Urinary incontinence affects one third of women and frequently results in emotional distress. Likewise, depression and anxiety are risk factors for developing urinary incontinence. Therefore, women with incontinence are both more likely to have baseline emotional distress AND to develop emotional distress as a result of their incontinence. Yet, current methods to treat incontinence do not address the emotional impact that incontinence has on women. This study is a clinical trial of a novel form of cognitive behavior therapy, unified protocol cognitive behavior therapy (UP-CBT). This treatment has the potential to reduce not only emotional distress, but also urinary symptoms. UP-CBT is an innovative form of treatment that takes the most commonly-used aspects of cognitive behavior therapy from various protocols and unites them into an all-purpose toolkit. In this trial of 80 women, UP-CBT will be compared to a control group of supportive therapy. Participants will complete outcome questionnaires about urinary symptoms, depression, and anxiety. This study is likely to engender systemic change because behavioral treatments are reimbursable within the existing healthcare system, and can be delivered at low cost. Having evidence of the efficacy of UP-CBT for women with urinary symptoms will give physicians an additional empirically-supported treatment option.
|Effective start/end date||1/1/18 → 12/31/19|
- Northwestern Memorial Hospital (Exhibit B.17)
Pelvic Floor Disorders
Delivery of Health Care
Costs and Cost Analysis