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A case series to pilot cognitive behaviour therapy for women with urinary incontinence.

Research output: Contribution to journalJournal articlepeer-review

  • Ailyn Garley
  • Jennifer Unwin
<mark>Journal publication date</mark>09/2006
<mark>Journal</mark>British Journal of Health Psychology
Issue number3
Number of pages14
Pages (from-to)373-386
Publication StatusPublished
<mark>Original language</mark>English


Objective. Psychological factors have been identified with respect to female urinary incontinence. However, there is limited research regarding psychological interventions. The effectiveness of cognitive behaviour therapy (CBT) as a treatment for women with urinary incontinence was investigated. Design. The study adopted an AB case series design with a follow-up phase. Methods. Ten women with urinary incontinence each attended individual sessions. The Hospital anxiety and depression scale (HADS) and Incontinence Quality of Life (I-QOL) were administered pre-treatment, post-treatment, and 3-months post-treatment. Participants kept weekly records of bladder functioning. An unstandardized client satisfaction questionnaire was administered at 3-months post-treatment. Results. Anxiety and depression, as measured by the HADS did not show any significant changes. Improvements in incontinence-related quality of life reached statistical significance at the post-treatment administration and were maintained at the 3-months post-treatment follow-up. Significant changes in bladder functioning were not apparent until the 3-month post-treatment follow-up. The satisfaction questionnaires suggest that the participants found the intervention of value. Conclusions. The findings of this study tentatively suggest that incontinence-related quality of life might be improved by involvement in a CBT intervention. Some modest improvements occurred in bladder functioning. Further research is required to confirm these findings.

Bibliographic note

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