Neurotic personality and lower urinary tract symptoms in day hospital patients diagnosed at pretreatment between 2004 and 2014
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Uniwersytet Jagielloński Collegium Medicum, Katedra Psychoterapii
Uniwersytet Jagielloński Collegium Medicum, Katedra Psychiatrii, Klinika Psychiatrii Dorosłych
Uniwersytet Jagielloński Collegium Medicum, Klinika Urologii
Katarzyna Klasa   

Uniwersytet Jagielloński Collegium Medicum, Katedra Psychoterapii
Submission date: 2018-08-08
Final revision date: 2018-10-02
Acceptance date: 2018-10-09
Online publication date: 2019-08-31
Publication date: 2019-08-31
Psychiatr Pol 2019;53(4):915–938
Evaluation of the association between the occurrence of lower urinary tract symptoms in patients qualified for psychotherapy and the severity and profile of their neurotic personality disorders.

Material and methods:
Retrospective analysis of questionnaires included in the medical records of 2,450 patients qualified for psychotherapy in 2004–2014 in terms of correlations between the symptoms of pollakiuria and unconscious urinary incontinence, and the global severity of neurotic symptoms (OWK), global severity of neurotic personality disorders (XKON) and abnormal values of 24 scales of the KON-2006 questionnaire. Correlations in the form of OR coefficients with 95% confidence intervals were estimated using logistic regression analyzes.

Lower urinary tract symptoms are associated with a significantly greater severity of neuroticism, both described by the global severity of symptoms (OWK) as well as by the global neurotic personality disorder index (XKON) and abnormal values of the KON-2006 questionnaire scales. The occurrence of both symptoms was associated with the following scales: 'Negative self-esteem' and 'Envy', the occurrence of pollakiuria – with the scales 'Feeling of being dependent on others', 'Demobilization', 'Conviction of life helplessness' and 'Feeling of lack of influence', the occurrence of unconscious urinary incontinence – with the scales 'Feeling of being alienated’ and 'Exaltation' for both genders, and only in men 'Risk avoidance' (low 'Risk tendencies'), 'Conviction of life helplessness', 'Difficulties in interpersonal relations’. Extreme severity of pollakiuria was more strongly associated with many of the mentioned scales, and also slightly differently with other scales, e.g., in men – with the 'Sense of overload' and 'Imagination, fantasizing'.

Neurotic personality traits described by abnormal values of the KON-2006 questionnaire scales are associated with the presence (and also to some extent with the severity) of psychogenic lower urinary tract symptoms. Connections may be bi-directional – in some cases experiencing and self-description of personality traits may be secondary to suffering associated with pollakiuria and incontinence.