Psychosocial Factors in Neurogenic Lower Urinary Tract Dysfunction: Implications for Multidisciplinary Care

AbstractPurpose of ReviewTo review the literature regarding the role of psychological and social factors in neurogenic lower urinary tract dysfunction (NLUTD).Recent FindingsNeurogenic lower urinary tract dysfunction significantly affects psychological and psychosocial domains. There is a high level of comorbidity between psychological distress, anxiety, and depression in both patients with NLUTD and their caregivers. Psychological comorbidity can affect outcomes broadly. In addition, managing NLUTD and its effects can impact social, sexual, caregiver, and patient –provider relationships and quality of life. There is some evidence to suggest that the treatment of bolstering positive affect and self-efficacy may improve patient autonomy and social engagement, although the literature on psychosocial intervention for NLUTD specifically is scarce.SummaryWhile there is a growing body of evidence on psychological and psychosocial factors affecting patients with NLUTD, there is still much left to be discovered, especially with regards to psychosocial interventions with the goal of improved perception of urinary symptoms, improved function, and improvement of quality of life for these patients.
Source: Current Bladder Dysfunction Reports - Category: Urology & Nephrology Source Type: research