A case series to pilot cognitive behaviour therapy for women with urinary incontinence
A case series to pilot cognitive behaviour therapy for women with urinary incontinence
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DOI：
10.1348/135910705x53876
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发表时间：
2006-09-01
影响因子：
7.9
通讯作者：
Unwin, Jennifer
中科院分区：
文献类型：
--
作者：
Garley, Ailyn;Unwin, Jennifer
Objective.心理因素已被确定为女性尿失禁。然而，关于心理干预的研究有限。认知行为疗法（CBT）作为治疗女性尿失禁的有效性进行了调查。本研究采用AB病例系列设计，并设随访期。十名患有尿失禁的女性每人参加了单独的课程。分别于治疗前、治疗后及治疗后3个月进行医院焦虑抑郁量表（HADS）及住院患者生活质量（I-QOL）评定。参与者每周记录膀胱功能。在治疗后3个月进行非标准化的客户满意度问卷调查。HADS测量的焦虑和抑郁没有显示出任何显着变化。在治疗后给药时，失禁相关生活质量的改善达到统计学显著性，并在治疗后3个月随访时保持。膀胱功能的显著变化直到治疗后3个月随访时才明显。满意度问卷调查结果表明，参与者发现了价值观的干预。这项研究的结果初步表明，失禁相关的生活质量可能会改善参与CBT干预。膀胱功能出现了一些适度的改善。需要进一步的研究来证实这些发现。
Objective. Psychological factors have been identified with respect to female urinary incontinence. However, there is limited research regarding psychological interventions. The effectiveness of cognitive behaviour therapy (CBT) as a treatment for women with urinary incontinence was investigated.Design. The study adopted an AB case series design with a follow-up phase.Methods. Ten women with urinary incontinence each attended individual sessions. The Hospital anxiety and depression scale (HADS) and Incontinence Quality of Life (I-QOL) were administered pre-treatment, post-treatment, and 3-months posttreatment. Participants kept weekly records of bladder functioning. An unstandardized client satisfaction questionnaire was administered at 3-months post-treatment.Results. Anxiety and depression, as measured by the HADS did not show any significant changes. Improvements in incontinence-related quality of life reached statistical significance at the post-treatment administration and were maintained at the 3-months post-treatment follow-up. Significant changes in bladder functioning were not apparent until the 3-month post-treatment follow-up. The satisfaction questionnaires suggest that the participants found the intervention of value.Conclusions. The findings of this study tentatively suggest that incontinence-related quality of life might be improved by involvement in a CBT intervention. Some modest improvements occurred in bladder functioning. Further research is required to confirm these findings.