title: Psychological and psychiatric factors as predictors for success in sacral neuromodulation treatment.
abstract: What's known on the subject? and What does the study add? Sacral neuromodulation (SNM) is a well-established treatment for patients with chronic LUTS. The selection of eligible candidates could be improved by identifying factors that can predict a successful response. In the present study, we evaluated the role of various psychological and psychiatric factors in relation to SNM treatment.
  
  
  OBJECTIVE
  • To evaluate if psychological and psychiatric factors can predict the outcome of test stimulation or permanent treatment with sacral neuromodulation (SNM).
  
  
  METHODS
  • Between 2006 and 2009, patients with overactive bladder syndrome or non-obstructive urinary retention who were eligible for test stimulation were included. • All patients completed the Amsterdam Biographic Questionnaire (ABQ), which measures the personality traits of the patient, and the Symptom Check-List-90-Revised (SCL-90-R), which is a screening instrument for neuroticism, and for current level of complaints. • The results of the questionnaires were compared with the outcomes of test stimulation and permanent treatment. • In addition to the questionnaires, we also included the psychiatric history as a potential predictive factor.
  
  
  RESULTS
  • On univariate analysis there was no relationship between the psychological characteristics and the outcome of test stimulation or the occurrence of adverse events (AEs) with permanent treatment. • A history of psychiatric disease was not related to the outcome of test stimulation, but was shown to be a positive predictor for the occurrence of AEs with permanent SNM treatment.
  
  
  CONCLUSIONS
  • In the present study there was no evidence that psychological screening with the ABQ or SCL-90-R can predict the outcome of SNM treatment. • Patients with a medical history of psychiatric disease appear to be more likely to encounter AEs with permanent SNM treatment.
authors.affiliation: Department of Urology, Maastricht University Medical Centre, the Netherlands.
authors.forename: Tom A T
authors.initials: TA
authors.lastname: Marcelissen
authors.forename: Randall K
authors.initials: RK
authors.lastname: Leong
authors.forename: Fred H M
authors.initials: FH
authors.lastname: Nieman
authors.forename: Jacques J D M
authors.initials: JJ
authors.lastname: van Lankveld
authors.forename: Philip E V
authors.initials: PE
authors.lastname: van Kerrebroeck
authors.forename: Stefan G G
authors.initials: SG
authors.lastname: de Wachter
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease; D004599:Electric Stimulation Therapy / Q000295:instrumentation / Q000379:methods / Q000523:psychology*; D005260:Female; D006801:Humans; D058542:Implantable Neurostimulators; D008160:Lumbosacral Plexus; D008297:Male; D001523:Mental Disorders / Q000150:complications*; D008875:Middle Aged; D011446:Prospective Studies; D011795:Surveys and Questionnaires; D016896:Treatment Outcome; D053201:Urinary Bladder, Overactive / Q000523:psychology / Q000628:therapy*; D016055:Urinary Retention / Q000523:psychology / Q000628:therapy*