Nocturia Associated With Depressive Symptoms

Johnson, Timothy V.; Abbasi, Ammara; Ehrlich, Samantha S.; Kleris, Renee; Master, Viraj A.

doi:10.1016/j.urology.2010.04.048

Cited by 29 publications

(31 citation statements)

References 17 publications

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“…Johnson et al . [ 11 ] evaluated whether the severity of nocturia differed with the state of depression. Compared with non-depressed patients, depressed patients had more severe LUTS.…”

Section: Discussionmentioning

confidence: 99%

“…Men are often ashamed to have a urological disease and feel embarrassed and anxious about it [ 20 ] . The effect of LUTS on a patient ' s mood could also be explained by the sleep deprivation caused by nocturia [ 11,21 ] .…”

Section: Discussionmentioning

confidence: 99%

“…In contrast to the study by Johnson et al . [ 11 ] , which examined the relationship between the single symptom of nocturia and depression, we evaluated the relationship between every single item of the IPSS and depression individually. We also tried to distinguish between irritative and obstructive symptoms.…”

Section: Discussionmentioning

confidence: 99%

“…This relationship also exists between depression and many urological diseases, such as incontinence [ 7,8 ] and urolothiasis [ 9 ] . Recent studies have analysed the impact of BPH on depressive symptoms [ 10,11 ] . In the current study, we examined a homogeneous population of men with no apparent prostatic or psychiatric diseases.…”

Section: Introductionmentioning

confidence: 99%

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Lower urinary tract symptoms and depression

et al. 2012

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What ' s known on the subject? and What does the study add? Depression plays an important role in pathogenesis of BPH. Our study shows that prostatic symptoms can be helpful in the screening for depression. OBJECTIVE• To evaluate the relationship between lower urinary tract symptoms (LUTS) and depression in men through validated questionnaires. PATIENTS AND METHODS• Healthy male workers ( n = 673) were invited to a free health check-up.• Patients underwent a detailed medical examination.• All participants completed the International Prostate Symptom Score (IPSS) questionnaire and the Beck Depression Inventory (BDI). RESULTS• Under multiple logistic regression analysis (adjusted for total testosterone and age), a signifi cant effect of IPSS on BDI score was observed: mild depression (BDI score > 9): odds ratio (OR) 1.092, 95% confi dence interval (CI) 1.056 -1.129; P < 0.001; moderate-to-severe depression (BDI score > 19): OR 1.093, 95% CI 1.031 -1.159; P = 0.003; and severe depression (BDI score > 29): OR 1.176, 95% CI 1.048 -1.320; P = 0.006. CONCLUSIONS• In healthy men, LUTS are signifi cantly associated with depression.• The treatment of LUTS is very important for the mental health of older men.

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“…Johnson et al . [ 11 ] evaluated whether the severity of nocturia differed with the state of depression. Compared with non-depressed patients, depressed patients had more severe LUTS.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Lower urinary tract symptoms and depression

et al. 2012

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“…Several other studies have reported similar results. In one study conducted in 547 men, nocturia was found to be signifi cantly associated with depressive symptoms, and it was suggested that nocturia may be predictive of depression [ 27 ] . Another study reported a signifi cant correlation between the severity of nocturia and poor sleep quality, and found that sleep quality was improved after surgical intervention [ 28 ] .…”

Section: Discussionmentioning

confidence: 99%

The impact of sleep apnoea syndrome on nocturia according to age in men

Kang¹,

Yoon²,

Kim

2012

BJU International

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What ' s known on the subject? and What does the study add? Sleep apnoea syndrome (SAS) can be a risk factor for nocturia, although whether the relationship between nocturia and SAS changes according to age remains to be addressed.SAS has a modest impact on nocturia frequency and the prevalence of pathological nocturia in young adults and middle-aged men. However, SAS may not be a risk factor for nocturia in the elderly, and age-related urinary diseases and voiding dysfunctions could over-ride the infl uence of SAS on nocturia in the elderly. OBJECTIVE• To assess the association between nocturia and sleep apnoea syndrome (SAS) according to age, as well as to determine the factors related to nocturia. PATIENTS AND METHODS• A total of 1757 men who had been referred to a sleep laboratory underwent polysomnography.• Nocturia frequency was assessed using a questionnaire, and pathological nocturia was defi ned as the need to void two or more times per night.• The Pittsburgh Sleep Quality Index (PSQI) and Beck Depression Inventory (BDI) were applied to all study subjects. RESULTS• Nocturia frequency was signifi cantly correlated with age ( r = 0.405, P < 0.001) and the apnoea -hypopnoea index (AHI) ( r = 0.065, P < 0.01).• In those men aged < 65 years, signifi cant correlations were found between nocturic frequency and age, AHI, BDI and PSQI.• Multiple regression analysis showed that age ( β = 0.303, P < 0.001), AHI ( β = 0.107 P < 0.001) and benign prostatic hypertrophy (BPH; β = 0.069, P < 0.01) were associated with nocturia, and that the presence of pathological nocturia was predicted by BPH (odds ratio [ OR ] , 2.77; P < 0.01), age (OR, 1.09; P < 0.001) and AHI (OR, 1.02; P < 0.001).• However, in men aged > 65 years, nocturia frequency was signifi cantly associated with BDI and PSQI, although no relationship was found between nocturia frequency and SAS parameters.• BPH was more frequently observed in elderly men with pathological nocturia than in those without pathological nocturia (OR, 2.18; P < 0.05). CONCLUSIONS• In the elderly, SAS may not be a risk factor for nocturia.• Age-related urinary diseases and voiding dysfunction may over-ride the infl uence of SAS. KEYWORDSageing , nocturia , sleep apnoea syndrome Study Type -Symptom prevalence (cohort) Level of Evidence 2b

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Dementia, Delirium, and Depression

Anderson

2014

Geriatric Urology

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Nocturia Associated With Depressive Symptoms

Cited by 29 publications

References 17 publications

Lower urinary tract symptoms and depression

Lower urinary tract symptoms and depression

The impact of sleep apnoea syndrome on nocturia according to age in men

Dementia, Delirium, and Depression

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