Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence
Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence
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DOI：
10.1067/mob.2002.124839
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发表时间：
2002-07-01
影响因子：
9.8
通讯作者：
Fenner, D
中科院分区：
文献类型：
--
作者：
Melville, JL;Walker, E;Fenner, D
目的：探讨严重抑郁和惊恐障碍在女性尿失禁患者中的患病率及其影响。研究设计：研究对象为218例连续14个月的女性尿失禁患者，对严重抑郁和惊恐障碍的诊断、症状知觉、特定于尿失禁的生活质量、功能状态和尿失禁类型进行评估。与压力性尿失禁患者相比，冲动性尿失禁患者发生严重抑郁的几率为9.2，混合性尿失禁患者为13.5。虽然临床上抑郁症患者与非抑郁症患者相似，但抑郁症患者的尿失禁程度明显更严重，生活质量和功能状态受损更严重。结论：目前重度抑郁和惊恐障碍在女性尿失禁患者中非常普遍。患有急迫性尿失禁和混合性尿失禁的患者更有可能同时患有精神疾病。并发严重抑郁显著影响患者的尿失禁症状报告、大小便失禁特有的生活质量和功能状态。
OBJECTIVE: The purpose of this study was to determine the prevalence and impact of major depression and panic disorder in women with urinary incontinence.STUDY DESIGN: Participants were 218 consecutive women with urinary incontinence over a 14-month period, Major depression and panic disorder diagnoses, symptom perception, incontinence-specific quality of life, functional status, and urinary incontinence type were assessed.RESULTS: The overall prevalence of major depression and panic disorder was 16% and 7%, respectively. In a comparison to patients with stress urinary incontinence, the odds of having major depression were 9.2 for patients with urge and 13.5 for patients with mixed urinary incontinence. Although clinically similar to patients who did not have depression, patients with depression rated their urinary incontinence as significantly more severe and had greater quality of life and functional status impairment.CONCLUSION: Current major depression and panic disorder are highly prevalent in women with urinary incontinence. Patients with urge and mixed urinary incontinence are significantly more likely to have coexistent psychiatric illness. Comorbid major depression significantly impacts a patient's urinary incontinence symptom reporting, incontinence-specific quality of life, and functional status.