NPD64: Nontraumatic Page kidney– A case report and literature review
台灣地區膀胱過動症症狀與精神耗損的相關性:問卷研究分析
吳宜修1、陳浩瑋2、阮雍順3、陳妤甄3
1高雄醫學大學附設醫院臨床教育訓練部; 2高雄市立大同醫院 泌尿科;
3高雄醫學大學附設醫院泌尿部
Association between overactive bladder symptoms and psychological disturbance: a questionnaire-based analysis in Taiwan
I-Hsiu Wu1 , Hao-Wei Chen2, Yung-Shun Juan3 , Yu-Chen Chen3
1 Department of Clinical education and training, Kaohsiung Medical University Chung-Ho Memorial Hospital, Kaohsiung, Taiwan
2 Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
3 Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan
Objective- To determine the relationship between overactive bladder (OAB) symptoms and psychological disturbance among Taiwanese population and to determine the impact of psychological disturbance on the severity of OAB symptoms.
Methods- This cross-sectional research was performed by an online survey questionnaire between October 2021 and January 2022. All voluntary subjects were asked to complete the questionnaires including 5-item brief symptoms rating scale (BSRS-5) and Overactive Bladder Symptom Score (OABSS). Psychological disturbance was evaluated by validated BSRS-5. Diagnosis of OAB was made using OABSS.
Results- Of 889 valid subjects, there were 71 (8%) and 818 (92%) subjects in OAB and non-OAB groups. OAB subjects had significantly higher scores in insomnia, hostility and total BSRS-5 (p = 0.011, 0.003 and 0.010, respectively). Among the OAB group, OAB subjects with psychological disturbance have significant higher scores in OABSS-frequency (p = 0.017) and total OABSS (p = 0.038) than those who without psychological disturbance. Significantly higher percentage of psychological disturbance (p =0.041) and scores of insomnia (p = 0.025) were found in moderate and severe OAB than mild OAB subjects.
Conclusions- OAB suffered from significantly more psychological disturbance, especially insomnia and hostility, than those without OAB. Among OAB subjects, those with psychological disturbance have significantly worse OAB symptoms, especially in frequency, than those without. Furthermore, the worse the OAB symptoms, the more psychological disturbance the OAB subjects suffered from.