Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients
Introduction and hypothesis: A link between psychiatric comorbidities and overactive bladder symptomatology has been suggested by preclinical and clinical studies. Given this, we hypothesized that a psychiatric history and current treatment with psychotropic medications could be related to the sever...
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| Format: | Article |
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MDPI AG
2021-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/17/3988 |
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| author | Artur Rogowski Maria Krowicka-Wasyl Ewa Chotkowska Tomasz Kluz Andrzej Wróbel Dominika Berent Paweł Mierzejewski Halina Sienkiewicz-Jarosz Adam Wichniak Marcin Wojnar Jerzy Samochowiec Katarzyna Kilis-Pstrusinska Przemyslaw Bienkowski |
| author_facet | Artur Rogowski Maria Krowicka-Wasyl Ewa Chotkowska Tomasz Kluz Andrzej Wróbel Dominika Berent Paweł Mierzejewski Halina Sienkiewicz-Jarosz Adam Wichniak Marcin Wojnar Jerzy Samochowiec Katarzyna Kilis-Pstrusinska Przemyslaw Bienkowski |
| author_sort | Artur Rogowski |
| collection | DOAJ |
| description | Introduction and hypothesis: A link between psychiatric comorbidities and overactive bladder symptomatology has been suggested by preclinical and clinical studies. Given this, we hypothesized that a psychiatric history and current treatment with psychotropic medications could be related to the severity of overactive bladder and incontinence symptoms in patients referred to a tertiary care urogynecological center. Methods: One hundred and twenty-seven female patients diagnosed with an overactive bladder were screened for a lifetime history of psychiatric disorders and the type and number of psychotropic medications currently taken. The overall severity of overactive bladder symptoms was assessed using the Indevus Urgency Severity Scale. The severity and impact of urinary incontinence on the quality of life were quantified with the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Urinary incontinence was further quantified with the aid of the Urinary Distress Inventory-6. The patients were screened for stress urinary incontinence using the Stamey Incontinence Score. Results: A psychiatric history, as well as current use of at least two psychotropic medications, was associated with increased severity of overactive bladder symptoms. A history of depression and current treatment with any selective serotonin reuptake inhibitor was associated with increased severity of stress urinary incontinence symptoms. Current treatment with other psychotropic medications, including sedative-hypnotics and drugs with anticholinergic properties was not related to the severity of overactive bladder and incontinence symptoms. |
| first_indexed | 2024-03-10T08:08:37Z |
| format | Article |
| id | doaj.art-36c17da64c0944e99f1521f5c04107a4 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T08:08:37Z |
| publishDate | 2021-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-36c17da64c0944e99f1521f5c04107a42023-11-22T10:50:24ZengMDPI AGJournal of Clinical Medicine2077-03832021-09-011017398810.3390/jcm10173988Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological PatientsArtur Rogowski0Maria Krowicka-Wasyl1Ewa Chotkowska2Tomasz Kluz3Andrzej Wróbel4Dominika Berent5Paweł Mierzejewski6Halina Sienkiewicz-Jarosz7Adam Wichniak8Marcin Wojnar9Jerzy Samochowiec10Katarzyna Kilis-Pstrusinska11Przemyslaw Bienkowski12Faculty of Medicine, Collegium Medicum, Cardinal Stefan Wyszynski University in Warsaw, 01-938 Warsaw, PolandDepartment of Obstetrics and Gynecology, Mother and Child Institute, 01-211 Warsaw, PolandDepartment of Obstetrics and Gynecology, Mother and Child Institute, 01-211 Warsaw, PolandDepartment of Gynecology and Obstetrics, Institute of Medical Sciences, Medical College of Rzeszow University, 35-310 Rzeszów, PolandSecond Department of Gynecology, Medical University of Lublin, Jaczewskiego 8, 20-954 Lublin, PolandRegional Psychiatric Hospital Drewnica, 05-091 Zabki, PolandDepartments of Pharmacology, Institute of Psychiatry and Neurology, 02-957 Warsaw, PolandDepartment of Neurology I, Institute of Psychiatry and Neurology, 02-957 Warsaw, PolandDepartment of Psychiatry III, Institute of Psychiatry and Neurology, 02-957 Warsaw, PolandDepartment of Psychiatry, Medical University of Warsaw, 02-091 Warsaw, PolandDepartment of Psychiatry, Pomeranian Medical University, 70-111 Szczecin, PolandDepartment of Pediatric Nephrology, Wroclaw Medical University, 02-091 Wroclaw, PolandDepartment of Psychiatry, Medical University of Warsaw, 02-091 Warsaw, PolandIntroduction and hypothesis: A link between psychiatric comorbidities and overactive bladder symptomatology has been suggested by preclinical and clinical studies. Given this, we hypothesized that a psychiatric history and current treatment with psychotropic medications could be related to the severity of overactive bladder and incontinence symptoms in patients referred to a tertiary care urogynecological center. Methods: One hundred and twenty-seven female patients diagnosed with an overactive bladder were screened for a lifetime history of psychiatric disorders and the type and number of psychotropic medications currently taken. The overall severity of overactive bladder symptoms was assessed using the Indevus Urgency Severity Scale. The severity and impact of urinary incontinence on the quality of life were quantified with the International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form. Urinary incontinence was further quantified with the aid of the Urinary Distress Inventory-6. The patients were screened for stress urinary incontinence using the Stamey Incontinence Score. Results: A psychiatric history, as well as current use of at least two psychotropic medications, was associated with increased severity of overactive bladder symptoms. A history of depression and current treatment with any selective serotonin reuptake inhibitor was associated with increased severity of stress urinary incontinence symptoms. Current treatment with other psychotropic medications, including sedative-hypnotics and drugs with anticholinergic properties was not related to the severity of overactive bladder and incontinence symptoms.https://www.mdpi.com/2077-0383/10/17/3988overactive bladderurinary incontinencepsychiatric comorbiditypsychotropic medicationurogynecology |
| spellingShingle | Artur Rogowski Maria Krowicka-Wasyl Ewa Chotkowska Tomasz Kluz Andrzej Wróbel Dominika Berent Paweł Mierzejewski Halina Sienkiewicz-Jarosz Adam Wichniak Marcin Wojnar Jerzy Samochowiec Katarzyna Kilis-Pstrusinska Przemyslaw Bienkowski Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients Journal of Clinical Medicine overactive bladder urinary incontinence psychiatric comorbidity psychotropic medication urogynecology |
| title | Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients |
| title_full | Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients |
| title_fullStr | Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients |
| title_full_unstemmed | Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients |
| title_short | Psychiatric History and Overactive Bladder Symptom Severity in Ambulatory Urogynecological Patients |
| title_sort | psychiatric history and overactive bladder symptom severity in ambulatory urogynecological patients |
| topic | overactive bladder urinary incontinence psychiatric comorbidity psychotropic medication urogynecology |
| url | https://www.mdpi.com/2077-0383/10/17/3988 |
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