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.
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。
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本文引用的文献
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J Womens Health (Larchmt). 2011 Nov;20(11):1693-701. doi: 10.1089/jwh.2010.2399. Epub 2011 Aug 11.
2
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J Urol. 2009 Dec;182(6):2785-90. doi: 10.1016/j.juro.2009.08.035. Epub 2009 Oct 22.
3
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4
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JAMA. 2007 Nov 14;298(18):2141-8. doi: 10.1001/jama.298.18.2141.
5
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