Urinary Incontinence and Depression in Middle-Aged United States Women

TitleUrinary Incontinence and Depression in Middle-Aged United States Women
Publication TypeJournal Article
Year of Publication2003
AuthorsNygaard, IE, Turvey, CL, Burns, TL, Chrischilles, EA, Wallace, RB
JournalObstetrics and Gynecology
Volume101
Issue1
Pagination149-56
Call Numbernewpubs20091202_Incontinence.pdf
KeywordsHealth Conditions and Status, Women and Minorities
Abstract

OBJECTIVE: To determine the correlates of incontinence in middle-aged women and to test for an association between incontinence and depression. METHODS: This was a population-based cross-sectional study of 5701 women who were residents of the United States, aged 50-69 years, and participated in the third interview of the Health and Retirement Study. The primary outcome measure was self-reported urinary incontinence. Depression was ascertained based on criteria set by the Diagnostic and Statistical Manual of Mental Disorders, using a short form of the Composite International Diagnostic Interview. In addition, depressive symptoms were assessed using the revised Center for Epidemiologic Studies Depression Scale. Multivariable logistic regression models were constructed to determine the independent association between incontinence and depression, after adjusting for confounders. RESULTS: Approximately 16 reported either mild-moderate or severe incontinence. Depression, race, age, body mass index, medical comorbidities, and limited activities of daily living were associated with incontinence. After adjusting for medical morbidity, functional status, and demographic variables, women with severe and mild-moderate incontinence were 80 (odds ratio OR 1.82; 95 confidence interval CI 1.26, 2.63) and 40 (OR 1.41; 95 CI 1.06, 1.87) more likely, respectively, to have depression than continent women. The association did not hold for depressive symptoms measured by the revised Center for Epidemiologic Studies Depression Scale after adjusting for covariates. CONCLUSION: Depression and incontinence are associated in middle-aged women. The strength of the association depends on the instrument used to classify depression. This reinforces the need to screen patients presenting for treatment of urinary incontinence for depression.

Notes

PMID: 12517660

Endnote Keywords

Depression/Women/Incontinence

Endnote ID

21260

Citation Key6903