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Reducing State Anxiety Using Working Memory Maintenance
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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.

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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.

Keywords:
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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.