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The mediating role of illness perceptions in psychological outcomes in overactive bladder
Author(s) -
Pretorius Sara,
Kinsey Debbie,
Alexander Tim,
Glover Lesley,
Kraus Sigurd,
Duggan Paul
Publication year - 2014
Publication title -
international journal of urological nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.184
H-Index - 8
eISSN - 1749-771X
pISSN - 1749-7701
DOI - 10.1111/ijun.12054
Subject(s) - medicine , overactive bladder , anxiety , psychological intervention , quality of life (healthcare) , depression (economics) , clinical psychology , psychiatry , alternative medicine , nursing , pathology , economics , macroeconomics
Overactive bladder ( OAB ) is condition, characterized by urinary urgency, frequency and incontinence, which has the potential to disrupt everyday life considerably. Although there is evidence that antimuscarinic treatment is effective at treating physical symptoms, there is currently no systematic exploration of psychological factors associated with OAB after treatment. This study aimed to examine the quality of life, relationships, sexual functioning, psychological wellbeing and illness perceptions of individuals with OAB after they have received treatment. And to determine whether an individual's psychological wellbeing is directly related to the severity of their symptoms, or whether their illness perceptions mediate this relationship. This study used a cross‐sectional, questionnaire‐based quantitative design with a secondary care outpatient sample who were diagnosed with OAB and had been either previously or currently prescribed drug treatment. Patients reported moderately severe OAB symptoms, with approximately a third reporting moderate/severe anxiety and 12% reporting severe depression. There was no direct relationship between symptom severity and psychological wellbeing ( β = −0·03, t (31) = −0·96, p = 0·34; β = −0·02, t (31) = −0·41, p = 0·68) – this relationship was mediated by the patient's sense of personal control over their OAB ( β = 0·03 ( SE = 0·02), 95% CI [0·004, 0·09]; β = 0·02 ( SE = 0·02), 95% CI [0·0008, 0·08]). Including interventions to improve personal control alongside drug treatment may improve treatment adherence and outcomes.