Skip Navigation LinksHome > January/February 2012 - Volume 18 - Issue 1 > Mindfulness-Based Stress Reduction for Treatment of Urinary...
Female Pelvic Medicine & Reconstructive Surgery:
doi: 10.1097/SPV.0b013e31824107a6
Original Articles

Mindfulness-Based Stress Reduction for Treatment of Urinary Urge Incontinence: A Pilot Study

Baker, Jan APRN*; Costa, Donna DHS; Nygaard, Ingrid MD*

Collapse Box

Abstract

Objective: The objective of the study was to evaluate if a mindfulness-based stress reduction program is a viable treatment worthy of further evaluation for the treatment of urinary urge incontinence.

Methods: This was a single-arm pilot study of 7 women who participated in an 8-week mindfulness-based stress reduction program to evaluate its effectiveness in reducing urinary leakage episodes. Improvement was measured by 3-day bladder diary, Overactive Bladder Symptom and Quality of Life–Short Form, Health-Related Quality of Life, and Patient Global Impression of Improvement. Outcome data were analyzed by means of paired t tests.

Results: Mean incontinence episodes per day decreased from 4.14 (SD, 1.96; range, 2.67–7.67) at baseline to 1.23 (SD, 0.93; range, 0.33–2.67) after treatment (P = 0.0005 for change). After treatment, 5 of 7 women were improved based on the Patient Global Impression of Improvement, and 2 were unchanged. Significant improvements on both Health-Related Quality of Life and Overactive Bladder Symptom and Quality of Life–Short Form were reported after treatment. Results were sustained at 1 year in 4 of 7 women. Two women sought treatment, and one was lost to follow-up at 12 months.

Conclusions: Mindfulness-based stress reduction appears to be a treatment worthy of further study, as in the short term, it is as effective as historical studies of drug treatment and bladder training in reducing urge incontinence and incontinence-related quality of life.

© 2012 by Wolters Kluwer Health | Lippincott Williams & Wilkins

Login

Article Tools

Share

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.