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首页> 外文学位 >Differences in the function of the prefrontal cortex between women with urge urinary incontinence and continent cohorts.
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Differences in the function of the prefrontal cortex between women with urge urinary incontinence and continent cohorts.

机译：急迫性尿失禁和大陆人群之间女性前额叶皮层功能的差异。

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摘要

Purpose. The purpose of this study was to determine if women with good control of bladder function (continent) would perform better than women expressing symptoms of urge urinary incontinence (UUI) on behavioral tasks that depend on cognitive processes in the prefrontal cortex (PFC). UUI is involuntary urine loss preceded by a sudden sensation of impending urination, and people with this disorder urinate more than 8 times in a 24-hour period. Control of bladder function (storage and elimination of urine) is a voluntary behavior that relies on processes in the prefrontal cortex of the brain to generate a "conscious" control mechanism; and women with UUI may not have sufficient working memory capacity to control bladder function. Since there are few effective interventions available for UUI, the goal of nursing is to develop new knowledge as a basis for interventions from a behavioral-cognitive perspective.; Materials and methods. This exploratory study used a battery of tests to measure cognitive processes in the prefrontal cortex on behavioral performance, and measures to determine bladder perception for a first desire to void (FDV) and a strong desire to void (SDV) and urine volume in the bladder at these sensory points. The sample consisted of twenty continent women and twenty women with symptoms suggesting UUI, ages 60 to 79 years.; Results. The most significant findings were that incontinent women demonstrated poorer working memory capacity (WMC) and had slower speed of cognitive processing compared to continent cohorts. Continent subjects in the upper quartile of the distribution for WMC perceived a FDV at higher urine volumes (approaching significance) compare to incontinent cohorts. Comparisons of incontinent to continent women showed no differences in bladder perception for a FDV, SDV, or for urine volumes at a SDV.; Conclusions. This is the first study to reveal functional differences in the prefrontal cortex of women with UUI compared to continent cohorts. Findings imply that a high level of WMC performance allows continent women to control bladder function and store a higher volume of urine in their bladder (until circumstances are appropriate for bladder emptying) compared to incontinent women. Thus we speculate that cognitive interventions may be helpful for people with UUI.
机译：目的。这项研究的目的是确定控制膀胱功能（大陆）的女性在表现出依赖于前额叶皮层（PFC）认知过程的行为任务中表现为尿急性尿失禁（UUI）症状的女性是否表现更好。 UUI是非自愿的尿流失，先是即将排尿的突然感觉，患有这种疾病的人在24小时内排尿8次以上。膀胱功能的控制（储存和消除尿液）是一种自愿行为，它依赖于大脑前额叶皮层的过程来产生“有意识的”控制机制。患有UUI的女性可能没有足够的工作记忆能力来控制膀胱功能。由于UUI的有效干预措施很少，因此护理的目标是从行为认知的角度发展新知识作为干预措施的基础。材料和方法。这项探索性研究使用了一系列测试来测量前额叶皮层行为表现的认知过程，并确定首次感知排尿（FDV）和强烈排尿（SDV）的膀胱知觉以及膀胱尿量在这些感官上。样本包括二十位大陆妇女和二十位具有暗示UUI症状的妇女，年龄在60至79岁之间。结果。最重要的发现是，与大陆人群相比，失禁女性表现出较差的工作记忆能力（WMC），认知加工速度较慢。与失禁人群相比，WMC分布上四分之一的大陆受试者在较高尿量（接近意义）下感觉到FDV。尿失禁妇女与大陆妇女的比较显示，对于FDV，SDV或在SDV时尿量，膀胱知觉没有差异。结论。这是第一项揭示UUI女性与大陆人群相比前额叶皮层功能差异的研究。研究结果表明，与失禁女性相比，高水平的WMC表现使大陆妇女能够控制膀胱功能并在膀胱中储存更多尿液（直到适合排空膀胱的情况为止）。因此，我们推测认知干预可能对UUI患者有所帮助。

著录项

  • 作者

    Morris, Carolyn L.;

  • 作者单位

    University of Michigan.;

  • 授予单位 University of Michigan.;
  • 学科 Psychology Behavioral.; Health Sciences Nursing.; Psychology Cognitive.
  • 学位 Ph.D.
  • 年度 2007
  • 页码 227 p.
  • 总页数 227
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类 心理学;预防医学、卫生学;心理学;
  • 关键词

  • 入库时间 2022-08-17 11:39:59

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