膀胱過動症：從大腦到膀胱的連結

 

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.