Systematic review and meta‐analysis identify significant relationships between clinical anxiety and lower urinary tract symptoms

Mahjani, Behrang; Koskela, Lotta Renström; Batuure, Anita; Mahjani, Christina Gustavsson; Janecka, Magdalena; Hultman, Christina M.; Reichenberg, Abraham; Buxbaum, Joseph D.; Akre, Olof; Grice, Dorothy E.

doi:10.1002/brb3.2268

Cited by 16 publications

(11 citation statements)

References 54 publications

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“…24 Kaur et al 25 found depression in all 100 patients with UI who participated in their study. In the systematic review of Mahjani et al, 26 it was emphasized that there is a clinically significant relationship between LUTS and anxiety. In the findings of another study, it was said that there was a bidirectional relationship between LUTS and anxiety/depression.…”

Section: Discussionmentioning

confidence: 99%

Pelvic floor awareness in women with fibromyalgia: A controlled cross-sectional study

Yumusakhuylu,

Caglar Yagci,

Senyurt

et al. 2023

Journal of Endometriosis and Pelvic Pain Disorders

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Objective: Fibromyalgia syndrome (FMS), is a painful syndrome of the musculoskeletal system with associating somatic symptoms which may include PF dysfunction (PFD). We aimed to investigate the patients’ awareness of pelvic floor (PF), the frequency, impact and severity of PFD in FMS and to investigate the effect of psychological state on PFD. Methods: Women with FMS and healthy controls enrolled to the study. Demographic data, urinary symptoms and questions regarding PF awareness asked. Fibromyalgia Impact Questionnaire, Beck Depression Questionnaire and Beck Anxiety Questionnaire were filled. SPSS 26 used for statistical analysis. Results: A total of 48 FMS and 48 healthy controls, with a mean age of 44 years were enrolled. The rate of UI in FMS group was significantly higher than the control group ( p < 0.001). The frequency of urinary incontinence (UI) was found 60% in FMS patients, and 25% in the control group. UI duration was significantly longer in the FMS group ( p = 0.013). There was a relation between the duration of UI and anxiety scores. As the duration of UI increases, the anxiety score also increases significantly ( r = 0.318; p = 0.043). The majority of the subjects, 25 (86.2%) patients from the FMS group and 11 (91.7%) patients from the control group, have not consulted any physician about UI complaints, therefore did not receive any treatment. Conclusion: PF awareness is quite low in the general population and in FMS. Studies should be carried out to inform the society about PFD and increase their awareness of the PF, and social responsibility projects should be prepared.

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Section: Discussionmentioning

confidence: 99%

Pelvic floor awareness in women with fibromyalgia: A controlled cross-sectional study

Yumusakhuylu,

Caglar Yagci,

Senyurt

et al. 2023

Journal of Endometriosis and Pelvic Pain Disorders

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“…A systematic review reported an association between LUTS and psychiatric symptoms in a broad sense, however, most studies report on LUTS in association with depression and anxiety, and fewer studies report on other psychiatric symptoms or disorders 53 …”

Section: Optimizing Adherence To Self‐catheterizationmentioning

confidence: 99%

Can we define the optimal postvoid residual volume at which intermittent catheterization should be recommended, and are there other measures that could guide an intermittent catheterization protocol: ICI‐RS 2023

Malde,

Belal,

Mohamed‐Ahmed

et al. 2023

Neurourology and Urodynamics

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AimsThe postvoid residual (PVR) volume of urine in the bladder is widely used in clinical practice as a guide to initiate treatment, including clean‐intermittent self‐catheterization (CISC). It is often believed that an elevated PVR causes complications such as recurrent urinary tract infections (UTI) and renal failure. However, evidence for this is limited and identifying alternative measures to guide treatment decisions may optimize patient care. At the International Consultation on Incontinence Research Society (ICI‐RS) meeting in 2023 a Think Tank addressed the question of whether we can define the optimal PVR at which CISC should be recommended, and whether there are other measures that could guide a CISC protocol.MethodsThe Think Tank conducted a literature review and expert consensus meeting focusing on current limitations in defining and measuring PVR, and highlighting other measures that may optimize selection for, and persistence with, CISC.ResultsThere is no consensus on the threshold value of PVR that is considered “elevated” or “significant.” There is a lack of standardization on terminology, and the normal range of PVR in different populations of different ages remains to be well‐studied. The measurement of PVR is influenced by several factors, including intraindividual variation, timing and method of measurement. Furthermore, the evidence linking an elevated PVR with complications such as UTI and renal failure is mixed. Other measures, such as bladder voiding efficiency or urodynamic parameters, may be better at predicting such complications, and therefore may be more relevant at guiding a CISC protocol.ConclusionsThere is a lack of high quality evidence to support PVR as a predictor for complications of UTI or renal failure. Threshold values for normal PVR in different populations are unknow, and so threshold values for “elevated” or “significant” PVR cannot be determined. Other factors, such as urodynamic findings, may be better at predicting complications and therefore guiding management decisions, and this remains to be studied. Areas for further research are proposed.

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“…Hay evidencia que sugiere que la ansiedad y la depresión pueden estar correlacionadas con las enfermedades del tracto urinario inferior 15 . Un estudio realizado en Taiwán por Chung et al 16 muestra que los pacientes con CI tienen más prevalencia de comorbilidad y que los participantes de la muestra tenían 4,37 veces más probabilidades de tener un diagnóstico previo de trastorno de ansiedad.…”

Section: Ansiedad Y Depresiónunclassified

Aspectos psicológicos asociados a la cistitis intersticial

Bernal-Guerrero¹,

Vinaccia-Alpi²

2022

RECHOG

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La cistitis intersticial o síndrome de vejiga dolorosa es un padecimiento complejo asociado a dolor pélvico intenso con síntomas urinarios como urgencia, polaquiuria, dispareunia, incontinencia y nicturia, que afecta de manera importante la calidad de vida y las relaciones sociales y productivas del paciente. La evidencia muestra que el abordaje de los factores psicosociales que afectan a los pacientes con esta enfermedad es esencial. El tratamiento debe ir más allá de los síntomas clínicos y considerar los aspectos individuales de cada paciente, su salud mental, sus experiencias de vida y su comorbilidad, dado que los trastornos psicológicos como la ansiedad, la depresión y el estrés postraumático pueden influir en la manera en que se percibe el dolor, y están ligados con la gravedad y el empeoramiento de los síntomas. La literatura presenta a la intervención psicológica desde el enfoque cognitivo conductual como un medio para disminuir el dolor, la ansiedad y el catastrofismo, dando al paciente herramientas que le permitan obtener una sensación de control a partir del afrontamiento y mejorar su calidad de vida.

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Systematic review and meta‐analysis identify significant relationships between clinical anxiety and lower urinary tract symptoms

Cited by 16 publications

References 54 publications

Pelvic floor awareness in women with fibromyalgia: A controlled cross-sectional study

Pelvic floor awareness in women with fibromyalgia: A controlled cross-sectional study

Can we define the optimal postvoid residual volume at which intermittent catheterization should be recommended, and are there other measures that could guide an intermittent catheterization protocol: ICI‐RS 2023

Aspectos psicológicos asociados a la cistitis intersticial

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