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Overactive Bladder or Anxiety: Which Came First?
Boris Grizelj1, Slavko Orešković, Mislav Mikuš
1Faculty of Medicine, University of Mostar, Mostar, Bosnia and Herzegovina.
Psychiatria Danubina
|December 20, 2021
Summary
The relationship between overactive bladder (OAB) and anxiety is complex, with evidence suggesting a potential causal link. Routine assessment of anxiety in OAB patients is recommended.
Area of Science:
- Urology
- Psychiatry
- Medical Causality
Background:
- The co-occurrence of overactive bladder (OAB) and anxiety presents a diagnostic challenge regarding causality.
- Understanding the bidirectional association between OAB and anxiety is crucial for effective patient management.
Purpose of the Study:
- To review existing literature on the bidirectional relationship between OAB and anxiety.
- To explore potential epidemiological, pathophysiological, and therapeutic links between these conditions.
Main Methods:
- A comprehensive literature search was conducted using PubMed and EMBASE databases.
- Included studies published in English between 1990 and 2020, focusing on relative risk or odds ratios.
- 19 relevant publications were selected for full-text review after initial screening of 126 citations.
Main Results:
- The review synthesized information on the epidemiology, pathophysiology, diagnosis, and treatment of OAB and anxiety.
- Analysis of available data suggests a potential causal relationship between OAB and anxiety.
Conclusions:
- Limited longitudinal studies hinder definitive conclusions on the temporal relationship between OAB and anxiety.
- Existing population-based studies carry a high risk of bias; clinical population studies are needed.
- Psychosocial factors, particularly anxiety, should be routinely assessed in patients diagnosed with OAB.
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