Initiation and Utilization of Psychotherapy in Women With Overactive Bladder
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View abstract on PubMed
Summary
This summary is machine-generated.Psychotherapy use is common in older women with overactive bladder (OAB). Mental health conditions and socioeconomic factors influence treatment access for OAB patients.
Area Of Science
- Urology
- Psychiatry
- Health Services Research
Background
- Overactive bladder (OAB) significantly impacts quality of life.
- The utilization of psychotherapy among women with OAB is not well-documented.
Purpose Of The Study
- To determine the incidence of psychotherapy initiation in female Medicare beneficiaries diagnosed with OAB.
- To identify clinical and sociodemographic factors associated with psychotherapy use within three years of OAB diagnosis.
Main Methods
- Retrospective cohort study using Medicare data (2011-2021).
- Identified OAB diagnosis and subsequent psychotherapy use via ICD and CPT codes.
- Employed Cox proportional hazards and logistic regression models to analyze associated factors.
Main Results
- 8.7% of 374,918 women with OAB initiated psychotherapy within five years.
- Psychotherapy use was linked to dual Medicaid/Medicare status, Northern US residence, and diagnoses of anxiety, depression, or substance abuse.
- Higher comorbidity scores also correlated with increased psychotherapy utilization.
Conclusions
- Psychotherapy is frequently utilized by older women with overactive bladder.
- Psychiatric comorbidities and demographic characteristics significantly influence psychotherapy initiation and utilization in this population.
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