A systematic review of paruresis: Clinical implications and future directions

Kuoch, Kenley L. J.; Meyer, Denny; Austin, David W.; Knowles, Sandra R.

doi:10.1016/j.jpsychores.2017.05.015

Cited by 25 publications

(14 citation statements)

References 33 publications

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“…3,7,8 Nevertheless, paruresis and SAD are likely to be two distinct conditions, as patients with paruresis do not necessarily present with comorbid SAD (approximately 5.1-22.2% of individuals with paruresis also had comorbid SAD). 2 Similarly, parcopresis is likely to be a distinct condition rather than a form of SAD. Proposed criteria for paruresis and parcopresis, based on the work of Deacon et al 9 and Knowles and Skues, 10 is published in Kuoch et al 2 Psychological comorbidity in patients with paruresis is common, with 22.2% identified as having major depressive episodes, 14.3% alcohol abuse disorder, 7.9% alcohol dependence disorder, and 4.8% with obsessive compulsive disorder.…”

Section: Associated Psychopathology and Comorbiditymentioning

confidence: 99%

“…2 Similarly, parcopresis is likely to be a distinct condition rather than a form of SAD. Proposed criteria for paruresis and parcopresis, based on the work of Deacon et al 9 and Knowles and Skues, 10 is published in Kuoch et al 2 Psychological comorbidity in patients with paruresis is common, with 22.2% identified as having major depressive episodes, 14.3% alcohol abuse disorder, 7.9% alcohol dependence disorder, and 4.8% with obsessive compulsive disorder. 4 Rates of psychopathology are currently unknown in patients with parcopresis, but individuals with parcopresis have been reported to have similar psychological comorbidities to those afflicted with paruresis.…”

Section: Associated Psychopathology and Comorbiditymentioning

confidence: 99%

“…5 However, unlike DV, paruresis is isolated to unfamiliar or busy public restrooms. 2 Likewise, inability to defecate in gastrointestinal conditions, such as constipation, is differentiated from parcopresis by not being restricted to only occurring in unfamiliar or busy public restrooms.…”

Section: Diagnostic Challengesmentioning

confidence: 99%

“…3 Little is known about parcopresis and prevalence of this condition has yet to be confirmed. 2 In the one case study that has been published on this condition, parcopresis has been noted to share similar characteristics with paruresis whereby there is overlap in symptomology. 3 Key clinical features that paruresis and parcopresis patients may present with include the complaint of significant difficulty or inability to urinate or defecate in public facilities.…”

mentioning

confidence: 97%

“…2 Paruresis tends to be more prevalent in males (75-92%) than females (8.1-44.6%), which may be due to anatomical differences between male and female genitourinary systems. 2 A closely related condition is parcopresis, which refers to the difficulty or inability to defecate in public restrooms because of overwhelming fear of perceived scrutiny. 3 Little is known about parcopresis and prevalence of this condition has yet to be confirmed.…”

mentioning

confidence: 99%

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Latest thinking on paruresis and parcopresis: A new distinct diagnostic entity?

2019

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Section: Associated Psychopathology and Comorbiditymentioning

confidence: 99%

Section: Associated Psychopathology and Comorbiditymentioning

confidence: 99%

Section: Diagnostic Challengesmentioning

confidence: 99%

mentioning

confidence: 97%

mentioning

confidence: 99%

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Latest thinking on paruresis and parcopresis: A new distinct diagnostic entity?

2019

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ICS‐SUFU standard: Theory, terms, and recommendations for pressure‐flow studies performance, analysis, and reporting. Part 2: Analysis of PFS, reporting, and diagnosis

Gammie

Valdevenito

Speich

et al. 2023

Neurourology and Urodynamics

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AimsThe Working Group (WG), initiated by the International Continence Society (ICS) Standardisation Steering Committee and supported by the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction, has revised the ICS Standard for pressure‐flow studies of 1997.MethodsBased on the ICS standard for developing evidence‐based standards, the WG developed this new ICS standard in the period from May 2020 to December 2022. A draft was posted on the ICS website in December 2022 to facilitate public discussion and the comments received have been incorporated into this final release.ResultsThe WG has recommended analysis principles for the diagnosis of voiding dysfunction for adult men and women without relevant neurological abnormalities. New standard terms and parameters for objective and continuous grading of urethral resistance (UR), bladder outflow obstruction (BOO) and detrusor voiding contraction (DVC) are introduced in this part 2 of the standard. The WG has summarized the theory and recommendations for the practice of pressure‐flow study (PFS) for patients in part 1. A pressure‐flow plot is recommended for the diagnosis of every patient, in addition to time‐based graphs. Voided percentage and post void residual volume should always be included in PFS analysis and diagnosis. Only parameters that represent the ratio or subtraction of pressure and synchronous flow are recommended to quantify UR and only parameters that combine pressure and flow in a product or sum are recommended to quantify DVC. The ICS BOO index and the ICS detrusor contraction index are introduced in this part 2 as the standard. The WG has suggested clinical PFS dysfunction classes for male and female patients. A pressure‐flow scatter graph including every patient's pdet at maximum flow (pdetQmax) with maximum flow rate (Qmax) point should be included in all scientific reports considering voiding dysfunction.ConclusionPFS is the gold standard used to objectively assess voiding function. Quantifying the dysfunction and grading of abnormalities are standardized for adult males and females.

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Depression and LUT (Psychogenic LUTS)

Sakakibara¹,

Katsuragawa²

2022

Handbook of Neurourology

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A systematic review of paruresis: Clinical implications and future directions

Cited by 25 publications

References 33 publications

Latest thinking on paruresis and parcopresis: A new distinct diagnostic entity?

Latest thinking on paruresis and parcopresis: A new distinct diagnostic entity?

ICS‐SUFU standard: Theory, terms, and recommendations for pressure‐flow studies performance, analysis, and reporting. Part 2: Analysis of PFS, reporting, and diagnosis

Depression and LUT (Psychogenic LUTS)

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