AN RCT TREATING URGE URINARY INCONTINENCE IN OLDER ADULT WOMEN WITH MINDFULNESS-BASED STRESS REDUCTION

Abstract Urge urinary incontinence is a condition estimated to cost $82 billion by 2020. Innovative treatments are needed, particularly in the older adult population. A prior combined feasibility study and randomized controlled trial examined six feasibility determinants and five preliminary efficacy outcomes of treating urge urinary incontinence in older adult women (N=25; average age=74 years) utilizing an 8-week mindfulness-based stress reduction (MBSR) intervention compared with the health enhancement program (HEP), which is an active comparison modality specifically validated to be used alongside MBSR in scientific research. Feasibility and preliminary efficacy results were reported at GSA in 2018. This 2019 presentation relays the preliminary efficacy results at 6-month follow up. Outcomes include symptom severity, symptom bother, perceived stress, perceived self-efficacy, and rate and trajectory of change. Future research is needed in the form of a multi-site trial to provide a larger sample with greater diversity.

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Mindfulness in Pelvic Floor Dysfunction

Biofeedback ◽

10.5298/1081-5937-46.1.04 ◽

2018 ◽

Vol 46 (1) ◽

pp. 21-24 ◽

Cited By ~ 1

Author(s):

Debbie Callif

Keyword(s):

Pelvic Floor ◽

Pelvic Pain ◽

Stress Reduction ◽

Case Reports ◽

Pelvic Floor Dysfunction ◽

Urge Urinary Incontinence ◽

Bowel Dysfunction ◽

Bladder Function ◽

Present Moment ◽

Mindfulness Based Stress Reduction

Biofeedback is recommended as the first line of treatment for patients with stress or urge urinary incontinence (Fantl et al., 1996). Research supports the use of biofeedback for bowel dysfunction (Bartlett, Sloots, Nowak, & Ho, 2011). There is mounting evidence for the use of Mindfulness-Based Stress Reduction for the use of bladder and bowel dysfunction and pelvic pain (Fox, Flynn, & Allen, 2011; Paiva & Carneiro, 2013). The following case reports demonstrate the utility of Mindfulness-Based Stress Reduction in helping patients who suffer from bowel, bladder, and pelvic pain syndromes. Mindfulness training can be used to bring attention to how emotions and food choices have a direct impact on the gastrointestinal tract. Present moment awareness of the urinary tract functioning also improves bladder function. Noticing tension in the pelvic floor muscles helps to improve pelvic pain symptoms (Anderson, Wise, Sawyer, Glove, & Orenberg, 2011; Fox et al., 2011; Paiva & Carneiro, 2011).

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Introduction to Wisdom Mind

Wisdom Mind ◽

10.1093/med-psych/9780197510124.003.0009 ◽

2021 ◽

pp. 1-6

Author(s):

Colette M. Smart

Keyword(s):

Older Adult ◽

Stress Reduction ◽

Cognitive Rehabilitation ◽

Developmental Psychology ◽

Empirical Evaluation ◽

Clinical Neuropsychology ◽

Mindfulness Based Stress Reduction ◽

Conceptual Foundations ◽

Unique Program

This chapter provides the background to the Wisdom Mind program—why it was developed, the conceptual foundations on which it is based, and the results from the original empirical evaluation of the program. While the program is broadly influenced by Jon Kabat-Zinn’s mindfulness-based stress reduction, Wisdom Mind stands on its own as a unique program that is grounded in principles of clinical neuropsychology (specifically, cognitive rehabilitation) as well as lifespan developmental psychology. This chapter will introduce you to the concept of mindfulness, tell you more about some of the background work that has already been done on mindfulness, and how it may be helpful to you in particular as an older adult. This chapter will also prepare you for the program, with some information on what to expect and what kind of mindset to bring to your experience.

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Knowledge, Attitudes, and Perceptions of Advanced Practice Nurses Regarding Urinary Incontinence in Older Adult Women

Research and Theory for Nursing Practice ◽

10.1891/1541-6577.24.4.260 ◽

2010 ◽

Vol 24 (4) ◽

pp. 260-279 ◽

Cited By ~ 7

Author(s):

Linda J. Keilman ◽

Karen S. Dunn

Keyword(s):

Urinary Incontinence ◽

Older Adult ◽

Health Care Providers ◽

Advanced Practice Nurses ◽

Adult Women ◽

Advanced Practice ◽

Care Providers ◽

Cross Sectional ◽

Practice Nurses ◽

Attitudes And Perceptions

This study examined the level of knowledge and the attitudes and perceptions of advanced practice nurses (APNs) regarding urinary incontinence (UI) in older adult women. UI is a common health issue for older adult women, and APNs are in a unique position as health care providers to prevent, diagnose, treat, and manage the condition successfully. Little is known about how well APNs were educated regarding UI, especially in older adult women. Purposive sampling was utilized to conduct a cross-sectional, descriptive, and correlational design study. Fifty-four APNs completed a questionnaire developed by the author based on the aging literature, advanced practice nursing competencies, and UI guidelines. Findings suggest that APNs generally have positive attitudes, perceptions, and knowledge of UI in women. However, participants had difficulty in applying this knowledge to the clinical setting: assessing, diagnosing, treating, and managing UI. More emphasis is needed in graduate nursing curriculums and in precepted clinical experiences regarding UI in women.

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SELF-CONSCIOUSNESS OF PELVIC MUSCLES AND URINARY INCONTINENCE IN OLDER-ADULT WOMEN

The Gerontologist ◽

10.1093/geront/gnw162.1673 ◽

2016 ◽

Vol 56 (Suppl_3) ◽

pp. 419-420

Keyword(s):

Urinary Incontinence ◽

Older Adult ◽

Adult Women ◽

Pelvic Muscles

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The Effect of Botulinum-A Toxin on Patients With Severe Urge Urinary Incontinence

Yearbook of Obstetrics Gynecology and Women s Health ◽

10.1016/s1090-798x(08)70536-8 ◽

2006 ◽

Vol 2006 ◽

pp. 358-362

Author(s):

S.A. Grochmal

Keyword(s):

Urinary Incontinence ◽

Urge Urinary Incontinence ◽

Botulinum A Toxin

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Achtsamkeitsbasierte kognitive Therapie

Zeitschrift für Klinische Psychologie und Psychotherapie ◽

10.1026/1616-3443/a000280 ◽

2014 ◽

Vol 43 (4) ◽

pp. 233-240 ◽

Cited By ~ 1

Author(s):

Thomas Heidenreich ◽

Christoph Grober ◽

Johannes Michalak

Keyword(s):

Cognitive Therapy ◽

Stress Reduction ◽

Kognitive Therapie ◽

Mindfulness Based Stress Reduction ◽

Praktische Umsetzung

Unter den im Zentrum dieses Sonderhefts stehenden Neuentwicklungen nehmen achtsamkeitsbasierte Verfahren eine bedeutsame Rolle ein: Während die „Achtsamkeitsbasierte Stressreduktion” (mindfulness-based stress reduction, MBSR) bereits in der zweiten Hälfte der 1970er Jahre entwickelt wurde ( Kabat-Zinn, 1990 ), erlangte insbesondere die von Segal, Williams und Teasdale (2002) speziell für die Rückfallprävention bei rezidivierender depressiver Störung entwickelte „Achtsamkeitsbasierte Kognitive Therapie” (mindfulness-based cognitive therapy, MBCT) eine zunehmende Bedeutung im Bereich kognitiv-behavioraler Ansätze. Der vorliegende Beitrag geht zunächst auf den historischen und theoretischen Hintergrund der Achtsamkeitsbasierten Kognitiven Therapie ein. Im Anschluss daran wird die praktische Umsetzung des Gruppenkonzepts vorgestellt und der Stand der Forschung anhand aktueller Metaanalysen referiert. Der Beitrag schließt mit einer kritischen Diskussion einer allzu verkürzten Anwendung von Achtsamkeit in der klinischen Praxis.

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