Mood outcomes of a behavioral treatment for urinary incontinence in prostate cancer survivors
| Autor: | Donald R Bodner, Hui Zhu, Denise Kresevic, Stephen J. Ganocy, Gerald Strauss, Alex Z. Fu, Amy Y. Zhang, Lee Ponsky |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty media_common.quotation_subject Psychological intervention Urinary incontinence Anger Article 03 medical and health sciences Prostate cancer 0302 clinical medicine Cancer Survivors Behavior Therapy Internal medicine Humans Medicine 030212 general & internal medicine Depression (differential diagnoses) Aged media_common business.industry Prostatic Neoplasms Secondary data Middle Aged medicine.disease Exercise Therapy Affect Treatment Outcome Urinary Incontinence Mood Oncology 030220 oncology & carcinogenesis Anxiety medicine.symptom business |
| Zdroj: | Support Care Cancer |
| ISSN: | 1433-7339 0941-4355 |
| DOI: | 10.1007/s00520-019-04745-w |
| Popis: | PURPOSE: This study aimed to assess whether prostate cancer survivors who received a behavioral intervention to urinary incontinence had experienced a significant mood improvement. METHODS: One hundred fifty-three prostate cancer survivors with persistent incontinence were included in this secondary data analysis. They were randomly assigned to usual care or interventions that provided pelvic floor muscle exercises and self-management skills. All subjects had measures of anxiety, depression, and anger at baseline, 3 months (post-intervention), and 6 months (follow-up). Negative binomial regression analysis was performed to examine the group status, daily leakage frequency at 3 months, and their interactions at 3 months as predictors for mood outcomes at 6 months, controlling for demographic and medical variables. RESULTS: The main effect of daily leakage frequency at 3 months significantly predicted anxiety at 6 months (p < .01). The group main effect on any mood outcomes at 6 months was not statistically significant. The interaction between the group and 3-month leakage had a significant effect on anxiety; intervention subjects achieving a significant leakage reduction at 3 months exhibited significantly less anxiety at 6 months than other subjects (p = .04). Age, employment status, and receiving surgery at baseline were significantly associated with less anxiety, depression, and anger at 6 months. CONCLUSIONS: Reduced urinary incontinence significantly predicted less anxiety, especially among the intervention subjects. The findings suggest a significant association between a behavioral therapy of urinary incontinence and anxiety reduction in prostate cancer survivors. |
| Databáze: | OpenAIRE |
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