Związki wybranych objawów z dolnego odcinka układu moczowego z kontekstem biografii pacjentów dziennego oddziału leczenia zaburzeń nerwicowych
alternative title:
Associations of selected lower urinary tract symptoms with biographical context in patients of a day hospital for neurotic disorders
author:
Skalski Michał, Sobański Jerzy , Gołąbek Tomasz , Świerkosz Agata, Klasa Katarzyna , Przydacz Mikołaj, Rutkowski Krzysztof , Dembińska Edyta , Mielimąka Michał , Cyranka Katarzyna , Chłosta Piotr , Dudek Dominika
Aim. To assess the correlation of subjectively estimated biographical context and lower urinary tract symptoms reported by patients with neurotic and personality disorders. Methods. This was a retrospective analysis of the biographical context of co-existence of urinary frequency and urinary incontinence reported by 3,929 patients in a day hospital for treatment of neurotic disorders. The symptom checklists KO “0” were completed by patients prior to any treatment. Results. Urinary frequency reported by patients in a day hospital for treatment of neurotic disorders was associated with the difficulties from their childhood and adolescence (i.e. with perception of inferiority with regard to one’s family and among siblings, parents’ low education level), as well as the disparities in terms of sexual education and troubled relationships. Conclusions. In the studied group of patients with neurotic and personality disorders, selected lower urinary tract symptoms were associated with adverse life circumstances from childhood and adolescence (which can show the tendency towards regression and protracted character to experience of family’s dysfunction due to feeling of being neglected or abandoned), as well as, to a larger or a smaller degree, their consequences – dysfunctions in adulthood, relationship/marriage, functioning at work and dealing with finances. These associations indicated the probable significance of experiencing these aspects of life in patients, not only in day hospitals or psychiatric hospitals which reported “pseudo-urological complaints”, but also in at least part of urological patients – going to hospitals due to neurotic disorders, particularly those occurring in a somatic form.
keywords in Polish:
zaburzenia nerwicowe, dolegliwości urologiczne, dane życiorysowe