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Is overactive bladder independently associated with anxiety?
Shambe Mutungi1, Jacqueline Parrish1, Robert Maunder2
1Department of Obstetrics and Gynaecology, Mount Sinai Hospital, Room 8-814, 700 University Avenue, Toronto, Ontario, M5G 1Z5, Canada.
International Urogynecology Journal
|July 15, 2019
Summary
Anxiety is significantly associated with overactive bladder (OAB) symptoms. Healthcare providers should consider screening for anxiety in patients presenting with OAB to improve patient care.
Area of Science:
- Urology
- Psychiatry
- Clinical Medicine
Background:
- Limited controlled data exist on the association between overactive bladder (OAB) and anxiety.
- Psychiatric anxiety questionnaires sometimes include OAB-related questions, but empirical validation is scarce.
Purpose of the Study:
- To investigate the association between overactive bladder (OAB) and anxiety.
- To compare anxiety levels in women with OAB versus those with other lower urinary tract symptoms (LUTS).
Main Methods:
- 105 female patients with LUTS were recruited from a urogynecology clinic.
- Participants completed the International Consultation on Incontinence Modular Questionnaire for Overactive Bladder (ICIQ-OAB) and the Generalized Anxiety Disorder 7-Item Scale (GAD-7).
- Statistical analysis included Fisher's exact test and logistic regression to assess the OAB-anxiety association, controlling for confounders.
Main Results:
- A statistically significant association was found between OAB and anxiety (p=0.038).
- Anxiety was present in 26.2% of OAB patients compared to 7.7% in the LUTS-other group.
- The association showed borderline significance (p=0.056) in logistic regression analysis, potentially due to sample size.
Conclusions:
- An association between overactive bladder (OAB) and anxiety appears clinically relevant.
- Screening for anxiety in patients with OAB symptoms is recommended for comprehensive patient assessment.
- Further research with larger sample sizes may clarify the statistical significance of this association.
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