Mood outcomes of a behavioral treatment for urinary incontinence in prostate cancer survivors

• Published in: Supportive care in cancer Vol. 27; no. 12; pp. 4461 - 4467
• Main Authors: Zhang, Amy Y., Ganocy, Stephen, Fu, Alex Z., Kresevic, Denise, Ponsky, Lee, Strauss, Gerald, Bodner, Donald R., Zhu, Hui
• Format: Journal Article
• Language: English
• Published: Berlin/Heidelberg Springer Berlin Heidelberg 01.12.2019; Springer; Springer Nature B.V
• Subjects: Affect; Aged; Analysis; Anxiety; Behavior modification; Behavior therapy; Behavior Therapy - methods; Behavioral health care; Cancer survivors; Cancer Survivors - psychology; Care and treatment; Depression, Mental; Exercise Therapy - methods; Health behavior; Humans; Information management; Intervention; Male; Medicine; Medicine & Public Health; Mental health; Middle Aged; Nursing; Nursing Research; Oncology; Original Article; Pain Medicine; Prostate cancer; Prostatic Neoplasms - physiopathology; Prostatic Neoplasms - psychology; Prostatic Neoplasms - rehabilitation; Rehabilitation Medicine; Survivor; Treatment Outcome; Urinary incontinence; Urinary Incontinence - psychology; Urinary Incontinence - therapy; Cancer care; Anxiety; Prostate cancer; Behavioral intervention; Psychosocial studies
• ISSN: 0941-4355; 1433-7339
• DOI: 10.1007/s00520-019-04745-w

Purpose This study aimed to assess whether prostate cancer survivors who received a behavioral intervention to urinary incontinence had experienced a significant mood improvement. Methods One hundred fifty-three prostate cancer survivors with persistent incontinence were included in this secondary data analysis. They were randomly assigned to usual care or interventions that provided pelvic floor muscle exercises and self-management skills. All subjects had measures of anxiety, depression, and anger at baseline, 3 months (post-intervention), and 6 months (follow-up). Negative binomial regression analysis was performed to examine the group status, daily leakage frequency at 3 months, and their interactions at 3 months as predictors for mood outcomes at 6 months, controlling for demographic and medical variables. Results The main effect of daily leakage frequency at 3 months significantly predicted anxiety at 6 months ( p  < .01). The group main effect on any mood outcomes at 6 months was not statistically significant. The interaction between the group and 3-month leakage had a significant effect on anxiety; intervention subjects achieving a significant leakage reduction at 3 months exhibited significantly less anxiety at 6 months than other subjects ( p  = .04). Age, employment status, and receiving surgery at baseline were significantly associated with less anxiety, depression, and anger at 6 months. Conclusions Reduced urinary incontinence significantly predicted less anxiety, especially among the intervention subjects. The findings suggest a significant association between a behavioral therapy of urinary incontinence and anxiety reduction in prostate cancer survivors.