TY - JOUR
T1 - Cues to urinary urgency and urge incontinence
T2 - How those diagnosed with overactive bladder syndrome differ from undiagnosed persons
AU - Oconnell, Kathleen A.
AU - Torstrick, Alex
AU - Victor, Elizabeth
PY - 2014
Y1 - 2014
N2 - PURPOSE:: To investigate the extent to which cues are reported to be associated with urinary urgency incontinence and urinary urgency. DESIGN:: Descriptive and correlational study comparing 2 groups. METHODS:: An online questionnaire assessing the extent to which 19 environmental, 3 mood, 3 cognitive, 3 stress incontinence, 1 bladder volume cue, and 3 unlikely cues were associated with episodes of urinary urgency incontinence and urgency was administered. PARTICIPANTS:: Three hundred six participants were randomly drawn from a panel of respondents maintained by Zoomerang, Inc. Approximately half (n = 150) had self-reported diagnoses of overactive bladder syndrome (OAB) and half did not. Cue ratings were compared between persons with and without OAB and between likely and unlikely cues. RESULTS:: The most frequently reported environmental cues were "On the way to the bathroom" and "Arrival at home/opening front door"; these cues were reported by both groups. Respondents with and without OAB showed significant differences in the mean number of cues associated with urinary urgency incontinence and with urinary urgency; persons with OAB were always higher. Significant differences between persons with and without OAB were found for 28 of 32 cues associated with incontinence and 25 of 32 cues associated with urinary urgency. To investigate response bias, within-subjects analyses compared mean responses to the 3 unlikely cues to means of all other cues. Analyses revealed that scores for unlikely cues were significantly lower than scores for likely cues. CONCLUSION:: Cues associated with urgency incontinence and urgency were frequently reported by both groups. However, responding to cues was significantly more frequent among those who had been diagnosed with OAB. These findings may have implications for the diagnosis and treatment of urinary urgency incontinence.
AB - PURPOSE:: To investigate the extent to which cues are reported to be associated with urinary urgency incontinence and urinary urgency. DESIGN:: Descriptive and correlational study comparing 2 groups. METHODS:: An online questionnaire assessing the extent to which 19 environmental, 3 mood, 3 cognitive, 3 stress incontinence, 1 bladder volume cue, and 3 unlikely cues were associated with episodes of urinary urgency incontinence and urgency was administered. PARTICIPANTS:: Three hundred six participants were randomly drawn from a panel of respondents maintained by Zoomerang, Inc. Approximately half (n = 150) had self-reported diagnoses of overactive bladder syndrome (OAB) and half did not. Cue ratings were compared between persons with and without OAB and between likely and unlikely cues. RESULTS:: The most frequently reported environmental cues were "On the way to the bathroom" and "Arrival at home/opening front door"; these cues were reported by both groups. Respondents with and without OAB showed significant differences in the mean number of cues associated with urinary urgency incontinence and with urinary urgency; persons with OAB were always higher. Significant differences between persons with and without OAB were found for 28 of 32 cues associated with incontinence and 25 of 32 cues associated with urinary urgency. To investigate response bias, within-subjects analyses compared mean responses to the 3 unlikely cues to means of all other cues. Analyses revealed that scores for unlikely cues were significantly lower than scores for likely cues. CONCLUSION:: Cues associated with urgency incontinence and urgency were frequently reported by both groups. However, responding to cues was significantly more frequent among those who had been diagnosed with OAB. These findings may have implications for the diagnosis and treatment of urinary urgency incontinence.
KW - cues
KW - environmental cues
KW - overactive bladder syndrome
KW - pavlovian conditioning
KW - urinary urgency
KW - urinary urgency incontinence
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U2 - 10.1097/WON.0000000000000023
DO - 10.1097/WON.0000000000000023
M3 - Article
C2 - 24805178
AN - SCOPUS:84900522952
SN - 1071-5754
VL - 41
SP - 259
EP - 267
JO - Journal of Wound, Ostomy and Continence Nursing
JF - Journal of Wound, Ostomy and Continence Nursing
IS - 3
ER -