Journal article 325 views 73 downloads
Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
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C. Mair Whittall,
Simon Emery,
Lisa A. Osborne
Physiotherapy, Volume: 120, Pages: 10 - 16
Swansea University Author:
Phil Reed
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PDF | Version of Record
© 2023 The Author(s). Published by Elsevier Ltd on behalf of Chartered Society of Physiotherapy. Distributed under the terms of a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International Licence (CC BY-NC-ND 4.0).
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DOI (Published version): 10.1016/j.physio.2023.06.002
Abstract
Objectives: Psychological comorbidities are associated with non-attendance for pelvic-floor muscle training (PFMT) appointments and non-engagement with ongoing treatment. However, little direct work has examined the precise relationship between these variables. Design: A prospective observational st...
| Published in: | Physiotherapy |
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| ISSN: | 0031-9406 |
| Published: |
Elsevier BV
2023
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| Online Access: |
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| URI: | https://cronfa.swan.ac.uk/Record/cronfa63605 |
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| Abstract: |
Objectives: Psychological comorbidities are associated with non-attendance for pelvic-floor muscle training (PFMT) appointments and non-engagement with ongoing treatment. However, little direct work has examined the precise relationship between these variables. Design: A prospective observational study of consecutively referred women patients with Pelvic-floor Dysfunction. Patients were assessed at intake for age, BMI, pelvic symptoms (measured by the Queensland Pelvic Symptom Scale), and anxiety and depression (measured by the Hospital Anxiety and Depression Scales). Setting: A women’s health physiotherapy outpatient unit of a metropolitan hospital. Participants: 433 consecutively-referred women with pelvic-floor dysfunction (PFD). Interventions: Six sessions of PFMT, lasting over a period of 6 months. Main outcome measures: Attendance at PFMT sessions was the outcome, and was related to intake patient age, BMI, pelvic symptoms, as well as anxiety and depression. Results: Psychological symptoms of depression and anxiety predicted attendance at PFMT sessions, over and above physical symptoms. Depression was the key predictor of non-attendance, with anxiety having a more complex relationship with attendance. There were few differences between these psychological variables and the different types of PFD, or between type of PFD and PFMT attendance. Conclusions: The findings add to the literature suggesting that consideration of patients’ psychological state is important when designing treatment-regimes. |
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| Keywords: |
Anxiety, depression, pelvic-floor symptoms, session attendance, pelvic-floor dysfunction |
| College: |
Faculty of Medicine, Health and Life Sciences |
| Funders: |
Swansea University |
| Start Page: |
10 |
| End Page: |
16 |