Effects of Mindfulness Meditation on Patient Experience During Urodynamics: A Prospective Study.
Anxiety
LUTS
Mindfulness
Pain perception
Urodynamics
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
14 Sep 2024
14 Sep 2024
Historique:
received:
13
05
2024
accepted:
04
08
2024
medline:
14
9
2024
pubmed:
14
9
2024
entrez:
14
9
2024
Statut:
aheadofprint
Résumé
Urodynamics (UDS) assesses voiding dysfunction using intravesical, vaginal, or rectal catheters, which can be distressing. This study was aimed at utilizing mindfulness to reduce anxiety and pain in patients undergoing UDS. A single-institution randomized controlled trial was conducted on 60 patients who underwent UDS. Patients were assigned to a mindfulness group (n = 30) or a control group (n = 30). Before UDS testing, all patients completed validated questionnaires assessing lower urinary tract symptoms (Urogenital Distress Inventory 6, UDI-6), anxiety (State-Trait Anxiety Inventory 6, STAI-6), and pain (Visual Analog Scale, VAS). The mindfulness group listened to a mindfulness audio prompt before UDS. All patients received standardized UDS education before UDS testing in a calm environment. After UDS testing, all patients completed validated UDS-perception questionnaires, STAI-6, Likert scale, and VAS surveys. Statistical analysis was performed using paired t tests, independent t tests, Wilcoxon, and Chi-squared tests. Both groups had similar demographics, history of prior UDS, anxiety, and baseline UDI-6 and STAI-6. Post-UDS, anxiety scores decreased in both groups, with the mindfulness group reporting significant improvement in "calmness" (mean 1.7, SD = 0.84) compared with the control group (mean 2.3, SD = 1.0, p < 0.05). The mindfulness group reported increased relaxation whereas the control group reported decreased relaxation post-UDS. Patients in both groups without a history of UDS had a significant improvement in total anxiety compared with those with a history of UDS. Mindfulness meditation may improve calmness and relaxation for patients undergoing UDS.
Identifiants
pubmed: 39276281
doi: 10.1007/s00192-024-05911-3
pii: 10.1007/s00192-024-05911-3
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2024. The Author(s).
Références
Clement KD, Lapitan MC, Omar MI, Glazener CM. Urodynamic studies for management of urinary incontinence in children and adults. Cochrane Database Syst Rev. 2013;2013(10):CD003195. https://doi.org/10.1002/14651858.CD003195.pub3 .
doi: 10.1002/14651858.CD003195.pub3
pubmed: 24166676
pmcid: 6599826
Al Mousa RT, Al Dossary N, Hashim H. The role of urodynamics in females with lower urinary tract symptoms. Arab J Urol. 2019;17(1):2–9. https://doi.org/10.1080/2090598X.2019.1589931 .
doi: 10.1080/2090598X.2019.1589931
pubmed: 31258939
pmcid: 6583751
Avondstondt AM, Chiu S, Salamon C. Periurethral lidocaine does not decrease pain after urodynamic testing in women: a double-blinded randomized control trial. Female Pelvic Med Reconstr Surg. 2021;27(5):e528–32. https://doi.org/10.1097/SPV.0000000000000983 .
doi: 10.1097/SPV.0000000000000983
pubmed: 33208652
Yeung JY, Eschenbacher MA, Pauls RN. Pain and embarrassment associated with urodynamic testing in women. Int Urogynecol J. 2014;25(5):645–50. https://doi.org/10.1007/s00192-013-2261-1 .
doi: 10.1007/s00192-013-2261-1
pubmed: 24280994
Yiou R, Audureau E, Loche CM, Dussaud M, Lingombet O, Binhas M. Comprehensive evaluation of embarrassment and pain associated with invasive urodynamics. Neurourol Urodyn. 2015;34(2):156–60. https://doi.org/10.1002/nau.22521 .
doi: 10.1002/nau.22521
pubmed: 24259301
Solomon ER, Ridgeway B. Interventions to decrease pain and anxiety in patients undergoing urodynamic testing: a randomized controlled trial. Neurourol Urodyn. 2016;35(8):975–9. https://doi.org/10.1002/nau.22840 .
doi: 10.1002/nau.22840
pubmed: 26227401
Greenstein A, Bar-Yosef Y, Chen J, Matzkin H. Does information provided to men before a urodynamic study affect their expectation of pain? BJU Int. 2005;96(9):1307–9. https://doi.org/10.1111/j.1464-410X.2005.05828 .
doi: 10.1111/j.1464-410X.2005.05828
pubmed: 16287450
Rezvan A, Amaya S, Betson L, Yazdany T. Randomized controlled trial of the effect of environment on patient embarrassment and anxiety with urodynamics. Int Urogynecol J. 2018;29(2):291–6. https://doi.org/10.1007/s00192-017-3386-4 .
doi: 10.1007/s00192-017-3386-4
pubmed: 28624918
Shaw C, Williams K, Assassa PR, Jackson C. Patient satisfaction with urodynamics: a qualitative study. J Adv Nurs. 2000;32(6):1356–63. https://doi.org/10.1046/j.1365-2648.2000.01627 .
doi: 10.1046/j.1365-2648.2000.01627
pubmed: 11136403
Kim JW, Kim HJ, Park YJ, Kang SG, Park JY, Bae JH, et al. The effects of a heating pad on anxiety, pain, and distress during urodynamic study in the female patients with stress urinary incontinence. Neurourol Urodyn. 2018;37(3):997–1001. https://doi.org/10.1002/nau.23326 .
doi: 10.1002/nau.23326
pubmed: 29516595
Barnes PM, Bloom B, Nahin RL. Complementary and alternative medicine use among adults and children: United States, 2007. Natl Health Stat Report. 2008;12:1–23.
Morton ML, Helminen EC, Felver JC. A systematic review of mindfulness interventions on psychophysiological responses to acute stress. Mindfulness. 2020;11(9):2039–54. https://doi.org/10.1007/s12671-020-01386-7 .
doi: 10.1007/s12671-020-01386-7
Goldin PR, Gross JJ. Effects of mindfulness-based stress reduction (MBSR) on emotion regulation in social anxiety disorder. Emotion. 2010;10(1):83–91. https://doi.org/10.1037/a0018441 .
doi: 10.1037/a0018441
pubmed: 20141305
pmcid: 4203918
Kabat-Zinn J. Full catastrophe living: using the wisdom of your body and mind to face stress, pain, and illness. New York: Bantam; 1990.
Marchand WR. Mindfulness-based stress reduction, mindfulness-based cognitive therapy, and Zen meditation for depression, anxiety, pain, and psychological distress. J Psychiatr Pract. 2012;18(4):233–52. https://doi.org/10.1097/01.pra.0000416014.53215.86 .
doi: 10.1097/01.pra.0000416014.53215.86
pubmed: 22805898
Sampalli T, Berlasso E, Fox R, Petter M. A controlled study of the effect of a mindfulness-based stress reduction technique in women with multiple chemical sensitivity, chronic fatigue syndrome, and fibromyalgia. J Multidiscip Healthc. 2009;2:53–9. https://doi.org/10.2147/jmdh.s5220 .
doi: 10.2147/jmdh.s5220
pubmed: 21197347
pmcid: 3004557
Zernicke KA, Campbell TS, Blustein PK, Fung TS, Johnson JA, Bacon SL, Carlson LE. Mindfulness-based stress reduction for the treatment of irritable bowel syndrome symptoms: a randomized wait-list controlled trial. Int J Behav Med. 2013;20(3):385–96. https://doi.org/10.1007/s12529-012-9241-6 .
doi: 10.1007/s12529-012-9241-6
pubmed: 22618308
Slavin SL, Rogers RG, Komesu Y, Omotosho T, Hammil S, Lewis C, Sapien R. Complementary and alternative medicine (CAM) use in women with pelvic floor disorders: a cohort study. Int Urogynecol J. 2010;21(4):431–7. https://doi.org/10.1007/s00192-009-1058-8 .
doi: 10.1007/s00192-009-1058-8
pubmed: 19967336
Baker J, Costa D, Guarino JM, Nygaard I. Comparison of mindfulness-based stress reduction versus yoga on urinary urge incontinence: a randomized pilot study with 6-month and 1-year follow-up visits. Female Pelvic Med Reconstr Surg. 2014;20(3):141–6. https://doi.org/10.1097/SPV.0000000000000061 .
doi: 10.1097/SPV.0000000000000061
pubmed: 24763155
Shaw W, Labott-Smith W, Burg MM, Hostinar C, Alen N, van Tilburg MAL, Berntson GG, Tovian SM, Spirito M. Stress effects on the body. American Psychological Association. https://www.apa.org/topics/stress/body . Published 1 November 2018.
Rothrock NE, Lutgendorf SK, Kreder KJ, Ratliff T, Zimmerman B. Stress and symptoms in patients with interstitial cystitis: a life stress model. Urology. 2001;57(3):422–7. https://doi.org/10.1016/s0090-4295(00)00988-2 .
doi: 10.1016/s0090-4295(00)00988-2
pubmed: 11248609
Kanter G, Komesu YM, Qaedan F, Jeppson PC, Dunivan GC, Cichowski SB, Rogers RG. Mindfulness-based stress reduction as a novel treatment for interstitial cystitis/bladder pain syndrome: a randomized controlled trial. Int Urogynecol J. 2016;27(11):1705–11. https://doi.org/10.1007/s00192-016-3022-8 .
doi: 10.1007/s00192-016-3022-8
pubmed: 27116196
Uberoi P, Smitherman A, Aden J, Park G, Jellison F. Incorporation of mindfulness exercises to reduce anxiety during urodynamic testing: a randomized single-blind controlled pilot trial. J Altern Complement Med. 2020;26(1):74–5. https://doi.org/10.1089/acm.2018.0447 .
doi: 10.1089/acm.2018.0447
pubmed: 31553223
Smith RB, Mahnert ND, Foote J, Saunders KT, Mourad J, Huberty J. Mindfulness effects in obstetric and gynecology patients during the coronavirus disease 2019 (COVID-19) pandemic: a randomized controlled trial. Obstet Gynecol. 2021;137(6):1032–40. https://doi.org/10.1097/AOG.0000000000004316 .
doi: 10.1097/AOG.0000000000004316
pubmed: 33957663
Chambers SK, Foley E, Galt E, Ferguson M, Clutton S. Mindfulness groups for men with advanced prostate cancer: a pilot study to assess feasibility and effectiveness and the role of peer support. Support Care Cancer. 2012;20(6):1183–92. https://doi.org/10.1007/s00520-011-1195-8 .
doi: 10.1007/s00520-011-1195-8
pubmed: 21625914
Baker J, Costa D, Nygaard I. Mindfulness-based stress reduction for treatment of urinary urge incontinence: a pilot study. Female Pelvic Med Reconstr Surg. 2012;18(1):46–9. https://doi.org/10.1097/SPV.0b013e31824107a6 .
doi: 10.1097/SPV.0b013e31824107a6
pubmed: 22453268
Durocher JJ, Phelan HL, Toorongian CA, Vyas AP, Morin BE. Effects of single-session meditation on aortic pulsatility and anxiety in mildly to moderately anxious adults. Adv Mind Body Med. 2023;37(2):32–6.
pubmed: 37315230
Suskind AM, Clemens JQ, Kaufman SR, Stoffel JT, Oldendorf A, Malaeb BS, Jandron T, Cameron AP. Patient perceptions of physical and emotional discomfort related to urodynamic testing: a questionnaire-based study in men and women with and without neurologic conditions. Urology. 2015;85(3):547–51. https://doi.org/10.1016/j.urology.2014.11.001 .
doi: 10.1016/j.urology.2014.11.001
pubmed: 25733264
Ratcliff CG, Prinsloo S, Chaoul A, Zepeda SG, Cannon R, Spelman A, et al. A randomized controlled trial of brief mindfulness meditation for women undergoing stereotactic breast biopsy. J Am Coll Radiol. 2019;16(5):691–9. https://doi.org/10.1016/j.jacr.2018.09.009 .
doi: 10.1016/j.jacr.2018.09.009
pubmed: 30322793