Health Psychology Research / HPR / Volume 10 / Issue 4 / DOI: 10.52965/​001c.38674
GENERAL

Rare Mental Health Disorders Affecting Urologic Care: A   Comprehensive Review  

Abrahim Abrahim N. Razzak1* Nicholas Nicholas A. Orlando2 Alexis Angelette3 Vinay Kumar4 Danyon Danyon J. Anderson1 Jamal Hasoon5 Omar Viswanath6 Alan Alan D. Kaye7 Joseph Joseph S. Fitz-Gerald8 Nazih Khater9 Ivan Urits10
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1 School of Medicine, Medical College of Wisconsin
2 School of Medicine, Johns Hopkins University
3 School of Medicine, Louisiana State University Health
4 Department of Pathology, University of California Irvine
5 Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School
6 Department of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Harvard Medical School; Valley Anesthesiology and Pain Consultants, Envision Physician Services; Department of Anesthesiology, University of Arizona College of Medicine; Department of Anesthesiology, Creighton University School of Medicine
7 Department of Anesthesiology, Louisiana State University Health
8 Department of Urology, Louisiana State University Health
9 Department of Urology, Louisiana State University Health
10 SouthCoast Health, SouthCoast Health
Published: 6 October 2022
© 2022 by the Author(s). Licensee Health Psychology Research, USA. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution -Noncommercial 4.0 International License (CC BY-NC 4.0) ( https://creativecommons.org/licenses/by-nc/4.0/ )
Abstract

Management of mental health illnesses and needs are important in fostering psychosocial support, interprofessional coordination, and greater adherence to treatment protocols in the field of urology. This can be especially true for mental health conditions that may greatly impact the presentation of a patient in the healthcare setting with urologic symptoms. This review describes the history, epidemiology, pathophysiology, clinical presentation, and treatment of somatic symptom disorder, illness anxiety disorder, compulsive sexual behavior/hypersexuality, factitious disorder, malingering symptoms, and conversion disorder in the realm of urology. Given the newly updated psychiatric diagnoses in the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, there has been a lack of studies reviewing how these illnesses may present in a urology patient encounter. Additionally, as these mental health illnesses may carry a rare incidence compared to other well-known mental health illness such as generalized depression or generalized anxiety disorder, we have found that the lack of provisions and recognition of the diseases can prolong the timeline for diagnosis and lead to an increased cost in both healthcare and quality of life of patients with these mental health illnesses. This review provides awareness on these mental health conditions which may greatly impact patient history and presentation within the field of urology. Additionally, urologic care providers may have an improved understanding of interdisciplinary management of such illnesses and the common symptoms patients may present with such diseases.

Keywords
Urology
Mental Health
Somatic Symptom Disorder
Illness Anxiety Disorder
Compulsive Sexual Behavior
Factitious Disorder
Malingering
Conversion Disorder
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Conflict of interest
The authors declare they have no competing interests.
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