Department of Surgery, school of Medicine, University of Campinas (UNICAMP), Campinas, Brazil.
Departament of Obstetrics and Gynecology, School of Medicine, University of Campinas (UNICAMP), Campinas, Brazil.
Neurourol Urodyn. 2018 Jan;37(1):223-228. doi: 10.1002/nau.23277. Epub 2017 Apr 13.
Depression and anxiety are prevalent psychiatric conditions and are associated with overactive bladder. The objective of this study was to determine prevalence and severity of anxiety and depression associated with overactive bladder (OAB) in women.
274 women with clinical diagnosis of OAB were recruited from 2012 to 2015. They were submitted to the International Consultation on Incontinence Questionnaire-Overactive Bladder (ICIQ-OAB), the Beck Depression Inventory (BDI), and the Beck Anxiety Inventory (BAI).
Severe or moderate depression was present in 59.8% of women and severe or moderate anxiety was identified in 62.4%. Higher scores of depression and anxiety were associated with higher scores of ICIQ-OAB (P = 0.0031 and 0.0049). Women with severe depression had higher nocturia score than those with mild depression (P = 0.0046). Also, women with severe depression had higher urgency incontinence score than those with minimal depression (P = 0.0261). Patients with severe anxiety had higher nocturia score than those with minimal anxiety (P = 0.0118) and women with moderate anxiety had higher urgency incontinence score than with minimal anxiety (P = 0.0300).
Moderate or severe depression and anxiety are prevalent in women with OAB. There is a correlation between intensity of OAB symptoms with depression and anxiety. Anxiety and depression levels are mainly related with urgency incontinence and nocturia.
抑郁和焦虑是常见的精神疾病，与膀胱过度活动症有关。本研究旨在确定与女性膀胱过度活动症（OAB）相关的焦虑和抑郁的患病率和严重程度。
2012 年至 2015 年期间，招募了 274 名临床诊断为 OAB 的女性。他们接受了国际尿失禁咨询问卷-膀胱过度活动症（ICIQ-OAB）、贝克抑郁量表（BDI）和贝克焦虑量表（BAI）的评估。
59.8%的女性存在严重或中度抑郁，62.4%的女性存在严重或中度焦虑。抑郁和焦虑评分较高与 ICIQ-OAB 评分较高相关（P = 0.0031 和 0.0049）。严重抑郁的女性夜尿症评分高于轻度抑郁的女性（P = 0.0046）。此外，严重抑郁的女性急迫性尿失禁评分高于轻度抑郁的女性（P = 0.0261）。严重焦虑的患者夜尿症评分高于轻度焦虑的患者（P = 0.0118），中度焦虑的女性急迫性尿失禁评分高于轻度焦虑的女性（P = 0.0300）。
OAB 女性中普遍存在中度或重度抑郁和焦虑。OAB 症状的严重程度与抑郁和焦虑之间存在相关性。焦虑和抑郁水平主要与急迫性尿失禁和夜尿症有关。
