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本文引用的文献

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Lifetime sexual assault and cervical cytologic abnormalities among military women.军人女性一生中遭受性侵犯与宫颈细胞学异常。
J Womens Health (Larchmt). 2011 Nov;20(11):1693-701. doi: 10.1089/jwh.2010.2399. Epub 2011 Aug 11.
2
The influence of psychiatric comorbidities and sexual trauma on lower urinary tract symptoms in female veterans.精神共病和性创伤对女性退伍军人下尿路症状的影响。
J Urol. 2009 Dec;182(6):2785-90. doi: 10.1016/j.juro.2009.08.035. Epub 2009 Oct 22.
3
Major depression and urinary incontinence in women: temporal associations in an epidemiologic sample.女性的重度抑郁症与尿失禁：一项流行病学样本中的时间关联
Am J Obstet Gynecol. 2009 Nov;201(5):490.e1-7. doi: 10.1016/j.ajog.2009.05.047. Epub 2009 Aug 29.
4
Longitudinal assessment of mental health problems among active and reserve component soldiers returning from the Iraq war.对从伊拉克战争归来的现役和预备役士兵心理健康问题的纵向评估。
JAMA. 2007 Nov 14;298(18):2141-8. doi: 10.1001/jama.298.18.2141.
5
Serotonin and noradrenaline involvement in urinary incontinence, depression and pain: scientific basis for overlapping clinical efficacy from a single drug, duloxetine.5-羟色胺和去甲肾上腺素与尿失禁、抑郁及疼痛的关系：单一药物度洛西汀临床疗效重叠的科学依据
Int J Clin Pract. 2007 Aug;61(8):1349-55. doi: 10.1111/j.1742-1241.2007.01433.x. Epub 2007 Jun 30.
6
Duloxetine compared with placebo for treating women with symptoms of overactive bladder.度洛西汀与安慰剂治疗膀胱过度活动症女性症状的比较。
BJU Int. 2007 Aug;100(2):337-45. doi: 10.1111/j.1464-410X.2007.06980.x. Epub 2007 May 19.
7
Association between urogenital symptoms and depression in community-dwelling women aged 20 to 70 years.20至70岁社区居住女性泌尿生殖系统症状与抑郁症之间的关联。
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Is abuse causally related to urologic symptoms? Results from the Boston Area Community Health (BACH) Survey.虐待与泌尿系统症状有因果关系吗？来自波士顿地区社区健康（BACH）调查的结果。
Eur Urol. 2007 Aug;52(2):397-406. doi: 10.1016/j.eururo.2007.03.024. Epub 2007 Mar 16.
9
Bringing the war back home: mental health disorders among 103,788 US veterans returning from Iraq and Afghanistan seen at Department of Veterans Affairs facilities.将战争带回家：在退伍军人事务部医疗机构就诊的103788名从伊拉克和阿富汗归来的美国退伍军人中的心理健康障碍问题。
Arch Intern Med. 2007 Mar 12;167(5):476-82. doi: 10.1001/archinte.167.5.476.
10
Duloxetine, a serotonin and noradrenaline reuptake inhibitor (SNRI) for the treatment of stress urinary incontinence: a systematic review.度洛西汀，一种用于治疗压力性尿失禁的5-羟色胺和去甲肾上腺素再摄取抑制剂（SNRI）：一项系统评价
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女性退伍军人的尿失禁、抑郁和创伤后应激障碍。

Urinary incontinence, depression and posttraumatic stress disorder in women veterans.

机构信息

Comprehensive Access and Delivery Research and Evaluation Center, Iowa City VA Health Care System, Iowa City, IA, USA.

出版信息

Am J Obstet Gynecol. 2012 Jun;206(6):502.e1-8. doi: 10.1016/j.ajog.2012.04.016. Epub 2012 Apr 16.

DOI:10.1016/j.ajog.2012.04.016
PMID:22631867
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3381607/
Abstract

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 ± 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.

摘要

目的

研究女性退伍军人中尿失禁（UI）症状、抑郁和创伤后应激障碍之间的关联。

研究设计

这项横断面研究招募了年龄在 20 至 52 岁之间的女性，她们在研究访谈前的 5 年内登记在 2 家美国中西部退伍军人事务部医疗中心或外围诊所。参与者完成了一项计算机辅助电话访谈，评估尿妇科、医学和心理健康状况。多变量分析研究了应激性和紧迫性 UI 以及抑郁和创伤后应激障碍之间的独立关联。

结果

968 名女性的平均年龄为 38.7±8.7 岁。其中，191 名（19.7%）报告有急迫/混合性 UI，183 名（18.9%）报告有应激性 UI。创伤后应激障碍（比值比，1.8；95%置信区间，1.0-3.1）而不是抑郁（比值比，1.2；95%置信区间，0.73-2.0）与急迫/混合性 UI 相关。应激性 UI 与创伤后应激障碍或抑郁无关。

结论

在女性退伍军人中，急迫/混合性 UI 与创伤后应激障碍有关，但与抑郁无关。