Anxiety and depression associated with incontinence in middle-aged women: a large Norwegian cross-sectional study

Felde, Gunhild; Bjelland, Ingvar; Hunskaar, Steinar

doi:10.1007/s00192-011-1564-3

Cited by 95 publications

(94 citation statements)

References 83 publications

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“…The most common symptom experienced by LUTS patients was anxiety, affecting almost one in five males and one-third of females. These findings were consistent with results of previous studies (Felde, Bjelland, & Hunskaar, 2012;Milsom, Kaplan, Coyne, Sexton, & Kopp, 2012;Sexton et al, 2011). There are many reasons to explain this.…”

Section: Mental Health Of Primary Care Patients With Lutssupporting

confidence: 95%

“…In line with previous studies, more severe LUTS symptoms were associated with more severe depressive (Felde et al, 2012;Rom, Schatzl, Swietek, Rucklinger, & Kratzik, 2012;Wong, Woo, Leung, & Leung, 2010) and anxiety symptoms (Felde et al, 2012). The result of regression analysis found that the higher IPSS score of urgency was associated with higher anxiety scores in females.…”

Section: Psychology Health and Medicine 11supporting

confidence: 89%

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Mental health of Chinese primary care patients with lower urinary tract symptoms

Choi¹,

Lam²,

Chin³

2015

Psychology, Health & Medicine

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The aim of this study was to evaluate the mental health of Chinese primary care patients with lower urinary tract symptoms (LUTS). This was a cross-sectional observational study. Five hundred and nineteen subjects with LUTS completed a structured questionnaire containing the Depression, Anxiety, and Stress Scale-Short Form, the International Prostate Symptom Score, the adapted International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and questions about socio-demographics. Overall, 17.7% of subjects reported depressive symptoms, 24.3% anxiety symptoms and 9.6% stress symptoms. In males, demographic factors associated with poorer mental health included being not married; clinical factors included higher LUTS severity, weak stream, straining and mixed urinary incontinence. In females, demographic factors associated with poorer mental health included being younger, not married and lower household income; clinical factors included higher LUTS severity, incomplete bladder emptying, urgency and weak stream. Chinese primary care patients with LUTS appear to be an at-risk group for poorer mental health with increased prevalence of anxiety and depressive symptoms and may require routine screening to identify those who may require more tailored interventions to address both their urinary symptoms and psychological distress.

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Section: Mental Health Of Primary Care Patients With Lutssupporting

confidence: 95%

Section: Psychology Health and Medicine 11supporting

confidence: 89%

Mental health of Chinese primary care patients with lower urinary tract symptoms

Choi¹,

Lam²,

Chin³

2015

Psychology, Health & Medicine

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“…For example, among 5,321 Norwegian women aged 40 to 44 years in the Hordaland Health Study, the multivariable-adjusted OR for depression comparing women with severe versus no UI was 2.14 (95% CI 1.08-4.22) [5]. In addition, among 5,701 women (72% white) age 50 to 69 years in the Health and Retirement Study, the OR for depression, as determined by the 8-item CES-D scale, was 1.33 (95% CI 0.91-1.94) comparing women with UI on >15 days in the last month with women without UI [4].…”

Section: Discussionmentioning

confidence: 99%

“…The impact of UI on quality of life can be substantial, including causing embarrassment and shame which may lead to harmful coping behaviors such as decreased participation in social and physical activities [3]. In addition, there is evidence that the prevalence of depression is higher among women with UI compared with those without UI [4,5]. In particular, findings suggest that depression is more common with increasing UI severity [5-7] and more common in women with mixed or urgency UI than in women with stress UI [5,8].…”

Section: Introductionmentioning

confidence: 99%

Urinary incontinence and prevalence of high depressive symptoms in older black versus white women

et al. 2014

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Introduction and Hypothesis Previous studies have reported higher prevalence of depression among women with urgency or mixed urinary incontinence (UI) than stress UI. Urgency UI is the dominant UI type among black women, while stress UI is the predominant type among white women. Thus, UI-related mental health issues could be a key consideration among black women. We hypothesized that the association between UI and depression might be stronger in black versus white women. Methods These cross-sectional analyses included 934 black and 71,161 white women aged 58-83 in the Nurses’ Health Study, which was established among women living in the USA. Depressive symptoms were assessed using the ten-item Center for Epidemiologic Studies Depression scale (CESD-10). Multivariable-adjusted odds ratios (ORs) and 95% confidence intervals (CIs) for high depressive symptoms (CESD-10 score≥10) according to self-reported UI frequency, severity, and type were calculated using logistic regression models. Results Although point estimates for associations of UI frequency, severity, and type with high depressive symptoms were higher in black women, differences in ORs between black and white women were not statistically significant. For example, the OR for at least weekly UI compared with no UI was 2.29 (95% CI 1.30-4.01) in black women and 1.58 (95% CI 1.49-1.68) in white women (p-interaction=0.4). Conclusions We did not find statistically significant differences in associations of UI frequency, severity, and type with high depressive symptoms between black and white women. However, small numbers of black women with high depressive symptoms limited statistical power to detect significant interactions. Thus, these results should be interpreted with caution.

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“…19 Ayrıca, üriner inkontinanslı genç kadınlarda depresyon oranları, başka kronik hastalığa sahip olan kadınlardan daha yüksek bulunmuştur. 20,21 Sağlık hizmetlerinin geleneksel modellerinde amaç; hastalığın tedavisi ve acı çekmenin sonlandı-rılması iken, günümüzde bu amaç sağlığın sürdü-rülmesi ve artırılmasına yardımcı olacak yaşam biçiminin ve bireysel felsefenin yaratılmasına dö-nüşmüştür. Bu durum bireysel bütünlüğün sağlan-ması ve bireylerin yaşam kalitesini yükseltmekle ilgili bütün gelişmeleri kapsamaktadır.…”

Section: Stres üRiner İnkontinans Tanısı Alan Kadınlaraunclassified

The Analysis of the Effect of the Education Given to the Women Diagnosed as Stress Urinary Incontinence

Akinci¹,

Elbaş²,

Akıncı³

2017

Turkiye Klinikleri J Nurs Sci

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Anxiety and depression associated with incontinence in middle-aged women: a large Norwegian cross-sectional study

Abstract: UI was associated with both anxiety and depression in middle-aged women, with the strongest associations for mixed and urgency UI.

Cited by 95 publications

References 83 publications

Mental health of Chinese primary care patients with lower urinary tract symptoms

Mental health of Chinese primary care patients with lower urinary tract symptoms

Urinary incontinence and prevalence of high depressive symptoms in older black versus white women

The Analysis of the Effect of the Education Given to the Women Diagnosed as Stress Urinary Incontinence

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