泌尿科醫師檢查膀胱過動症的情況後,處方了抗焦慮藥物和血清素藥物。以全人照護的觀點,正好是除了各科擅長的生理介入,考量心理與其他因素來做治療。查詢膀胱過動症相關的心理研究,簡單做整理。
焦慮、憂鬱、創傷後壓力症
患有膀胱過動症者常有比較多的憂鬱和焦慮(1)。一項針對女性退伍軍人的研究,焦慮、PTSD增加了一年內新發生 膀胱過動症的風險(2)。
壓力、人際壓力
壓力與尿失禁症狀相關(3)。另一項研究顯示,女性的情感支持低和較高人際壓力與下泌尿道症狀(如儲尿、排尿困難)有關(4)。
腦-腸-膀胱軸
從之前的腦腸軸延伸到膀胱。慢性壓力和心理疾患會導致大腦、腸道和膀胱之間失調,加重膀胱過動症狀(5)。
參考資料:
1. Kinsey,
D., Pretorius, S., Glover, L., & Alexander, T. (2016). The psychological
impact of overactive bladder: A systematic review. Journal of Health
Psychology, 21, 69 - 81. https://doi.org/10.1177/1359105314522084.
2. Bradley,
C., Nygaard, I., Hillis, S., Torner, J., & Sadler, A. (2017). Longitudinal
associations between mental health conditions and overactive bladder in women
veterans. American Journal of Obstetrics and Gynecology, 217, 430.e1–430.e8. https://doi.org/10.1016/j.ajog.2017.06.016.
3. Lai, H., Gardner, V., Vetter, J., & Andriole, G.
(2015). Correlation between psychological stress levels
and the severity of overactive bladder symptoms. BMC Urology, 15. https://doi.org/10.1186/s12894-015-0009-6.
4. Brady,
S. S., Arguedas, A., Huling, J. D., Shan, L., Lewis, C. E., Fok, C. S., ...
& Markland, A. D. (2023). Interpersonal stressors and resources for
support: associations with lower urinary tract symptoms and impact among women.
Journal of Women's Health, 32(6), 693-701.
5. Smith,
A., Berry, A., Brubaker, L., Cunningham, S., Gahagan, S., Low, L., Mueller, M.,
Sutcliffe, S., Williams, B., & Brady, S. (2023). The brain, gut, and
bladder health nexus: A conceptual model linking stress and mental health
disorders to overactive bladder in women.. Neurourology and urodynamics.
https://doi.org/10.1002/nau.25356.
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