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Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association?

Although psychological factors are known to affect bladder and bowel control, the occurrence of functional urinary disorders in patients with psychiatric disorders has not been well-studied or described. A higher prevalence of functional lower urinary tract disorders have also been reported amongst...

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Autores principales: Ng, Qin Xiang, Lim, Yu Liang, Loke, Wayren, Yeo, Wee Song, Chee, Kuan Tsee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8235037/
https://www.ncbi.nlm.nih.gov/pubmed/34204468
http://dx.doi.org/10.3390/bs11060089
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author Ng, Qin Xiang
Lim, Yu Liang
Loke, Wayren
Yeo, Wee Song
Chee, Kuan Tsee
author_facet Ng, Qin Xiang
Lim, Yu Liang
Loke, Wayren
Yeo, Wee Song
Chee, Kuan Tsee
author_sort Ng, Qin Xiang
collection PubMed
description Although psychological factors are known to affect bladder and bowel control, the occurrence of functional urinary disorders in patients with psychiatric disorders has not been well-studied or described. A higher prevalence of functional lower urinary tract disorders have also been reported amongst patients with obsessive-compulsive (OC) disorders. A systematic literature search of PubMed, EMBASE, OVID Medline, PsycINFO, Clinical Trials Register of the Cochrane Collaboration Depression, Anxiety and Neurosis Group (CCDANTR), Clinicaltrials.gov and Google Scholar databases found five observational studies on the topic. Unfortunately, as only one study had a (healthy) control group, a meta-analytic approach was not possible. Overall, patients with OC symptoms appeared to have increased occurrence of functional urinary symptoms, e.g., overactive bladder, increase in urgency, frequency, incontinence and enuresis. This was even more common amongst patients with Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections (PANDAS) or Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) as opposed to patients with OCD alone. Several biological and behavioural mechanisms and treatment approaches were discussed. However, as the current evidence base was significantly limited and had moderate to serious risk of bias, no strong inferences could be drawn. Further well-designed cohort studies are necessary to better elucidate the observed associations and their management.
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spelling pubmed-82350372021-06-27 Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association? Ng, Qin Xiang Lim, Yu Liang Loke, Wayren Yeo, Wee Song Chee, Kuan Tsee Behav Sci (Basel) Communication Although psychological factors are known to affect bladder and bowel control, the occurrence of functional urinary disorders in patients with psychiatric disorders has not been well-studied or described. A higher prevalence of functional lower urinary tract disorders have also been reported amongst patients with obsessive-compulsive (OC) disorders. A systematic literature search of PubMed, EMBASE, OVID Medline, PsycINFO, Clinical Trials Register of the Cochrane Collaboration Depression, Anxiety and Neurosis Group (CCDANTR), Clinicaltrials.gov and Google Scholar databases found five observational studies on the topic. Unfortunately, as only one study had a (healthy) control group, a meta-analytic approach was not possible. Overall, patients with OC symptoms appeared to have increased occurrence of functional urinary symptoms, e.g., overactive bladder, increase in urgency, frequency, incontinence and enuresis. This was even more common amongst patients with Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcal Infections (PANDAS) or Pediatric Acute-onset Neuropsychiatric Syndrome (PANS) as opposed to patients with OCD alone. Several biological and behavioural mechanisms and treatment approaches were discussed. However, as the current evidence base was significantly limited and had moderate to serious risk of bias, no strong inferences could be drawn. Further well-designed cohort studies are necessary to better elucidate the observed associations and their management. MDPI 2021-06-17 /pmc/articles/PMC8235037/ /pubmed/34204468 http://dx.doi.org/10.3390/bs11060089 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Communication
Ng, Qin Xiang
Lim, Yu Liang
Loke, Wayren
Yeo, Wee Song
Chee, Kuan Tsee
Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association?
title Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association?
title_full Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association?
title_fullStr Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association?
title_full_unstemmed Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association?
title_short Obsessive-Compulsive Disorders and Functional Urinary Disorders: A Fortuitous Association?
title_sort obsessive-compulsive disorders and functional urinary disorders: a fortuitous association?
topic Communication
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8235037/
https://www.ncbi.nlm.nih.gov/pubmed/34204468
http://dx.doi.org/10.3390/bs11060089
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