Psychological Burden Related to Urge Urinary Incontinence Predicts and Its Change Correlates With Therapeutic Response to Biofeedback in Older Women

Authors' response to Das R and Neumann P. Re: Resnick NM, Perera S, Tadic S, Organist L, Riley MA, Schaefer W, Griffiths D. What predicts and what mediates response of urge urinary incontinence to biofeedback? Neurourol Urodyn. 2013 Jun;32(5):408–15

“…We also agree that variables such as self‐efficacy or anxiety, which reflect the psychological burden of UUI, may affect success of treatment, and that reduction of psychological burden is an outcome potentially more important to patients than traditional measurements such as reduced UUI frequency. For that reason, we did measure a battery of such psychological variables in the same group of subjects . The results show that self‐efficacy and anxiety do not differ at baseline among those who ultimately do or do not respond to BFB and thus do not significantly predict success of treatment, although depressive symptoms at baseline are associated with lack of success ( P = 0.01).…”