The Association of Depressive Symptoms and Urinary Incontinence Among Older Adults

Dugan, Elizabeth; Cohen, Stuart J.; Bland, Deirdre R.; Preisser, John S.; Davis, Cralen; Suggs, Patricia K.; McGann, Paul

doi:10.1111/j.1532-5415.2000.tb04699.x

Cited by 204 publications

(132 citation statements)

References 13 publications

(16 reference statements)

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“…14 Dugan et al found depressive symptoms were more likely to be reported by adults with UI, and the degree of depression was linked to the severity of incontinence. 9 Our investigation differs in several ways from prior work on the relationship between UI and psychological distress. Our sample is from a large ethnically diverse sample of community-dwelling adults.…”

mentioning

confidence: 93%

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older Adults

Bogner¹,

Gallo²,

Sammel

et al. 2002

J American Geriatrics Society

101

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OBJECTIVES-To examine the relationship between urinary incontinence (UI) and psychological distress in older adults. We hypothesized that persons with UI associated with condition-specific functional loss would be most likely to report psychological distress. DESIGN-A population-based longitudinal survey. SETTING-Continuing participants in a study of community-dwelling adults who were initially living in East Baltimore in 1981.PARTICIPANTS-Persons aged 50 and older (n = 781) at follow-up interviews conducted between 1993 and 1996 for whom complete data were available.MEASUREMENTS-Participants were classified as incontinent if they reported any uncontrolled urine loss within the 12 months preceding the 13-year follow-up interview. Condition-specific functional loss secondary to UI was further assessed based on a series of questions relating directly to participants' inability to engage in certain activities due to their UI. Psychological distress was assessed using the General Health Questionnaire (GHQ) at interviews in 1981 and at the 13-year follow-up.RESULTS-Persons with UI were more likely to experience psychological distress as measured by the GHQ than were persons without UI (unadjusted odds ratio (OR) = 1.74, 95% confidence interval (CI) = 1.13-2.68). Persons with condition-specific functional loss secondary to UI were substantially more likely to have psychological distress as measured by the GHQ than were persons without UI (unadjusted OR = 4.02, 95% CI = 1. 86-8.70). In multivariate models that controlled for potentially influential characteristics such as age, gender, ethnicity, and chronic medical conditions the association between condition-specific functional loss secondary to UI and psychological distress remained statistically significant. Among people with UI, persons with persistently elevated GHQ scores were much more likely to report condition-specific functional impairment from UI (adjusted OR = 6.55, 95% CI = 1.94-22.12).CONCLUSION-Individuals with UI, especially when incontinence was associated with conditionspecific functional loss, were more likely to have psychological distress than were other older adults. © 2002 by the American Geriatrics SocietyAddress correspondence to Hillary R. Bogner, MD, MSCE, Department of Family Practice and Community Medicine, University of Pennsylvania, 3400 Spruce Street, 2 Gates Building, Philadelphia, PA 19104. bogner@mail.med.upenn.edu Our findings support a general conceptual model that condition-specific functional impairment mediates the relationship between a chronic medical condition and psychological distress.Keywords urinary incontinence; older adults; psychological distress; depression; functional status Urinary incontinence (UI) is a commonly encountered problem, especially in older adults. Although sampling and methodological differences account for variability in estimates from surveys, 1 the prevalence of UI in community-dwelling older adults has been reported as at least 10% for men and 20% for women. 2 , 3 As many as half of nursing ...

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mentioning

confidence: 93%

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older Adults

Bogner¹,

Gallo²,

Sammel

et al. 2002

J American Geriatrics Society

101

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“…6,7,10,[21][22][23][24] Accordingly, it seems correct to assume that subsyndromal depression may affect the QOL in Brazilian primary care patients. 25 The impact of depressive symptoms insufficient to characterize a diagnosis of depressive disorder on healthy individuals remains unstudied.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of quality of life in adults with chronic health conditions: the role of depressive symptoms

Rocha

Fleck

2010

Rev. Bras. Psiquiatr.

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“…24 Both pain and urinary incontinence are often neglected in clinical practice and may lead to adverse outcomes such as anxiety, depression, decreased socialisation, fall and fracture if left untreated. [35][36][37] …”

Section: Chronic Pain and Urinary Incontinencementioning

confidence: 99%

Diabetes in older people: position statement of The Hong Kong Geriatrics Society and the Hong Kong Society of Endocrinology, Metabolism and Reproduction

Lee

Tam³

et al. 2017

Hong Kong Med J

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A B S T R A C TFollowing a survey on the clinical practice of geriatricians in the management of older people with diabetes and a study of hypoglycaemia in diabetic patients, a round-table discussion with geriatricians and endocrinologists was held in January 2015. Consensus was reached for six domains specifically related to older diabetic people: (1) the considerations when setting an individualised diabetic management; (2) inclusion of geriatric syndrome screening in assessment; (3) glycaemic and blood pressure targets; (4) pharmacotherapy; (5) restrictive diabetic diet; and (6) management goals for nursing home residents.

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The Association of Depressive Symptoms and Urinary Incontinence Among Older Adults

Abstract: This study provides clear evidence that UI is related to DS in older adults.

Cited by 204 publications

References 13 publications

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older Adults

Urinary Incontinence and Psychological Distress in Community‐Dwelling Older Adults

Evaluation of quality of life in adults with chronic health conditions: the role of depressive symptoms

Diabetes in older people: position statement of The Hong Kong Geriatrics Society and the Hong Kong Society of Endocrinology, Metabolism and Reproduction

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