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Cognitive components of behavioral therapy for overactive bladder: a systematic review
Becca Reisch1, Rebekah Das2, Brynne Gardner3
1Pacific University Oregon, Hillsboro, OR, USA. reischra@pacificu.edu.
International Urogynecology Journal
|February 20, 2021
Summary
Behavioral therapy for overactive bladder (OAB) shows symptom reduction, but its cognitive strategies, like distraction, are poorly described and lack scientific evaluation. Further research is needed to understand their impact.
Area of Science:
- Urology
- Behavioral Medicine
- Psychology
Background:
- Behavioral therapy is the primary treatment for overactive bladder (OAB).
- The cognitive elements within behavioral therapy for OAB have not been systematically reviewed or evaluated.
- Understanding these cognitive components is crucial for optimizing OAB treatment.
Purpose of the Study:
- To identify and describe the cognitive components of behavioral therapy used for OAB.
- To evaluate the effectiveness of these cognitive components in OAB management.
- To explore the rationale and origins of cognitive strategies in OAB behavioral therapy.
Main Methods:
- A systematic literature search was conducted across major databases (PubMed, CINAHL, Web of Science, Cochrane, PEDro).
- Inclusion criteria focused on studies of OAB treatment using behavioral therapy with described cognitive elements in neurologically intact adults.
- Methodological quality was assessed using the PEDro and Newcastle-Ottawa scales.
Main Results:
- Five studies published between 2009 and 2020 met the inclusion criteria, with variable methodological quality.
- All included studies reported symptom improvement in participants undergoing behavioral therapy for OAB.
- Cognitive components were not detailed; distraction was the most frequent strategy for managing urgency.
Conclusions:
- Behavioral therapy is beneficial for overactive bladder (OAB) symptom management.
- The cognitive aspects of behavioral therapy for OAB are not well-defined or extensively studied.
- The specific contribution and scientific basis of cognitive components in OAB behavioral therapy require further rigorous investigation.
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