Increasing urinary incontinence severity tied to depression, stress in women with LUTS
Rather than the presence or type or urinary incontinence, increasing severity of urinary incontinence correlates with increased depression, anxiety and stress among treatment-seeking women with lower urinary tract symptoms (LUTS), suggests a study.
Of the 510 women (mean age 56 years) included in the study, 82 percent were Caucasian, 47 percent were obese and 14 percent were diabetic. A total of 420 women (82.4 percent) reported urinary incontinence, among whom 70 had stress urinary incontinence, 85 had urgency urinary incontinence, 240 had mixed urinary incontinence and 25 had other urinary incontinence.
Adjusted analyses showed no difference in any mental health, sleep or physical function measure based on the presence vs the absence of urinary incontinence. Women with mixed urinary incontinence had higher Patient-Reported Outcomes Measurement Information System (PROMIS) anxiety and sleep disturbance scores than did those with stress urinary incontinence.
Increasing urinary incontinence severity correlated with higher PROMIS depression and anxiety scores, as well as with higher Perceived Stress Scale (PSS) scores. However, no association existed between higher urinary incontinence severity and a difference in sleep or physical function.
In this baseline cross-sectional analysis, women with LUTS completed the LUTS Tool, which was used to classify participants based on urinary incontinence symptoms and measure severity.
The authors then administered the PROMIS questionnaire for depression, anxiety, sleep disturbance and physical function; the PSS; and the International Physical Activity Questionnaire Short Form (IPAQ-SF). Associations with urinary symptom presence, type and severity were analysed using multivariable regression modeling.