挪威一项大型横断面研究：中年女性尿失禁相关的焦虑和抑郁
Anxiety and depression associated with incontinence in middle-aged women: a large Norwegian cross-sectional study.
作者信息
Felde Gunhild, Bjelland Ingvar, Hunskaar Steinar
机构信息
Department of Public Health and Primary Health Care, University of Bergen, Postboks 7804, 5020 Bergen, Norway.
出版信息
Int Urogynecol J. 2012 Mar;23(3):299-306. doi: 10.1007/s00192-011-1564-3. Epub 2011 Nov 9.
INTRODUCTION AND HYPOTHESIS
Several studies have indicated depression and anxiety to be associated with urinary incontinence (UI), however, the strength of the associations varies widely. The objective of this study was to determine these associations in a large survey.
METHODS
In a cross-sectional population-based survey study, we analysed questionnaire data on UI, depression and anxiety from 5,321 women between 40 and 44 years. A multivariate logistic regression model was used to predict the odds of having high levels of anxiety and depression among women with UI of different types and severities.
RESULTS
Among women with UI, the adjusted OR for depression was 1.64 (95% CI, 1.32-2.04) and for anxiety 1.59 (95% CI, 1.36-1.86) compared with women without UI.
CONCLUSION
UI was associated with both anxiety and depression in middle-aged women, with the strongest associations for mixed and urgency UI.
引言与假设
多项研究表明，抑郁和焦虑与尿失禁（UI）有关，然而，这种关联的强度差异很大。本研究的目的是在一项大型调查中确定这些关联。
方法
在一项基于人群的横断面调查研究中，我们分析了5321名年龄在40至44岁之间女性的尿失禁、抑郁和焦虑的问卷数据。采用多变量逻辑回归模型预测不同类型和严重程度尿失禁女性中焦虑和抑郁水平较高的几率。
结果
与无尿失禁的女性相比，有尿失禁的女性中，抑郁的校正比值比为1.64（95%CI，1.32 - 2.04），焦虑的校正比值比为1.59（95%CI，1.36 - 1.86）。
结论
中年女性的尿失禁与焦虑和抑郁均有关联，其中混合性和急迫性尿失禁的关联最强。
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