Influence of Coping Styles on Quality of Life in Men with New and Increasing Lower Urinary Tract Symptoms

Abstract

Objective: The present study aims to determine the influence of coping on quality of life (QOL) in elderly men developing lower urinary tract symptoms (LUTS). Materials and Methods: Longitudinal population-based study with a follow-up period of 6.5 years on 1,688 men aged 50–78 years. Data were collected through self-administered questionnaires, including the Sickness Impact Profile (SIP, three domains), Inventory of Subjective Health (ISH), International Prostate Symptom Score (IPSS), and the Utrecht Coping List (UCL). Various physical and urological measurements were completed. Multiple linear regressions were used to determine the change in QOL in men with incident LUTS in relation to coping behavior. Results: Overall no significant association is found between changes in LUTS with a change in QOL. However, a positive change in QOL is significantly associated with a change in LUTS when men use the coping style active problem solving and a negative relation exists with coping style reassuring thoughts. Conclusion: Different coping styles have a different impact on the relation between a change in LUTS and a change in generic QOL in community-dwelling elderly men. This makes a future exploration of the clinical treatment possibilities warranted.

Once Nocturia, Always Nocturia? Natural History of Nocturia in Older Men Based on Frequency-Volume Charts: The Krimpen Study

“…15 If the participant had not died or moved away and no exclusion criteria were met, the GPs were asked to send a re-invitation letter for a first, second and third followup round. Men who had undergone lower urinary tract surgery during followup were censored.…”

Relationships among symptom severity, coping styles, and quality of life in community-dwelling women with urinary incontinence: a multiple mediator model

“…Variations in coping styles may have differing effects on QOL. Understanding coping styles and the benefit or harm that specific styles can have on QOL is an area of great importance for patients and healthcare professionals [25].…”

Lower Urinary Tract Symptoms and Mortality among Finnish Men: The Roles of Symptom Severity and Bother

“…6,7 As the current view suggests that only a minority of men seek care for their symptoms, probably the majority of men cope with their LUTS. 4,8,9 Through various associated health problems, male LUTS could potentially serve as prognostic factors for premature death. 10e12 However, due to very uncertain cause-and-effect relationships and the confounding effect of aging and comorbidity, the relevance of male LUTS as mortality risk factors remains unclear.…”

“…6,7 As the current view suggests that only a minority of men seek care for their symptoms, probably the majority of men cope with their LUTS. 4,8,9…”