Liang Yu, Si Guo Wei, Hu Hui Jie, Zhang Zhen Wei, Song Cui Ping, Dou Qi Feng, Wen Jian Guo
First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China.
Sanquan College of Xinxiang Medical University, Xinxiang, China.
Int Neurourol J. 2022 Dec;26(4):342-348. doi: 10.5213/inj.2244188.094. Epub 2022 Dec 30.
The purpose of this study was to investigate the prevalence and risk factors of overactive bladder (OAB) in young adults and to explore the influence of OAB on mental health.
Between October 2019 and January 2020, 14,010 anonymous questionnaires were distributed to freshmen at 2 universities in Henan, China. The students came from all over the country. The questionnaire included general items and information necessary to calculate the overactive bladder symptom score, the Chinese version of the Pittsburgh Sleep Quality Index (PSQI) score, Self-Esteem Scale (SES) score, and Self-Rating Depression Scale (SDS) score. The relationships between the prevalence of OAB and its risk factors were evaluated.
The overall prevalence of OAB was 6.0%, with 4.3% of participants characterized as having dry OAB and 1.7% as having wet OAB. The prevalence of mild OAB was 5.5%, and that of moderate OAB was 0.5%; no severe OAB was observed. Higher prevalence rates of OAB were found among women, respondents with constipation, and respondents with primary nocturnal enuresis (PNE) (P <0.05). Compared to healthy controls, the OAB group exhibited a higher mean SDS score (52.12±8.986 vs. 47.71±9.399, P<0.001) and mean PSQI score (5.28±2.486 vs. 4.27±2.431, P<0.001), but a lower mean SES score (27.78±3.599 vs. 29.57±4.109, P<0.001).
OAB significantly affects the mental health of young adults. Female sex, constipation, and PNE are risk factors for OAB.
本研究旨在调查年轻成年人膀胱过度活动症（OAB）的患病率及危险因素，并探讨OAB对心理健康的影响。
2019年10月至2020年1月期间，向中国河南2所大学的新生发放了14,010份匿名问卷。这些学生来自全国各地。问卷包括一般项目以及计算膀胱过度活动症症状评分所需的信息、中文版匹兹堡睡眠质量指数（PSQI）评分、自尊量表（SES）评分和自评抑郁量表（SDS）评分。评估了OAB患病率与其危险因素之间的关系。
OAB的总体患病率为6.0%，其中4.3%的参与者为干性OAB，1.7%为湿性OAB。轻度OAB的患病率为5.5%，中度OAB的患病率为0.5%；未观察到重度OAB。在女性、便秘患者和原发性夜间遗尿（PNE）患者中发现OAB的患病率较高（P<0.05）。与健康对照组相比，OAB组的平均SDS评分更高（52.12±8.986对47.71±9.399，P<0.001），平均PSQI评分更高（5.28±2.486对4.27±2.431，P<0.001），但平均SES评分更低（27.78±3.599对29.57±4.109，P<0.001）。
OAB显著影响年轻成年人的心理健康。女性、便秘和PNE是OAB的危险因素。
