Document Detail

Treatment of excessive urinary frequency and urgency by desensitization and progressive retention training.
MedLine Citation:
PMID:  6137496     Owner:  NLM     Status:  MEDLINE    
A 20-yr-old male presenting a 2-yr history of excessive urinary urgency and frequency was treated with a three-phase behavioral intervention. Progressive urinary retention training was first suggested to decrease urinary frequency and increase functional bladder capacity (phase one). The patient was not able to comply with the instructions, showing a phobic fear of accidents and an over-valued consideration of the social consequences of incontinence. Systematic desensitization, in vivo desensitization and cognitive restructuring were implemented in phase two. The patient was then able to comply with the progressive urinary retention training (phase three) and completely overcame his problem. Gains were maintained at 6 and 12-month follow-ups. The results suggest that progressive urinary retention training alone is effective both at the behavioral and physiological levels, but its application is facilitated by a consideration and modification of the patient's subjective attitude towards excessive micturition frequency and its feared consequences.
F M Rovetto
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of behavior therapy and experimental psychiatry     Volume:  14     ISSN:  0005-7916     ISO Abbreviation:  J Behav Ther Exp Psychiatry     Publication Date:  1983 Jun 
Date Detail:
Created Date:  1983-11-23     Completed Date:  1983-11-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0245075     Medline TA:  J Behav Ther Exp Psychiatry     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  155-9     Citation Subset:  IM    
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MeSH Terms
Agoraphobia / psychology,  therapy
Behavior Therapy / methods*
Desensitization, Psychologic / methods*
Urination Disorders / psychology,  therapy*

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