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Cognitive behavioral therapy for overactive bladder in women: study protocol for a randomized controlled trial.

Satoshi Funada1,2,3, Norio Watanabe4, Takayuki Goto5

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This study evaluates cognitive behavioral therapy (CBT) for overactive bladder (OAB). CBT may offer a new, effective treatment option for OAB symptoms, potentially reducing patient suffering and societal burden.

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Area of Science:

  • Urology
  • Psychiatry
  • Behavioral Science

Background:

  • Overactive bladder (OAB) significantly impacts quality of life, with current treatments having limitations.
  • Pharmacotherapy and behavioral therapy are options, but structured protocols for the latter are scarce.
  • Cognitive behavioral therapy (CBT) addresses cognitive distortions that may exacerbate OAB symptoms.

Purpose of the Study:

  • To evaluate the efficacy of cognitive behavioral therapy (CBT) as a treatment for overactive bladder (OAB).

Main Methods:

  • A randomized, controlled, open-label, multicenter superiority trial.
  • Participants with moderate to severe OAB were randomized to receive CBT (4 sessions) with or without pharmacotherapy.
  • Primary outcome measured by changes in the OAB-q questionnaire at week 13.

Main Results:

  • Data analysis is pending, as this is a trial design abstract.
  • The study is designed to rigorously assess CBT's effectiveness.

Conclusions:

  • This trial will determine if CBT is an effective treatment for OAB.
  • A structured CBT manual could provide a novel therapeutic option and alleviate the social burden of OAB.