Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries
Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries
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DOI：
10.1111/j.1464-410x.2005.05889.x
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发表时间：
2006-01-01
影响因子：
4.5
通讯作者：
Cardozo, L
中科院分区：
文献类型：
--
作者：
Irwin, DE;Milsom, I;Cardozo, L
目的 确定膀胱过度活动症 (OAB) 症状对 40-64 岁人群就业、社交互动和情绪健康相关问题的影响。 主题和方法该研究对法国、德国、意大利、西班牙、瑞典和英国的 11521 名 40-64 岁人群进行了一项横断面人口调查。该调查涉及两个阶段的筛选程序。最初，确定具有任何下尿路症状的个体。那些唯一症状提示尿路感染、压力性尿失禁或前列腺梗阻的患者被排除在进一步研究之外。受访者被问及这些症状对他们的情绪健康、社交互动以及家庭和工作效率的影响。 结果 在 OAB 患者中，大约 32% (1272) 表示这些症状让他们感到抑郁，28% 表示感到压力很大。当 OAB 症状按有失禁的 OAB (OAB+) 与无失禁的 OAB (OAB-) 进行分层时，报告的压力和抑郁感觉存在统计学上的显着差异，OAB+ 的情绪压力值为 36.4% vs OAB- 19.6%，OAB+ 的抑郁值为 39.8% vs OAB- 23.3%。患有 OAB+ 的参与者比患有 OAB- 的参与者更有可能因膀胱症状而表达对发生事故的担忧以及对参加外出活动的担忧。此外，与 OAB- 患者相比，OAB+ 患者更有可能报告这些膀胱症状令人高度关注，并使他们在社交场合感到不舒服。男性比女性更有可能报告 OAB+ 对他们的日常工作生活产生影响，包括担心打扰会议、影响工作地点和时间的决定以及自愿终止或提前退休。这种影响主要发生在报告 OAB+ 的男性中。结论OAB 症状对受影响者的情绪健康和工作效率有显着影响，无论是在家庭还是在工作中。
OBJECTIVETo determine the impact of overactive bladder (OAB) symptoms on issues related to employment, social interactions, and emotional well-being in a population aged 40-64 years.SUBJECTS AND METHODSThe study comprised a cross-sectional population-based survey of 11 521 individuals aged 40-64 years, conducted in France, Germany, Italy, Spain, Sweden, and the UK. The survey involved a two-stage screening procedure. Initially, individuals with any lower urinary tract symptoms were identified. Those whose only symptom/(s) was suggestive of a urinary tract infection, stress incontinence, or prostate obstruction were excluded from further study. Respondents were asked questions about the impact that their symptoms had on their emotional well-being, social interactions and productivity at home and at work.RESULTSOf those with OAB, approximate to 32% (1272) reported that having these symptoms made them feel depressed, and 28% reported feeling very stressed. There were statistically significant differences in reported feelings of stress and depression when OAB symptoms were stratified by OAB with incontinence (OAB+) vs those with OAB with no incontinence (OAB-), with values for emotional stress of OAB+ 36.4% vs OAB- 19.6%, for depression of OAB+ 39.8% vs OAB- 23.3%. Participants with OAB+were significantly more likely than those with OAB- to express worry about having accidents and concern about participating in activities away from home because of their bladder symptoms. In addition, those with OAB+ were significantly more likely to report that these bladder symptoms were a source of great concern and made them feel uncomfortable in social situations compared to those with OAB-. Men were significantly more likely than women to report OAB+ having an impact on their daily work life, including worry about interrupting meetings, impact on decisions about work location and hours, and voluntary termination or early retirement. This effect was primarily in men reporting OAB+.CONCLUSIONOAB symptoms have a significant effect on the emotional well-being and productivity of those affected, both at home and at work.