladder syndrome or nonobstructive urinary retention when conservative treatment fails. Several factors that could impact outcome with SNM have been studied. This systematic review investigated these predictive factors and their relevance for clinical practice. Methods: Systematic review according to the PRISMA guidelines was conducted. This review is registered in the PROSPERO register (CRD42015016256). Results: Seventy-eight studies (of which 11 abstracts) were included. Females, younger patients, and a tined lead procedure tend to be predictive in successful SNM outcome. Factors that did not influence SNM outcome were prior back surgery, surgery for stress urinary incontinence, affective symptoms, and duration of complaints. Reduced detrusor contractility is associated with a lower success rate. The level of evidence of most studies (graded according to the Centre for Evidence-Based Medicine) was 3b. Conclusion: Even though this systematic review investigated predictive factors (gender, age, type of procedure, type of lead, and detrusor contractility), no general consensus on predictive factors could be made. Most studies are small, retrospective, and involve a heterogeneous population. Therefore, prospective research in larger specific patient groups remains necessary to find predictors of SNM outcome.

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“…In 1964, the term “uropsychiatry” was coined to describe the relationship between depression and OAB 9 . However, it is still unclear which of these disorders underpins the other.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have found anatomic overlap between stress response and voiding control centers in the central nervous system (CNS). Furthermore, these pathways share neurotransmitters, so any quantitative disruptions can cause dysfunction in both areas 9,10 . As a result, the mutual interaction of LUTS and anxiety disorders must be taken into account in the treatment of these patients 10–14 …”

Section: Introductionmentioning

confidence: 99%

“…Furthermore, these pathways share neurotransmitters, so any quantitative disruptions can cause dysfunction in both areas. 9,10 As a result, the mutual interaction of LUTS and anxiety disorders must be taken into account in the treatment of these patients. [10][11][12][13][14] Among the various PUDs, bowel and bladder obsession due to specific anxiety about contamination and bladder require additional attention and investigation from a psychourology standpoint.…”

Section: Introductionmentioning

confidence: 99%

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Association between lower urinary tract symptoms (LUTS) and obsessive‐compulsive disorders (OCD) in women: A study based on urodynamic findings and micturition problem

Rezaeimehr

Zargham

Jahanabadi

et al. 2021

Neurourology and Urodynamics

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This study focused on women with chronic lower urinary tract symptoms (LUTS) who simultaneously suffered from obsessive-compulsive disorder (OCD) to evaluate the association between micturition abnormality and OCD.Methods: A cohort case study was conducted on 128 women with chronic LUTS who visited the academic clinic from 2012 to 2018. The participants with a history of OCD were grouped together, whereas the other group consisted of those with no psychiatric issues. Data were analyzed using the Kolmogorov-Smirnov test and also the nonparametric Kruskal-Wallis and χ 2 tests. Results:The participants with OCD had a lower mean age (41.7 vs. 48.8 years) and longer symptom duration than the control group. Moreover, voiding phase problems were more prevalent among OCD patients (mean voiding score: 9.3 vs. 6.9). Urge urinary incontinence (UUI) was the most common type of urinary incontinence in OCD patients, and the most important urodynamic study finding was bladder outlet obstruction (45% and 17% in the OCD and control groups, respectively). Voiding disorders resulted in chronic renal failure in two patients (3.12%). It was shown that bladder outlet obstruction (odds ratio (OR) 4.43, 95% confidence interval [CI] 1.53-12.78, p = 0.006] was the strongest predictor of OCD and stress urinary incontinence (OR 0.20, 95% CI 0.07-0.53, p < 0.001) was the best protector against OCD. Conclusion:The findings revealed that chronic LUTS was related to voiding dysfunction and urodynamic abnormality in OCD patients. These disorders may be categorized as somatoform disorder that requires appropriate treatments.

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UROPSYCHIATRY: The Relationship Between Overactive Bladder and Psychiatric Disorders

Cited by 4 publications

References 55 publications

Screening for depression and anxiety in patients with storage or voiding dysfunction: A retrospective cohort study predicting outcome of sacral neuromodulation

Screening for depression and anxiety in patients with storage or voiding dysfunction: A retrospective cohort study predicting outcome of sacral neuromodulation

Predictive Factors in Sacral Neuromodulation: A Systematic Review

Association between lower urinary tract symptoms (LUTS) and obsessive‐compulsive disorders (OCD) in women: A study based on urodynamic findings and micturition problem

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