Effect of biofeedback on psychological burden and symptoms in older women with urge urinary incontinence.

Abstract:

OBJECTIVES:To determine the effect of biofeedback (BFB) therapy on psychological burden of urge urinary incontinence (UI) and whether prior depression or current depressive symptoms affect older women's response to BFB. DESIGN:Secondary analysis of an ongoing trial. SETTING:Academic medical center. PARTICIPANTS:Forty-two community-dwelling women aged 60 and older with urge UI. INTERVENTION:BFB and behavioral training in urge suppression provided over 8 weeks. MEASUREMENTS:UI frequency on 3-day bladder diary, psychological burden assessed using Urge Impact Scale (URIS-24) total and subscale scores, history of depression, and depressive symptoms on the Mental Component Subscale (MCS) of the Medical Outcomes Study 36-item Short Form Survey (SF-36). Age and chronic conditions were included as covariates. RESULTS:BFB improved UI (by 45%, P=.001) and psychological burden (P=.001 for total URIS-24 score and for all three of its subscales; P=.01 for SF36-MCS). However, although the magnitude of UI improvement was equivalent for those with and without a history of depression, improvement in psychological outcomes was twice as great in those with a history of depression, especially on the perception of control subscale, and improvement was not related to baseline depressive symptoms. CONCLUSION:In older women with urge UI, BFB significantly improves psychological burden, especially in those with a history of depression, in whom psychological burden is linked to change in perception of control. Psychological factors are relevant outcome measures for UI, and these data suggest that focusing on UI frequency alone may have underestimated BFB's efficacy and additional therapeutic benefits.

journal_name

J Am Geriatr Soc

authors

Tadic SD,Zdaniuk B,Griffiths D,Rosenberg L,Schäfer W,Resnick NM

doi

10.1111/j.1532-5415.2007.01461.x

subject

Has Abstract

pub_date

2007-12-01 00:00:00

pages

2010-5

issue

12

eissn

0002-8614

issn

1532-5415

pii

JGS1461

journal_volume

55

pub_type

杂志文章
  • Systematic outpatient screening for the elderly: care of the vulnerable elderly practice improvement module to assess resident care of older adults.

    abstract:OBJECTIVES:To determine the feasibility of using the American Board of Internal Medicine Care of the Vulnerable Elderly Practice Improvement Module (CoVE PIM) in an internal medicine residency program and to assess aggregate resident documentation of geriatric screening in continuity clinics. DESIGN:Needs assessment c...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.03134.x

    authors: Shaffer SL,Day HD

    更新日期:2010-11-01 00:00:00

  • Prospective association between low and high total and low-density lipoprotein cholesterol and coronary heart disease in elderly men.

    abstract:OBJECTIVES:To examine the relationship between total cholesterol (TC) and low-density lipoprotein cholesterol (LDL-C) and the incidence of coronary heart disease (CHD) in elderly men. DESIGN:Prospective. SETTING:Population based. PARTICIPANTS:A sample of 2,424, Japanese-American men aged 71 to 93 was used. MEASUREM...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2004.52551.x

    authors: Curb JD,Abbott RD,Rodriguez BL,Masaki K,Popper J,Chen R,Petrovitch H,Blanchette P,Schatz I,Yano K

    更新日期:2004-12-01 00:00:00

  • The association between parkinsonism, Alzheimer's disease, and mortality: a comprehensive approach.

    abstract:BACKGROUND:The impact of parkinsonism on survival in older persons independent of dementia is not well understood. METHODS:Participants in the clinical examination of the Canadian Study of Health and Aging who had parkinsonism and were older than age 65 were identified. The impact of parkinsonism on 5-year survival wa...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb04701.x

    authors: Mitchell SL,Rockwood K

    更新日期:2000-04-01 00:00:00

  • Coronary artery calcification in older adults with minimal clinical or subclinical cardiovascular disease.

    abstract:BACKGROUND:Coronary artery calcification (CAC) reflects the extent of coronary artery atherosclerosis. The extent of coronary artery calcification is not well described in older adults. OBJECTIVE:To determine the extent of CAC in older adults participating in a large population study of cardiovascular disease (CVD), e...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2000.tb02643.x

    authors: Newman AB,Naydeck B,Sutton-Tyrrell K,Edmundowicz D,Gottdiener J,Kuller LH

    更新日期:2000-03-01 00:00:00

  • The effect of homebound status on older persons.

    abstract:OBJECTIVES:To examine the effect of homebound status of older persons in Israel on mortality, mental health and function, future homebound status, and institutionalization. DESIGN:Cross-sectional and longitudinal analysis using existing data sets of a national survey. SETTING:A national survey. PARTICIPANTS:The anal...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2010.03172.x

    authors: Cohen-Mansfield J,Shmotkin D,Hazan H

    更新日期:2010-12-01 00:00:00

  • Vitamin D deficiency in older people.

    abstract::Because of changes that occur with aging, older people with any other risk factors for vitamin D deficiency are likely to have inadequate stores of this vitamin. The consequences of vitamin D deficiency are likely to be losses in bone, strength, and function and the development of pain. Many questions remain regarding...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.1995.tb07059.x

    authors: Gloth FM 3rd,Tobin JD

    更新日期:1995-07-01 00:00:00

  • Predictors of functional change: a longitudinal study of nondemented people aged 65 and older.

    abstract:OBJECTIVES:To identify factors associated with functional change in an older population and investigate interactions among selected potential risk factors. DESIGN:A population-based prospective cohort study. SETTING:A random sample was selected from the Group Health Cooperative members in the Seattle area from 1994 t...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1046/j.1532-5415.2002.50408.x

    authors: Wang L,van Belle G,Kukull WB,Larson EB

    更新日期:2002-09-01 00:00:00

  • Comparing the performance of health status measures for healthy older adults.

    abstract:OBJECTIVES:The specific goals of the study were to compare three health status measures among older adults for their correlations with similar scales and to examine whether extreme (positive) health states might lead to measurement problems. We also report on practical administration and response problems among older a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1995.tb05569.x

    authors: Andresen EM,Patrick DL,Carter WB,Malmgren JA

    更新日期:1995-09-01 00:00:00

  • The Ones We Seldom See: Old Folks in Young Countries.

    abstract::It has long been thought that demographic aging and its attendant implications for health and social services is primarily a problem for industrialized wealthy countries. Nothing could be further from the truth since most older persons (and an increasingly higher number) reside in low-income countries. Through a descr...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/jgs.16191

    authors: Clarfield AM

    更新日期:2019-11-01 00:00:00

  • Changes in Frailty After Kidney Transplantation.

    abstract:OBJECTIVES:To understand the natural history of frailty after an aggressive surgical intervention, kidney transplantation (KT). DESIGN:Prospective cohort study (December 2008-March 2014). SETTING:Baltimore, Maryland. PARTICIPANTS:Kidney transplantation recipients (N = 349). MEASUREMENTS:The Fried frailty score was ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.13657

    authors: McAdams-DeMarco MA,Isaacs K,Darko L,Salter ML,Gupta N,King EA,Walston J,Segev DL

    更新日期:2015-10-01 00:00:00

  • AGS Position Statement: Resource Allocation Strategies and Age-Related Considerations in the COVID-19 Era and Beyond.

    abstract::Coronavirus disease 2019 (COVID-19) continues to impact older adults disproportionately, from severe illness and hospitalization to increased mortality risk. Concurrently, concerns about potential shortages of healthcare professionals and health supplies to address these needs have focused attention on how resources a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.16537

    authors: Farrell TW,Ferrante LE,Brown T,Francis L,Widera E,Rhodes R,Rosen T,Hwang U,Witt LJ,Thothala N,Liu SW,Vitale CA,Braun UK,Stephens C,Saliba D

    更新日期:2020-06-01 00:00:00

  • Community-acquired bacteremia in the elderly: analysis of one hundred consecutive episodes.

    abstract::A retrospective analysis was made of the records of 100 consecutive geriatric patients with community-acquired bacteremia, admitted to a suburban hospital. The most frequently identified tissue sources for these bacteremias were the urinary tract (34 percent), biliary tract (20 percent), and lungs (13 percent). In 11 ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb00622.x

    authors: Esposito AL,Gleckman RA,Cram S,Crowley M,McCabe F,Drapkin MS

    更新日期:1980-07-01 00:00:00

  • The prevalence and correlates of major and minor depression in older medical inpatients.

    abstract:OBJECTIVES:To describe the prevalence of and characteristics associated with major and minor depression in older medical inpatients and to compare associated characteristics by sex and history of depression. DESIGN:Cross-sectional study of two patient samples, with and without a screening diagnosis of major or minor d...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2005.53404.x

    authors: McCusker J,Cole M,Dufouil C,Dendukuri N,Latimer E,Windholz S,Elie M

    更新日期:2005-08-01 00:00:00

  • Neighborhood deprivation, individual socioeconomic status, and frailty in older adults.

    abstract:OBJECTIVES:To assess how individual socioeconomic status and neighborhood deprivation affect frailty. DESIGN:Nationally representative population-based study, the English Longitudinal Study of Aging (ELSA), analyzed cross-sectionally. PARTICIPANTS:Four thousand eight hundred eighteen individuals aged 65 and older. M...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02480.x

    authors: Lang IA,Hubbard RE,Andrew MK,Llewellyn DJ,Melzer D,Rockwood K

    更新日期:2009-10-01 00:00:00

  • Hyponatremia and arginine vasopressin dysregulation: mechanisms, clinical consequences, and management.

    abstract::Hyponatremia, the most common electrolyte disorder, occurs frequently in older people and in hospitalized patients. Physiological changes of aging that interact with diseases and drugs commonly present in older people put this population at greater risk for hyponatremia. It can accompany central nervous system disorde...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.2005.00609.x

    authors: Miller M

    更新日期:2006-02-01 00:00:00

  • Changes in Medication Use After Dementia Diagnosis in an Observational Cohort of Individuals with Diabetes Mellitus.

    abstract:OBJECTIVES:To assess changes in medication use after a diagnosis of dementia in individuals with type 2 diabetes mellitus. DESIGN:Difference-in-differences analysis of changes in the number of dispensed chronic medications between individuals with and without newly diagnosed dementia. SETTING:Integrated healthcare de...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.14429

    authors: Sarkar U,Lyles C,Steinman M,Huang ES,Moffet HH,Whitmer RA,Warton EM,Karter AJ

    更新日期:2017-01-01 00:00:00

  • Mortality risk associated with physical and verbal abuse in women aged 50 to 79.

    abstract:OBJECTIVES:To investigate whether midlife and older women who reported prior-year physical abuse, verbal abuse, or both abuse types had higher mortality risk than peers who did not report prior-year abuse. DESIGN:Retrospective analysis. SETTING:Community. PARTICIPANTS:One hundred sixty-thousand six hundred seventy-s...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02429.x

    authors: Baker MW,LaCroix AZ,Wu C,Cochrane BB,Wallace R,Woods NF

    更新日期:2009-10-01 00:00:00

  • Functioning of older, long-term cancer survivors: the role of cancer and comorbidities.

    abstract:OBJECTIVES:To examine the relative effect of comorbidities, noncancer symptoms, and cancer-related factors on the functioning of older adult long-term survivors of breast, colorectal, and prostate cancers. DESIGN:Data from in-person interviews with survivors of a tumor registry-based stratified random sample were used...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2009.02515.x

    authors: Deimling GT,Arendt JA,Kypriotakis G,Bowman KF

    更新日期:2009-11-01 00:00:00

  • Professional development in geriatrics for community-based generalist faculty.

    abstract::Generalist physicians provide most primary care for older people. Increasingly, undergraduate clinical education occurs in community sites. Hence, community-based generalist faculty members need continuing education in geriatrics to support clinical practice and teaching. The Geriatrics Scholars Program provided conti...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.2007.01050.x

    authors: Willett RM,Boling PA,Meyers ME,Hoban JD,Lawson SR,Schlesinger JB

    更新日期:2007-02-01 00:00:00

  • Conceptual challenges and practical approaches to screening capacity for self-care and protection in vulnerable older adults.

    abstract::Identifying impairments in the capacity to make and execute decisions is critical to the assessment and remediation of elder self-neglect. Few capacity assessment tools are available for use outside of healthcare settings, and none have been validated in the context of elder self-neglect. Health and social services pr...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,评审

    doi:10.1111/j.1532-5415.2008.01979.x

    authors: Naik AD,Teal CR,Pavlik VN,Dyer CB,McCullough LB

    更新日期:2008-11-01 00:00:00

  • Rehabilitation Services Use of Older Adults According to Fall-Risk Screening Guidelines.

    abstract:OBJECTIVES:To characterize rehabilitation services use of older adults according to fall-risk classification based on screening guidelines. DESIGN:Cross-sectional analysis of 2015 National Health and Aging Trends Study. SETTING:Study participants' homes. PARTICIPANTS:National sample of 7,440 community-dwelling Medic...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15625

    authors: Gell NM,Patel KV

    更新日期:2019-01-01 00:00:00

  • The influence of age and blood pressure on the hemodynamic and humoral response to head-up tilt.

    abstract::It has been reported that postural hypotension in the elderly is common. However, these studies included institutionalized and more or less disabled persons. Furthermore, postural hypotension may be related to baseline blood pressure. In this study, the influence of age and blood pressure on the hemodynamic and plasma...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1989.tb05684.x

    authors: Jansen RW,Lenders JW,Thien T,Hoefnagels WH

    更新日期:1989-06-01 00:00:00

  • Hearing impairment as a determinant of function in the elderly.

    abstract::This clinical, practice-based study explores the research question: Is there a relationship between hearing loss and functional disturbance in elderly patients? We analyzed the impact of hearing impairment on 153 patients over 65 years of age screened in primary care practice. Functional and psychosocial impairment we...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1989.tb05870.x

    authors: Bess FH,Lichtenstein MJ,Logan SA,Burger MC,Nelson E

    更新日期:1989-02-01 00:00:00

  • A randomized controlled trial of an automated exercise coach for older adults.

    abstract:OBJECTIVES:To compare the efficacy of a computer-based physical activity program (Embodied Conversational Agent-ECA) with that of a pedometer control condition in sedentary older adults. DESIGN:Single-blind block-randomized controlled trial stratified according to clinic site and health literacy status. SETTING:Three...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,随机对照试验

    doi:10.1111/jgs.12449

    authors: Bickmore TW,Silliman RA,Nelson K,Cheng DM,Winter M,Henault L,Paasche-Orlow MK

    更新日期:2013-10-01 00:00:00

  • Environmental Factors Associated with Chinese Older Immigrants' Social Engagement.

    abstract:BACKGROUND/ OBJECTIVES:Prior research has shown that social engagement is beneficial to older adults' health and well-being. This study examined the association between environmental factors and social engagement of older Chinese immigrants in the United States. SAMPLE:A cross-sectional data set of Chinese immigrants ...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/jgs.15899

    authors: Lai DWL,Li J,Lee VWP,Dong X

    更新日期:2019-08-01 00:00:00

  • Healthy young and old women differ in their trunk elevation and hip pivot motions when rising from supine to sitting.

    abstract:OBJECTIVE:To describe the differences between healthy young and older women in regards to trunk elevation and hip pivot motions when rising from a supine to a seated position. DESIGN:Cross-sectional comparison. SETTING:University laboratory. PARTICIPANTS:Two groups of healthy female volunteers: young adult female co...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1995.tb05804.x

    authors: Alexander NB,Fry-Welch DK,Marshall LM,Chung CC,Kowalski AM

    更新日期:1995-04-01 00:00:00

  • Prevention of falls in the elderly.

    abstract::To prevent falls effectively, one must first understand the underlying reasons. Although environmental factors are sometimes to blame, the fundamental cause is a decline in postural control which is partly age-related and partly due to pathologic changes in the central nervous system. Dizziness is a common complaint a...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1980.tb01125.x

    authors: Overstall PW

    更新日期:1980-11-01 00:00:00

  • Cognitive impairment and risk of stroke in the older population.

    abstract:OBJECTIVE:Recent studies have suggested that vascular dementia in older persons is more common than previously hypothesized. A substantial proportion of dementia in old age may be an early manifestation of cerebrovascular disease (CVD), that eventually becomes clinically evident as an acute cerebrovascular accident. Th...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1996.tb00908.x

    authors: Ferrucci L,Guralnik JM,Salive ME,Pahor M,Corti MC,Baroni A,Havlik RJ

    更新日期:1996-03-01 00:00:00

  • Nutrition and function: is there a relationship between body mass index and the functional capabilities of community-dwelling elderly?

    abstract:OBJECTIVE:To determine if there is a relationship between body mass index and the ability to perform the usual activities of living in a sample of community-dwelling elderly. DESIGN:Secondary data analysis of The National Health and Nutrition Examination Survey-I Epidemiologic Follow-up Study (1982-1984). Follow-up ho...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章

    doi:10.1111/j.1532-5415.1994.tb07483.x

    authors: Galanos AN,Pieper CF,Cornoni-Huntley JC,Bales CW,Fillenbaum GG

    更新日期:1994-04-01 00:00:00

  • Screening for cognitive impairment in an elderly veteran population: acceptability and results using different versions of the Mini-Cog.

    abstract:OBJECTIVES:To assess the feasibility of cognitive screening in older veterans presenting for routine primary care. DESIGN:Quality improvement initiative. SETTING:Seven Veterans Affairs Medical Centers. PARTICIPANTS:Veterans aged 70 and older without a prior diagnosis of cognitive impairment. MEASUREMENTS:Scores fro...

    journal_title:Journal of the American Geriatrics Society

    pub_type: 杂志文章,多中心研究

    doi:10.1111/j.1532-5415.2010.03249.x

    authors: McCarten JR,Anderson P,Kuskowski MA,McPherson SE,Borson S

    更新日期:2011-02-01 00:00:00