Association Between Urinary Incontinence and Depressive Symptoms in Overweight and Obese Women

Overview

Journal Am J Obstet Gynecol

Publisher Elsevier

Specialty Gynecology & Obstetrics

Date 2009 Feb 25

PMID 19236869

Citations 21

Authors

Vivian W Sung

Delia S West

Alexandra L Hernandez

Thomas L Wheeler 2nd

Deborah L Myers

Leslee L Subak

Affiliations

Soon will be listed here.

Abstract

Objective: The objective of the study was to determine the association between urinary incontinence (UI) and depressive symptoms.

Study Design: The study was a cross-sectional study of 338 incontinent and overweight women at baseline in the Program to Reduce Incontinence by Diet and Exercise trial. Depressive symptoms were defined as a Beck Depression Inventory score of 10 or greater. UI frequency was determined by a 7-day voiding diary. Symptom bother and quality of life were determined using the Urogenital Distress Inventory (UDI) and the Incontinence Impact Questionnaire (IIQ). Multivariable regression was used to estimate the association between UI and depressive symptoms.

Results: Women with depressive symptoms (n = 101) reported a higher mean number of UI episodes per week (28 vs 23; P = .005) and higher (worse) mean scores on the UDI (176 vs 162; P = .02) and IIQ (136 vs 97; P < .001) compared with women without depressive symptoms. The risk of having depressive symptoms increased with each 7-episode increase in UI per week (adjusted odds ratio [AOR], 1.10; 95% confidence interval [CI], 1.01-1.21), each 50-point increase in UDI (AOR, 1.27; 95% CI, 1.01-1.60), and each 50-point increase in IIQ (AOR, 1.44; 95% CI, 1.22-1.71).

Conclusion: Urinary incontinence frequency, symptom bother, and quality of life are independently associated with depressive symptoms in overweight and obese women.

Citing Articles

The Relationship between Anxiety and Depression Levels and General Health Status before and 12 Months after SUI Treatment in Postmenopausal Women from the Lower Silesian Population.

Zalewski M, Kolodynska G, Fink-Lwow F, Mucha A, Andrzejewski W Int J Environ Res Public Health. 2022; 19(9).

PMID: 35564551 PMC: 9103203. DOI: 10.3390/ijerph19095156.

The Design of a Prospective Trial to Evaluate the Role of Preoperative Frailty Assessment in Older Women Undergoing Surgery for the Treatment of Pelvic Organ Prolapse: The FASt Supplemental Trial.

Erekson E, Menefee S, Whitworth R, Amundsen C, Arya L, Komesu Y Female Pelvic Med Reconstr Surg. 2020; 27(1):e106-e111.

PMID: 32217922 PMC: 7381379. DOI: 10.1097/SPV.0000000000000833.

Affective Symptoms and Health-Related Quality of Life Among Women with Stress Urinary Incontinence: Cross-Sectional Study.

Steibliene V, Aniuliene R, Aniulis P, Raskauskiene N, Adomaitiene V Neuropsychiatr Dis Treat. 2020; 16:535-544.

PMID: 32158213 PMC: 7047965. DOI: 10.2147/NDT.S236234.

Quo Vadis Botulinum Toxin: Normative Constraints and Quality of Life for Patients With Idiopathic OAB?.

Muhlstadt S, Mischner S, Kranz J, Anheuser P, Mohammed N, Steffens J Front Surg. 2018; 5:61.

PMID: 30386782 PMC: 6198085. DOI: 10.3389/fsurg.2018.00061.

A prospective study of the natural history of urinary incontinence in women.

Hagan K, Erekson E, Austin A, Minassian V, Townsend M, Bynum J Am J Obstet Gynecol. 2018; 218(5):502.e1-502.e8.

PMID: 29425839 PMC: 5949886. DOI: 10.1016/j.ajog.2018.01.045.

References

Coyne K, Sexton C, Irwin D, Kopp Z, Kelleher C, Milsom I . The impact of overactive bladder, incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int. 2008; 101(11):1388-95. DOI: 10.1111/j.1464-410X.2008.07601.x. View

Scogin F, Beutler L, Corbishley A, Hamblin D . Reliability and validity of the short form Beck Depression Inventory with older adults. J Clin Psychol. 1988; 44(6):853-7. DOI: 10.1002/1097-4679(198811)44:6<853::aid-jclp2270440604>3.0.co;2-7. View

Shumaker S, Wyman J, Uebersax J, McClish D, Fantl J . Health-related quality of life measures for women with urinary incontinence: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program in Women (CPW) Research Group. Qual Life Res. 1994; 3(5):291-306. DOI: 10.1007/BF00451721. View

Viktrup L, Pangallo B, Detke M, Zinner N . Urinary Side Effects of Duloxetine in the Treatment of Depression and Stress Urinary Incontinence. Prim Care Companion J Clin Psychiatry. 2004; 6(2):65-73. PMC: 427601. DOI: 10.4088/pcc.v06n0204. View

Subak L, Brown J, Kraus S, Brubaker L, Lin F, Richter H . The "costs" of urinary incontinence for women. Obstet Gynecol. 2006; 107(4):908-16. PMC: 1557394. DOI: 10.1097/01.AOG.0000206213.48334.09. View

Foelker Jr G, Shewchuk R, Niederehe G . Confirmatory factor analysis of the short form Beck Depression Inventory in elderly community samples. J Clin Psychol. 1987; 43(1):111-8. DOI: 10.1002/1097-4679(198701)43:1<111::aid-jclp2270430118>3.0.co;2-s. View

Rejeski W, Lang W, Neiberg R, Van Dorsten B, Foster G, Maciejewski M . Correlates of health-related quality of life in overweight and obese adults with type 2 diabetes. Obesity (Silver Spring). 2006; 14(5):870-83. DOI: 10.1038/oby.2006.101. View

Goode P, Burgio K, Redden D, Markland A, Richter H, Sawyer P . Population based study of incidence and predictors of urinary incontinence in black and white older adults. J Urol. 2008; 179(4):1449-53. PMC: 2999469. DOI: 10.1016/j.juro.2007.11.069. View

Fontaine K, Barofsky I, Andersen R, Bartlett S, Wiersema L, Cheskin L . Impact of weight loss on health-related quality of life. Qual Life Res. 1999; 8(3):275-7. DOI: 10.1023/a:1008835602894. View

10.

Wassertheil-Smoller S, Shumaker S, Ockene J, Talavera G, Greenland P, Cochrane B . Depression and cardiovascular sequelae in postmenopausal women. The Women's Health Initiative (WHI). Arch Intern Med. 2004; 164(3):289-98. DOI: 10.1001/archinte.164.3.289. View

11.

Subak L, Van Den Eeden S, Thom D, Creasman J, Brown J . Urinary incontinence in women: Direct costs of routine care. Am J Obstet Gynecol. 2007; 197(6):596.e1-9. DOI: 10.1016/j.ajog.2007.04.029. View

12.

Beck A, Ward C, Mendelson M, Mock J, ERBAUGH J . An inventory for measuring depression. Arch Gen Psychiatry. 1961; 4:561-71. DOI: 10.1001/archpsyc.1961.01710120031004. View

13.

Bump R, Sugerman H, Fantl J, McClish D . Obesity and lower urinary tract function in women: effect of surgically induced weight loss. Am J Obstet Gynecol. 1992; 167(2):392-7; discussion 397-9. DOI: 10.1016/s0002-9378(11)91418-5. View

14.

Furlanetto L, Mendlowicz M, Romildo Bueno J . The validity of the Beck Depression Inventory-Short Form as a screening and diagnostic instrument for moderate and severe depression in medical inpatients. J Affect Disord. 2005; 86(1):87-91. DOI: 10.1016/j.jad.2004.12.011. View

15.

Wyman J, Choi S, Harkins S, Wilson M, Fantl J . The urinary diary in evaluation of incontinent women: a test-retest analysis. Obstet Gynecol. 1988; 71(6 Pt 1):812-7. View

16.

Tennstedt S, Link C, Steers W, McKinlay J . Prevalence of and risk factors for urine leakage in a racially and ethnically diverse population of adults: the Boston Area Community Health (BACH) Survey. Am J Epidemiol. 2008; 167(4):390-9. DOI: 10.1093/aje/kwm356. View

17.

van der Vaart C, Roovers J, de Leeuw J, Heintz A . Association between urogenital symptoms and depression in community-dwelling women aged 20 to 70 years. Urology. 2007; 69(4):691-6. DOI: 10.1016/j.urology.2007.01.017. View

18.

Ragins A, Shan J, Thom D, Subak L, Brown J, Van Den Eeden S . Effects of urinary incontinence, comorbidity and race on quality of life outcomes in women. J Urol. 2007; 179(2):651-5. PMC: 2671469. DOI: 10.1016/j.juro.2007.09.074. View

19.

Subak L, Whitcomb E, Shen H, Saxton J, Vittinghoff E, Brown J . Weight loss: a novel and effective treatment for urinary incontinence. J Urol. 2005; 174(1):190-5. PMC: 1557356. DOI: 10.1097/01.ju.0000162056.30326.83. View

20.

Katon . The Effect of Major Depression on Chronic Medical Illness. Semin Clin Neuropsychiatry. 1999; 3(2):82-86. View