TY - JOUR
T1 - Affective symptoms and the overactive bladder - A systematic review
AU - Vrijens, Daisy
AU - Drossaerts, Jamie
AU - van Koeveringe, Gommert
AU - Van Kerrebroeck, Philip
AU - van Os, Jim
AU - Leue, Carsten
PY - 2015/2
Y1 - 2015/2
N2 - Background: Overactive bladder syndrome (OAB) is characterised by urgency symptoms, with or without urgency incontinence, usually with frequency and nocturia. Although literature suggest an association between OAB, depression and anxiety, no systematic review has been presented. Objective: Systematically review the literature on the association of affective conditions with OAB. Methods: Systematic review according to the PRISMA guidelines. This review is registered in the PROSPERO register (CRD4201400664). Results: Forty-three articles were included, describing more than 80,000 subjects. Depression and OAB were positively associated in 26 studies, anxiety and OAB in 6 studies. Longitudinal studies reported: a) OAB subjects who developed depression/anxiety or b) depressed/anxious subjects developing OAB, or c) both. The quality of evidence in studies reporting an association between the co-occurrence of OAB and depression was rated level 3 in accordance with the GRADE framework. Evidence reporting on the co-occurrence of anxiety and OAB was rated GRADE level 2. Longitudinal associations between new onset of OAB in depressive subjects was GRADE level 2. Evidence reporting association of OAB with anxiety in longitudinal studies was of GRADE level 1. Conclusion: To our knowledge, this systematic review is the first to give a comprehensive qualitative overview on the association between OAB and affective symptoms. Many evaluated studies failed to note longitudinal changes and lacked evidence of causality. Still, results revealed an association between OAB and affective symptoms and there is evidence for new onset of OAB in depressive subjects, but further research is necessary to examine the strength of the effect.
AB - Background: Overactive bladder syndrome (OAB) is characterised by urgency symptoms, with or without urgency incontinence, usually with frequency and nocturia. Although literature suggest an association between OAB, depression and anxiety, no systematic review has been presented. Objective: Systematically review the literature on the association of affective conditions with OAB. Methods: Systematic review according to the PRISMA guidelines. This review is registered in the PROSPERO register (CRD4201400664). Results: Forty-three articles were included, describing more than 80,000 subjects. Depression and OAB were positively associated in 26 studies, anxiety and OAB in 6 studies. Longitudinal studies reported: a) OAB subjects who developed depression/anxiety or b) depressed/anxious subjects developing OAB, or c) both. The quality of evidence in studies reporting an association between the co-occurrence of OAB and depression was rated level 3 in accordance with the GRADE framework. Evidence reporting on the co-occurrence of anxiety and OAB was rated GRADE level 2. Longitudinal associations between new onset of OAB in depressive subjects was GRADE level 2. Evidence reporting association of OAB with anxiety in longitudinal studies was of GRADE level 1. Conclusion: To our knowledge, this systematic review is the first to give a comprehensive qualitative overview on the association between OAB and affective symptoms. Many evaluated studies failed to note longitudinal changes and lacked evidence of causality. Still, results revealed an association between OAB and affective symptoms and there is evidence for new onset of OAB in depressive subjects, but further research is necessary to examine the strength of the effect.
KW - Overactive bladder syndrome
KW - Urgency urinary incontinence
KW - Anxiety
KW - Depressive symptoms
KW - Depression
KW - Affective symptoms
U2 - 10.1016/j.jpsychores.2014.11.019
DO - 10.1016/j.jpsychores.2014.11.019
M3 - Article
SN - 0022-3999
VL - 78
SP - 95
EP - 108
JO - Journal of Psychosomatic Research
JF - Journal of Psychosomatic Research
IS - 2
ER -