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Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions

Phil Reed Orcid Logo, C. Mair Whittall, Simon Emery, Lisa A. Osborne

Physiotherapy, Volume: 120, Pages: 10 - 16

Swansea University Author: Phil Reed Orcid Logo

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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...

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Published in: Physiotherapy
ISSN: 0031-9406
Published: Elsevier BV 2023
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URI: https://cronfa.swan.ac.uk/Record/cronfa63605
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spelling v2 63605 2023-06-07 Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions 100599ab189b514fdf99f9b4cb477a83 0000-0002-8157-0747 Phil Reed Phil Reed true false 2023-06-07 HPS 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. Journal Article Physiotherapy 120 10 16 Elsevier BV 0031-9406 Anxiety, depression, pelvic-floor symptoms, session attendance, pelvic-floor dysfunction 1 9 2023 2023-09-01 10.1016/j.physio.2023.06.002 http://dx.doi.org/10.1016/j.physio.2023.06.002 COLLEGE NANME Psychology COLLEGE CODE HPS Swansea University SU Library paid the OA fee (TA Institutional Deal) Swansea University 2023-07-27T14:23:30.9072710 2023-06-07T12:36:35.0977877 Faculty of Medicine, Health and Life Sciences School of Psychology Phil Reed 0000-0002-8157-0747 1 C. Mair Whittall 2 Simon Emery 3 Lisa A. Osborne 4 63605__28120__7fda45d15e6b4c14a7281b1d9bdfa19e.pdf 63605.VOR.pdf 2023-07-13T16:56:58.9019729 Output 2088490 application/pdf Version of Record true © 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). true eng https://creativecommons.org/licenses/by-nc-nd/4.0/
title Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
spellingShingle Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
Phil Reed
title_short Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
title_full Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
title_fullStr Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
title_full_unstemmed Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
title_sort Relationship between depression, anxiety, and attendance at pelvic-floor muscle training sessions
author_id_str_mv 100599ab189b514fdf99f9b4cb477a83
author_id_fullname_str_mv 100599ab189b514fdf99f9b4cb477a83_***_Phil Reed
author Phil Reed
author2 Phil Reed
C. Mair Whittall
Simon Emery
Lisa A. Osborne
format Journal article
container_title Physiotherapy
container_volume 120
container_start_page 10
publishDate 2023
institution Swansea University
issn 0031-9406
doi_str_mv 10.1016/j.physio.2023.06.002
publisher Elsevier BV
college_str Faculty of Medicine, Health and Life Sciences
hierarchytype
hierarchy_top_id facultyofmedicinehealthandlifesciences
hierarchy_top_title Faculty of Medicine, Health and Life Sciences
hierarchy_parent_id facultyofmedicinehealthandlifesciences
hierarchy_parent_title Faculty of Medicine, Health and Life Sciences
department_str School of Psychology{{{_:::_}}}Faculty of Medicine, Health and Life Sciences{{{_:::_}}}School of Psychology
url http://dx.doi.org/10.1016/j.physio.2023.06.002
document_store_str 1
active_str 0
description 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.
published_date 2023-09-01T14:23:26Z
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