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

Xu, Dongjuan; Liu, Nana; Qu, Haili; Chen, Liqin; Wang, Kefang

doi:10.1007/s11136-015-1070-z

Cited by 10 publications

(8 citation statements)

References 54 publications

(48 reference statements)

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“…In spite of the literature pointing out that UI leads to restrictions in social participation in our study participation was not a domain in which disability scores were significantly different between incontinent and nonincontinent women. In a study with older incontinent Australian women, the authors found an association between UI and social dysfunction, but they pointed out that this association is not casual; in fact, it is a reflection of general health and overall functioning level of women, exploring a new axis of discussion about this domain and approaching the influence of environmental aspects on it.…”

Section: Discussioncontrasting

confidence: 93%

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

Dantas

Castaneda

Correia

et al. 2019

Neurourology and Urodynamics

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Aims To analyze the association between urinary incontinence and disability status in premenopausal women. Materials and Methods The study included 120 premenopausal women recruited from six Basic Family Health Units to participate in this study. We assessed sociodemographic, gynecological, and obstetric data by using specific questions. The International Continence Society's definitions were applied to determine the presence and type of urinary incontinence, and the disability was assessed by using the 36‐item version of the World Health Organization Disability Assessment Schedule (WHODAS) 2.0. Results The WHODAS scores showed that women with urinary incontinence had a worse disability in cognition (P = .023) and mobility (P = .020) domains, in addition to the total score (P = .23). Women with mixed urinary incontinence had a worse disability in mobility domain (P = .039) than those with stress or urgency incontinence. Qualitative analyses of disability showed a significant difference between women with and without urinary incontinence (P = .033), with higher percentages of incontinent women with moderate and severe disability. Women who reported urinary incontinence had 7.69 more points on the final score of WHODAS than those who did not report this outcome. Conclusions Urinary incontinence in women of reproductive age is associated with disability and worse scores of WHODAS when we compare them to women without urine leakage. The results presented can be useful for designing and adapting strategies for comprehensive care of women with urinary incontinence and disability, and developing rehabilitation programs based on functioning.

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Section: Discussioncontrasting

confidence: 93%

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

Dantas

Castaneda

Correia

et al. 2019

Neurourology and Urodynamics

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“…34 This negative association of UI with HRQoL and mental health is in accordance with worldwide studies such as EpiLUTS 5 as well as studies from Asia. [9][10][11][12][13][14][15][16][17][18] MUI in particular is generally reported as being the most detrimental to HRQoL/mental health while SUI is associated with the least impairment. [10][11][12]14,17 The unpredictability of UUI has been suggested as a major factor for a poorer QoL with MUI and UUI, as those with SUI may be better able to adapt their lifestyle and avoid situations (such as heavy lifting or exercising) that lead to involuntary loss of urine.…”

Section: T a B L E 4 Participant Satisfaction With Any Treatmentmentioning

confidence: 99%

“…5 In an analysis of the National Social Life, Health and Aging Project undertaken in US adults from 2010 to 2011, UI was one of the most significant contributors to poor mental health for women. 8 A number of studies undertaken in Asia have also demonstrated the negative association of UI with health-related quality of life (HRQoL)/mental health, [9][10][11][12][13][14][15][16][17][18] reporting a substantial impact that can be similar to or greater than that caused by other chronic medical diseases, such as diabetes, hyperlipidemia, and chronic kidney disease. 13,19 Despite this, a large proportion of individuals with UI do not seek treatment for their symptoms 20,21 and of those who receive pharmacotherapy, many are dissatisfied and discontinue medication.…”

mentioning

confidence: 99%

The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross‐sectional, prevalence‐based study

Sumarsono¹,

Jong²,

Wang

et al. 2020

LUTS

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Objectives To assess prevalence of urinary incontinence (UI), including urgency UI (UUI), stress UI (SUI) and mixed UI (MUI) in individuals aged ≥40 years in China, Taiwan and South Korea. Method This was a post hoc analysis of a cross‐sectional, questionnaire‐based internet survey. Participants were asked questions relating to urinary symptoms, health‐related quality of life (HRQoL) and mental health (using the HRQoL 12‐item short form health survey mental health and physical domains, and the Hospital Anxiety and Depression Scale), visits to healthcare professionals (HCPs) for any reason or for urinary symptoms, treatments for urinary symptoms and treatment satisfaction. Results Of 8284 survey participants, 1818 (22%) reported any UI (men 17.3%, women 26.4%). MUI was the most prevalent (overall 9.7%, men 6.8%, women 12.6%) followed by SUI (overall 7.9%, men 5.1%, women 10.7%) and UUI (overall 4.3%, men 5.5%, women 3.2%). HRQoL, anxiety and depression scores were poor in all participants with UI; MUI was associated with the worst scores. Of the participants with UI, 46.9% visited HCPs for urinary symptoms (highest proportion [62.7%] among participants with MUI). Approximately 80% of participants with UI followed treatment, with prescribed medicine being the most common form (38.1%). Over half of participants (59.6%) were somewhat, very, or extremely satisfied with their treatment. MUI was associated with least satisfaction. Conclusion UI was associated with substantial problems, including an adverse impact on HRQoL. Medication failed to satisfy many individuals with UI. Efforts to educate the public and physicians about the impact of UI could improve diagnosis and treatment rates.

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“…This variation between studies may be related to different definitions of UI, different methodologies for data collection, or the differences in the demographics of the study populations (6). UI significantly limits the lives of women affected due to the physical, psychological, and social inconveniences (7). The fear of leakage and odor may be related to embarrassment, frustration, depressive mood, psychological distress, and social isolation (8,9).…”

Section: Introductionmentioning

confidence: 99%

The Effect of Incontinence Severity on Symptom Distress, Quality of Life, and Pelvic Floor Muscle Function in Turkish Women with Urinary Incontinence

Orhan

Özgül

Baran

et al. 2020

Gynecol Obstet Reprod Med

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Objective: The aim of the present study was to compare the differences in symptom distress, quality of life, and pelvic floor muscle function among Turkish women with mild, moderate, or severe urinary incontinence.Study design: One hundred and twenty women with a diagnosis of urinary incontinence (54.2% stress urinary incontinence and 45.8% mixed-urinary incontinence) participated in the present study. The severity of the urinary incontinence was stratified by the Incontinence Severity Index. The Turkish versions of the Urinary Distress Inventory-6 and the Incontinence Impact Questionnaire-7 were used to assess symptom distress and quality of life, respectively. Pelvic floor muscle strength and endurance were measured using a non-invasive vaginal perineometer.Results: Symptom distress and quality of life significantly differed among the mild, moderate, and severe urinary incontinence groups (p<0.001). Patients with severe stress urinary incontinence displayed a higher decrease in quality of life than those with mild stress urinary incontinence (p<0.001). Furthermore, severe mixed urinary incontinence had a greater impact on symptom distress and quality of life compared to mild and moderate mixed urinary incontinence (p<0.05). The Incontinence Severity Index score was significantly associated with the Urinary Distress Inventory-6 and Incontinence Impact Questionnaire-7 scores (p<0.001).Conclusion: Urinary incontinence affected the symptom distress and quality of life of patients in proportion to the severity of the symptoms. Therefore, the relationship between the severity of urinary incontinence and patients’ quality of life should be evaluated in clinical settings. To prevent the greater influence of incontinence on the quality of life of women with urinary incontinence, early detection of urinary incontinence and early management strategies are essential.

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

Cited by 10 publications

References 54 publications

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

Functioning and disability of premenopausal women with urinary incontinence: An assessment by using the World Health Organization Disability Assessment Schedule—WHODAS 2.0

The prevalence of urinary incontinence in men and women aged 40 years or over in China, Taiwan and South Korea: A cross‐sectional, prevalence‐based study

The Effect of Incontinence Severity on Symptom Distress, Quality of Life, and Pelvic Floor Muscle Function in Turkish Women with Urinary Incontinence

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