Department of Medical Psychology, The Air Force Hospital of Northern Theater PLA, 46 Xiaoheyan Road, Shenyang, 110000, Liaoning, China.
Department of Radiology, The First People's Hospital of Xianyang, 10 Biyuan Road, Xianyang, 712000, Shaanxi, China.
Int Urogynecol J. 2022 May;33(5):1303-1309. doi: 10.1007/s00192-022-05169-7. Epub 2022 Mar 28.
The coexistence of urinary incontinence (UI) and depression has been intensively examined in women. This study aimed to investigate the prevalence and some clinical correlates of depression in women with UI.
The National Health and Nutrition Examination Survey (NHANE) 2005-2018 was used in this cross-sectional study, and a total of 7250 UI patients were included. Patientss were defined as having UI if they answered "yes" to the UI screening question. Depression symptoms were measured by Personal Health Questionnaire (PHQ-9).
The age-standardized prevalence of depression in women with UI was 13.7 (95% CI: 12.5-14.9). Multiple logistic regression showed that being younger (age <60 years), widowed, divorced or separated and having lower income, lower education level, more severe incontinence and mixed UI were associated with an increased likelihood of depression.
This population-based study suggested that the prevalence of depression in women with UI was high. The main clinical correlates for depression were younger age (<60 years), lower education level, lower income, being widowed, divorced or separated, and having more severe incontinence and mixed UI.
尿失禁（UI）和抑郁症共存已在女性中得到广泛研究。本研究旨在调查患有 UI 的女性中抑郁的患病率和一些临床相关性。
本横断面研究使用了 2005-2018 年全国健康和营养检查调查（NHANE）的数据，共纳入 7250 名 UI 患者。如果患者对 UI 筛查问题回答“是”，则将其定义为患有 UI。抑郁症状通过个人健康问卷（PHQ-9）进行测量。
患有 UI 的女性中抑郁的年龄标准化患病率为 13.7%（95%CI：12.5-14.9）。多因素逻辑回归显示，年龄较小（<60 岁）、丧偶、离婚或分居以及收入较低、教育水平较低、更严重的失禁和混合性 UI 与抑郁的可能性增加相关。
这项基于人群的研究表明，患有 UI 的女性中抑郁的患病率较高。抑郁的主要临床相关性是年龄较小（<60 岁）、教育水平较低、收入较低、丧偶、离婚或分居以及更严重的失禁和混合性 UI。
