Mental health of Chinese primary care patients with lower urinary tract symptoms

Abstract

The aim of this study was to evaluate the mental health of Chinese primary care patients with lower urinary tract symptoms (LUTS). This was a cross-sectional observational study. Five hundred and nineteen subjects with LUTS completed a structured questionnaire containing the Depression, Anxiety, and Stress Scale-Short Form, the International Prostate Symptom Score, the adapted International Consultation on Incontinence Questionnaire-Urinary Incontinence Short Form and questions about socio-demographics. Overall, 17.7% of subjects reported depressive symptoms, 24.3% anxiety symptoms and 9.6% stress symptoms. In males, demographic factors associated with poorer mental health included being not married; clinical factors included higher LUTS severity, weak stream, straining and mixed urinary incontinence. In females, demographic factors associated with poorer mental health included being younger, not married and lower household income; clinical factors included higher LUTS severity, incomplete bladder emptying, urgency and weak stream. Chinese primary care patients with LUTS appear to be an at-risk group for poorer mental health with increased prevalence of anxiety and depressive symptoms and may require routine screening to identify those who may require more tailored interventions to address both their urinary symptoms and psychological distress.

Level of depression, anxiety and stress in patients with intrauterine adhesions in Hunan Province, China: A cross-sectional study

“…High scores suggest that the symptomatology is severe. The recommended cut-offs points for each subscale are as follows: depression [normal (0-9), mild (10)(11)(12)(13), moderate (14)(15)(16)(17)(18)(19)(20), severe (21)(22)(23)(24)(25)(26)(27), and extremely severe (28+)], anxiety [normal (0-7), mild (8-9), moderate (10)(11)(12)(13)(14), severe (15)(16)(17)(18)(19), and extremely severe (20+)], and stress [normal (0-14), mild (15)(16)(17)(18), moderate (19)(20)(21)(22)(23)(24)(25), severe (26)(27)(28)(29)(30)(31)(32)(33), and extremely severe (34+)] [14,…”

Distress Due to Urinary Problems and Psychosocial Correlates among Retired Men in Hong Kong

“…The expected embarrassment and the possible threat to masculinity caused by disclosing one's urinary symptoms and their associated problems, especially erectile dysfunction (ED) problems, might also account for their silence. Previous research has highlighted the importance of self-management strategies and interventions to improve the quality of life of people with urinary problems [26,55]. However, from a psychological perspective, related education workshops and campaigns to reduce the potential maladaptive cognitive beliefs about urinary problems and their symptoms are needed in order to promote help-seeking behaviours and early treatment for urinary problems [17].…”

“…In a sample of Chinese men aged 62-92 in Hong Kong, using the Geriatric Depression Scale [19], the study found that nearly two-thirds (64.7%) of men who had "moderate to severe" LUTS were also depressed. Studies on the relationship between urinary problems and mental health issues in Chinese men in Hong Kong are few in number [26,27] and there is a need to better understand the impact of urinary problems on general psychological functioning in Hong Kong men. This study is one of the only few studies that has focused on general mental health status and distress in a sample of Chinese men.…”

Evaluation of the outcomes of care of nurse‐led continence care clinics for Chinese patients with lower urinary tract symptoms, a 2‐year prospective longitudinal study

“…, ) and mental health (Choi et al . ). The global prevalence of LUTS was reported to be 45·2% in both males and females in 2008 (Irwin et al .…”

“…Lower urinary tract symptoms (LUTS) are a leading cause of burden to health-related quality of life (HRQOL) (Choi et al 2014a(Choi et al , 2016a and mental health (Choi et al 2016b). The global prevalence of LUTS was reported to be 45Á2% in both males and females in 2008 (Irwin et al 2011) and it is estimated that by 2018, 2Á3 billion people worldwide will have LUTS (Irwin et al 2011).…”