Urinary incontinence, depression and posttraumatic stress disorder in women veterans

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• 作者：Catherine S. Bradley ; MD ; MSCE^a ; ^c ; ^e ; Ingrid E. Nygaard ; MD ; MS^f ; Michelle A. Mengeling ; PhD^a ; ^b ; ^d ; James C. Torner ; PhD^e ; Colleen K. Stockdale ; MD ; MS^c ; Brenda M. Booth ; PhD^g ; Anne G. Sadler ; PhD ; RN^a
• 关键词：depression ; posttraumatic stress disorder ; stress ; urinary incontinence ; urgency urinary incontinence ; women veterans
• 刊名：American Journal of Obstetrics and Gynecology
• 出版年：2012
• 出版时间：June, 2012
• 年：2012
• 卷：206
• 期：6
• 页码：502.e1-502.e8
• 全文大小：289 K

文摘

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Objective

To study associations between urinary incontinence (UI) symptoms, depression, and posttraumatic stress disorder in women veterans.

Study Design

This cross-sectional study enrolled women 20 to 52 years of age registered at 2 midwestern US Veterans Affairs Medical Centers or outlying clinics within 5 years preceding study interview. Participants completed a computer-assisted telephone interview assessing urogynecologic, medical, and mental health. Multivariable analyses studied independent associations between stress and urgency UI and depression and posttraumatic stress disorder.

Results

Nine hundred sixty-eight women mean aged 38.7 ¡À 8.7 years were included. Of these, 191 (19.7 % ) reported urgency/mixed UI and 183 (18.9 % ) stress UI. Posttraumatic stress disorder (odds ratio, 1.8; 95 % confidence interval, 1.0-3.1) but not depression (odds ratio, 1.2; 95 % confidence interval, 0.73-2.0) was associated with urgency/mixed UI. Stress UI was not associated with posttraumatic stress disorder or depression.

Conclusion

In women veterans, urgency/mixed UI was associated with posttraumatic stress disorder but not depression.