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When is better really better? Individuals' experiences of treatment for OAB with anticholinergic medication

Kinsey, Debbie; Pretorius, Sara; Alexander, Tim; Glover, Lesley; Duggan, Paul; Kraus, Sigurd

Authors

Paul Duggan

Sigurd Kraus

Abstract

Overactive bladder (OAB) has been found to have a number of psychological consequences, including anxiety, depression and shame. However, there is little research on how drug treatment, which has been found to be effective at reducing physical symptoms, impacts on these psychological effects. This study aimed to examine patients’ experiences of anticholinergic treatment for OAB, and the impact of both OAB and its treatment on psychological well-being. A cross-sectional, qualitative interview design with a secondary care outpatient sample was used. The approach was idiographic and sought to understand the detailed complexities and nuances of patient experiences. This small-scale qualitative study found that, even where there had been symptom reduction, patients did not feel ‘better’, and found it difficult to let go of worries and fears around OAB. These findings suggest that a person with OAB may need support even after a ‘successful’ treatment, as OAB continues to be at the centre of patients’ lives.

Journal Article Type Article
Publication Date 2017-03
Journal International journal of urological nursing
Print ISSN 1749-7701
Electronic ISSN 1749-771X
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 11
Issue 1
Pages 42-51
DOI https://doi.org/10.1111/ijun.12122
Keywords Chronic illness, Health psychology, Overactive bladder, Psychology, Quality of life, Urinary incontinence
Publisher URL http://onlinelibrary.wiley.com/doi/10.1111/ijun.12122/full
Copyright Statement ©2017 University of Hull

This is the peer reviewed version of the following article: Kinsey, D., Alexander, T., Glover, L., Pretorius, S., Kraus, S. and Duggan, P. (2017), When is better really better? Individuals' experiences of treatment for OAB with anticholinergic medication. Int J Urol Nurs, 11: 42–51. doi:10.1111/ijun.12122, which has been published in final form at http://onlinelibrary.wi...0.1111/ijun.12122/full. This article may be used for non-commercial purposes in accordance With Wiley Terms and Conditions for self-archiving.

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