Integrating CBT in the urogynecology clinic for women with anxiety and urinary symptoms: A pilot RCT

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Bayley J. Taple, MS (Northwestern University Feinberg School of Medicine, Medical Social Sciences), Kimberly S. Kenton, MD (Northwestern University Feinberg School of Medicine, Obstetrics and Gynecology), James W. Griffith, PhD (Northwestern University Feinberg School of Medicine, Medical Social Sciences)


  • Hi Bayley,
    I’m curious as to what was eliciting anxiety among women with LUTS? Was there a common complaint or theme regarding LUTS that elicited anxiety? Also, what was the mechanism of change through which CBT was reducing this anxiety?

  • Hi Robbie,

    Thank you for your thoughtful questions. There were several things eliciting anxiety among the women in our sample, which could be summarized into two groups: 1) urinary symptoms (e.g., urgency, frequency, nocturia) and related concerns (e.g., how urinary symptoms influence interactions at work and in social settings); 2) more general anxiety and worry related to life stressors and/or a comorbid anxiety disorder (though diagnosis was not formally assessed in this study). Previous research has shown bidriectional relationships between urinary symptoms and symptoms of anxiety.

    As to you other question, mechanisms of change are what we are hoping to discover through this pilot and future research. We are currently in the follow-up phase of data collection for the pilot.

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