Perception of Lower Urinary Tract Symptoms by psychiatrists in mentally affected patients

Przydacz, Mikołaj; Gołąbek, Tomasz; Sobański, Jerzy; Jaworska, Karolina; Skalski, Michał; Świerkosz, Agata; Dudek, Przemyslaw; Sobieraj, Dariusz; Dudek, Dominika; Chłosta, Piotr

doi:10.12740/pp/74365

Cited by 8 publications

(10 citation statements)

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“…The low response proportions of 27.9% for the GPs and 13.2% for the urologists are another limitation. However, other studies among doctors like GPs and psychiatrists show comparable response proportions 35,36. A possible cause for this could be that physicians in Germany receive a lot of surveys, which partially are commercial and also well-paid.…”

Section: Discussionmentioning

confidence: 93%

<p>Early detection of prostate cancer using prostate-specific antigen testing: an empirical evaluation among general practitioners and urologists</p>

Kappen¹,

Jürgens²,

Freitag³

et al. 2019

CMAR

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Background: Prostate cancer (PCa) is the most frequent cancer and the third leading cause of cancer death among German men. One option for PCa early detection is prostate-specific antigen (PSA) testing, which is still under debate regarding its risk benefits. Besides recommendations on the early PCa detection, daily practice on PSA testing varies in, for example, information communication and usage of the test. This pilot study assessed potential differences between general practitioners (GPs) and urologists in handling PSA testing and guidelines on early detection of PCa. Methods: 172 GPs belonging to the teaching network of the University of Oldenburg in Lower Saxony and Bremen and 128 practicing urologists were included in the online survey focusing on PSA testing. The questionnaire covered 43 questions on topics as the usage of the test, information communication, handling of test results and handling of/knowledge about national and international guidelines on PCa. Wether PSA testing is used in accordance with guidelines was also explored in four standardized case scenarios. Statistical analysis was done at a descriptive level. Results: In total, 65 doctors participated in the survey (response proportion: 21.7%, n=65; 27.9%, n=48 [GPs]; 13.2%, n=17 [urologists]). Results of 41 GPs and 14 urologists were analyzed. The PSA test was judged as useful by all urologists, while almost half of the GPs valued the test as ambivalent or not useful. Urologists showed a more proactive approach of informing men on PSA testing. Regarding guidelines and recommendations on PSA testing, GPs were less familiar with them compared to the urologists. Doctors of both specialties did not always treat men in consistence with the guidelines. This was partially in contradiction to their self-appraisal. Conclusion: This pilot study is highlighting differences in PSA testing practices between GPs and urologists in Germany. Urologists showed a more proactive approach. For further verification, we plan a more comprehensive study covering several German states.

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Section: Discussionmentioning

confidence: 93%

<p>Early detection of prostate cancer using prostate-specific antigen testing: an empirical evaluation among general practitioners and urologists</p>

Kappen¹,

Jürgens²,

Freitag³

et al. 2019

CMAR

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“…Psychiatric disorders like bipolar affective disorder, depressive disorder, and anxiety are identified as risk factor for joint pain disorder like osteoarthritis possibly due to medication side effects and unhealthy lifestyle or obesity (Huang et al, 2016). Urinary complains are also frequent as in our study mental health professionals rarely take it considerable to rule out possible pathologies (Przydacz et al, 2017). Genital problems are usually unreported, unaddressed or misidentified (Basson et al, 2018& Grover et al, 2016.…”

Section: Discussionmentioning

confidence: 68%

Frequency of somatic complains among patients with mental illness

Haider

Asad

2018

Ann. psychophysiol.

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Background: It is established that physical and mental disorders share common risk factors, among those the unhealthy lifestyle is most common. In order to achieve complete health, it is crucial to monitor both physical and mental health. Mental health problem is the most deserving area to work with because physical health issues are often neglected or mismanaged. This study intends to unveil the frequency of somatic (physical) health complains among patients with mental illness. Methodology: In this cross-sectional study total 85 patients were enrolled from Psychiatry Out Patient Department, Civil Hospital Karachi, during 16 th October to 13 th November 2015. Patients were asked about the demographic details and existing somatic complaints from the pre-formulated questionnaire while data was analyzed on SPSS. Results: 32.9% of the subjects were diagnosed with particular medical comorbidity. However, among undiagnosed somatic (physical) complains; endocrinological complaints were more frequent i.e.16.7% followed by 14.2% Gastrointestinal (GIT) and 13.68% Central Nervous System (CNS). Conclusion: The current study supported the fact that there is a high frequency of somatic complaints in patients with mental illness. Physical monitoring is crucial for early identification and better prognosis.

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“…Depression could also contribute to a delay in help-seeking for UI, and depression may negatively affect the perception, development, and prolongation of all LUTS [ 1 ]. Moreover, psychiatrists may have limited perception of LUTS in their patients [ 23 ]. Therefore, it is necessary to adequately inform and educate psychiatrists in terms of the impact of UI and other LUTS on patient management, prognosis, and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Correlation of urinary incontinence with depression severity of patients treated for depression

Przydacz

Skalski

Gołąbek

et al. 2020

Cent european J Urol

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Introduction Urinary incontinence (UI) is a major public health issue because of the high number of individuals affected, its adverse effects on job-related functioning, and the decline in quality of life. The association between UI and symptoms of depression has been evaluated extensively for the general population. However, relationships between UI and depression have not been adequately assessed for specific patient groups. Thus, we investigated the association between UI and depression severity in patients treated for depression. Material and methods This study was a single-center, prospective, cross-sectional inquiry. We analyzed questionnaire data on UI and depression from depressed patients treated in our Department of Adult Psychiatry. Patients completed the International Consultation on Incontinence Questionnaire Short Form and General Health Questionnaire whereas psychiatrists administered the Hamilton Rating Scale for Depression. Results One hundred two patients were enrolled in the study. Most patients had mild depression. Patients who were incontinent mostly reported moderate UI and UI was statistically more prevalent in women than in men. Further, with the General Health Questionnaire, depression severity in women was significantly associated with the severity of UI. We did not observe correlation between depression severity analyzed with the Hamilton Rating Scale for Depression and UI. Conclusions In the cohort of patients treated for depression, UI affected more women than men. In wo- men, UI was associated with the severity of depression. Because UI and depression may coexist and share the symptom burden, particularly in women, clinicians should be aware of the interconnection between these two conditions.

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Perception of Lower Urinary Tract Symptoms by psychiatrists in mentally affected patients

Abstract: This survey showed that the perception of urological symptoms by psychiatrists in their patients may be limited. Therefore, it is necessary to adequately inform and educate psychiatrists in terms of the impact of urological symptoms on patients'management, prognosis and quality of life.

Cited by 8 publications

References 0 publications

<p>Early detection of prostate cancer using prostate-specific antigen testing: an empirical evaluation among general practitioners and urologists</p>

<p>Early detection of prostate cancer using prostate-specific antigen testing: an empirical evaluation among general practitioners and urologists</p>

Frequency of somatic complains among patients with mental illness

Correlation of urinary incontinence with depression severity of patients treated for depression

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