PMID- 21810157
OWN - NLM
STAT- MEDLINE
DCOM- 20111227
LR  - 20151119
IS  - 1464-410X (Electronic)
IS  - 1464-4096 (Linking)
VI  - 108
IP  - 11
DP  - 2011 Dec
TI  - Psychological and psychiatric factors as predictors for success in sacral 
      neuromodulation treatment.
PG  - 1834-8
LID - 10.1111/j.1464-410X.2011.10205.x [doi]
AB  - What's known on the subject? and What does the study add? Sacral neuromodulation 
      (SNM) is a well-established treatment for patients with chronic LUTS. The 
      selection of eligible candidates could be improved by identifying factors that 
      can predict a successful response. In the present study, we evaluated the role of 
      various psychological and psychiatric factors in relation to SNM treatment. 
      OBJECTIVE: * To evaluate if psychological and psychiatric factors can predict the 
      outcome of test stimulation or permanent treatment with sacral neuromodulation 
      (SNM). PATIENTS AND METHODS: * Between 2006 and 2009, patients with overactive 
      bladder syndrome or non-obstructive urinary retention who were eligible for test 
      stimulation were included. * All patients completed the Amsterdam Biographic 
      Questionnaire (ABQ), which measures the personality traits of the patient, and 
      the Symptom Check-List-90-Revised (SCL-90-R), which is a screening instrument for 
      neuroticism, and for current level of complaints. * The results of the 
      questionnaires were compared with the outcomes of test stimulation and permanent 
      treatment. * In addition to the questionnaires, we also included the psychiatric 
      history as a potential predictive factor. RESULTS: * On univariate analysis there 
      was no relationship between the psychological characteristics and the outcome of 
      test stimulation or the occurrence of adverse events (AEs) with permanent 
      treatment. * A history of psychiatric disease was not related to the outcome of 
      test stimulation, but was shown to be a positive predictor for the occurrence of 
      AEs with permanent SNM treatment. CONCLUSIONS: * In the present study there was 
      no evidence that psychological screening with the ABQ or SCL-90-R can predict the 
      outcome of SNM treatment. * Patients with a medical history of psychiatric 
      disease appear to be more likely to encounter AEs with permanent SNM treatment.
CI  - (c) 2011 THE AUTHORS. BJU INTERNATIONAL (c) 2011 BJU INTERNATIONAL.
FAU - Marcelissen, Tom A T
AU  - Marcelissen TA
AD  - Department of Urology, Maastricht University Medical Centre, the Netherlands.
FAU - Leong, Randall K
AU  - Leong RK
FAU - Nieman, Fred H M
AU  - Nieman FH
FAU - van Lankveld, Jacques J D M
AU  - van Lankveld JJ
FAU - van Kerrebroeck, Philip E V
AU  - van Kerrebroeck PE
FAU - de Wachter, Stefan G G
AU  - de Wachter SG
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PT  - Research Support, Non-U.S. Gov't
DEP - 20110802
PL  - England
TA  - BJU Int
JT  - BJU international
JID - 100886721
SB  - IM
MH  - Adult
MH  - Aged
MH  - Chronic Disease
MH  - Electric Stimulation Therapy/instrumentation/methods/*psychology
MH  - Female
MH  - Humans
MH  - Implantable Neurostimulators
MH  - *Lumbosacral Plexus
MH  - Male
MH  - Mental Disorders/*complications
MH  - Middle Aged
MH  - Prospective Studies
MH  - Surveys and Questionnaires
MH  - Treatment Outcome
MH  - Urinary Bladder, Overactive/psychology/*therapy
MH  - Urinary Retention/psychology/*therapy
EDAT- 2011/08/04 06:00
MHDA- 2011/12/28 06:00
CRDT- 2011/08/04 06:00
PHST- 2011/08/04 06:00 [entrez]
PHST- 2011/08/04 06:00 [pubmed]
PHST- 2011/12/28 06:00 [medline]
AID - 10.1111/j.1464-410X.2011.10205.x [doi]
PST - ppublish
SO  - BJU Int. 2011 Dec;108(11):1834-8. doi: 10.1111/j.1464-410X.2011.10205.x. Epub 
      2011 Aug 2.