The Role of Mindfulness in Urinary Urgency Symptoms

被引:2
作者
Adelstein S.A. [1 ]
Lee U.J. [1 ]
机构
[1] Section of Urology and Renal Transplantation, Virginia Mason, 1100 9th Avenue, Mailstop C7-URO, Seattle, 98101, WA
关键词
Alternative medicine; Functional magnetic resonance imaging; Mindfulness; Mindfulness-based stress reduction; Urgency incontinence; Urinary urgency;
D O I
10.1007/s11884-016-0348-5
中图分类号
学科分类号
摘要
Stress, anxiety, depression and patient perception play critical roles in bothersome urinary urgency and related syndromes overactive bladder and bladder pain syndrome. A robust body of brain imaging literature has identified brain changes that occur in patients with urinary urgency and urgency incontinence, and conversely, brain changes that occur after successful treatment of urinary urgency. In an effort to directly target the role central nervous system (CNS) abnormalities in urinary urgency, which occur in regions for high-order function areas for attention, awareness, emotion, and interoception, mindfulness therapies have emerged as a promising treatment option. Mindfulness is the practice of nonreactive awareness of thoughts and sensations, which may reorient cognitive and emotional responses to bladder sensations. Recent studies examining mindfulness therapy for urinary urgency show promising results for a conservative intervention that directly targets the relevant CNS mechanisms now being elucidated. © 2016, Springer Science+Business Media New York.
引用
收藏
页码:38 / 44
页数:6
相关论文
共 38 条
[1]  
Haylen B.T., de Ridder D., Freeman R.M., Swift S.E., Berghmans B., Lee J., Et al., An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction, Neurourol Urodyn, 29, pp. 4-20, (2010)
[2]  
Coyne K.S., Wein A.J., Tubaro A., Sexton C.C., Thompson C.L., Kopp Z.S., Et al., The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS, BJU Int, 103, pp. 4-11, (2009)
[3]  
Milsom I., Coyne K.S., Nicholson S., Kvasz M., Chen C.-I., Wein A.J., Global prevalence and economic burden of urgency urinary incontinence: a systematic review, Eur Urol, 65, pp. 79-95, (2014)
[4]  
Sinclair A.J., Ramsay I.N., The psychosocial impact of urinary incontinence in women, Obstet Gynaecol, 13, pp. 143-148, (2011)
[5]  
Gormley E.A., Lightner D.J., Burgio K.L., Chai T.C., Clemens J.Q., Culkin D.J., Et al., Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline, J Urol, 188, pp. 2455-2463, (2012)
[6]  
Perry S., McGrother C.W., Turner K., An investigation of the relationship between anxiety and depression and urge incontinence in women: development of a psychological model, Br J Health Psychol, 11, pp. 463-482, (2006)
[7]  
Melville J.L., Walker E., Katon W., Lentz G., Miller J., Fenner D., Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence, Am J Obstet Gynecol, 187, pp. 80-87, (2002)
[8]  
Mitchell S.A., Brucker B.M., Kaefer D., Aponte M., Rosenblum N., Kelly C., Et al., Evaluating patients’ symptoms of overactive bladder by questionnaire: the role of urgency in urinary frequency, Urology, 84, pp. 1039-1043, (2014)
[9]  
Wyndaele J.-J., Van Meel T.D., De Wachter S., Detrusor overactivity. Does it represent a difference if patients feel the involuntary contractions?, J Urol, 172, pp. 1915-1918, (2004)
[10]  
Michel M.C., Chapple C.R., Basic mechanisms of urgency: preclinical and clinical evidence, Eur Urol, 56, pp. 298-307, (2009)