Could overactive bladder syndrome be associated with altered perception of somatic sensations as a consequence of obsessive compulsive disorder?
Medical Hypotheses, cilt.200, 2025 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 200
- Basım Tarihi: 2025
- Doi Numarası: 10.1016/j.mehy.2025.111688
- Dergi Adı: Medical Hypotheses
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, BIOSIS, CINAHL, EMBASE
- Anahtar Kelimeler: Overactive bladder, Bladder sensations, Pathophysiology, Obsessions, Compulsions, Somatization
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The pathophysiology of overactive bladder (OAB) remains unclear, although various contributing factors have been identified, including psychological factors, age-related changes and bladder outlet obstruction. Among these factors, studies on psychological factors are increasing. OAB symptomatology is similar in nature to obsessive and compulsive symptoms, and there are studies showing a relationship between these two diseases. This shows that there may be other causes in the OAB pathophysiology. According to our hypothesis, the increased body perception together with increased bladder sensations turns into somatization and relatedly the obsessions that begin with an increased desire to urinate turns into a compulsion with urination over time. In this respect, the process that begins with somatization turns into an increase in the perception of the bladder in a physical sense and eventually an obsessive trait, and clinically results in OAB.