In this study, researchers explored the relationship between anxiety and overactive bladder (OAB) or urinary incontinence symptoms in a clinical population. Patients diagnosed with OAB were compared to age-matched controls without OAB, with anxiety symptoms assessed using the Hospital Anxiety and Depression Scale and OAB symptoms evaluated through various questionnaires. The results indicated that nearly half of patients with OAB (48%) experienced anxiety, with 24% reporting moderate to severe anxiety. Anxiety levels in patients with OAB were significantly higher compared to controls, and those with anxiety also reported more severe OAB symptoms, greater distress, and a worse quality of life.
Additionally, patients with OAB with anxiety experienced more psychosocial difficulties, including higher levels of depression and stress. The study found positive correlations between the severity of anxiety and OAB symptoms, with patients who had both anxiety and depression reporting the most severe symptoms. These findings highlight that anxiety not only exacerbates OAB symptoms but also negatively impacts overall well-being, emphasizing the need for addressing anxiety in OAB management.
Reference: Lai HH, Rawal A, Shen B, Vetter J. The Relationship Between Anxiety and Overactive Bladder or Urinary Incontinence Symptoms in the Clinical Population. Urology. 2016;98:50-57. doi: 10.1016/j.urology.2016.07.013.