Al-Khlaiwi Thamir, Habib Syed Shahid, Saquib Nazmus, Muaddi Sarah, Alotaibi Shuruq, Hadba Albandary Bin, Alshaqrawi Munirah, Almuhaimel Deema, Alshammari Sarah
Department of Physiology, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
College of Medicine, Sulaiman AlRajhi University, Al-Qassim, Saudi Arabia.
BMC Psychol. 2025 Apr 21;13(1):412. doi: 10.1186/s40359-025-02734-9.
After delivery, the psychological status of women may go through several critical stages. Postpartum urinary incontinence (PPUI) might be one factor that affects mental health. The aim of this study is to evaluate the variables associated with depression, anxiety, and stress in women with PPUI using the Depression, Anxiety, Stress Scale (DASS).
A cross-sectional study of 813 Saudi women. Participants were asked to complete an online DASS and provide demographic information. Univariate and multivariate regression analyses were performed to assess the associations between variables and DASS.
Of those who experienced PPUI, 45.6% (n = 108, p value < 0.01) had a BMI ≥ 30, and 44.4% (n = 107, p value = 0.00) had more than 4 children. In the multivariate regression model, BMI (≥ 30 odds ratio: 1.2, p = 0.14), number of children (p = 0.03), type of delivery (caesarian delivery odds ratio: 1.5, p = 0.25), and severity of UI (severe UI odds ratio: 4.6, p = 0.00) were significantly associated with moderate to severe depression. In the multivariate regression model, BMI (≥ 30 odds ratio: 1.2, p = 0.05) and severity of UI (severe UI odds ratio: 3.7, p = 0.00) were significantly associated with moderate to severe anxiety. In the multivariate regression model, caesarian delivery (odds ratio: 1.9, p = 0.05) and severity of UI (severe UI odds ratio: 6.3, p = 0.00) were significantly associated with moderate to severe stress.
A high prevalence of anxiety was observed in postpartum women. Severity of PPUI was strongly associated with moderate to severe depression, anxiety, and stress in PPUI women.
分娩后，女性的心理状态可能会经历几个关键阶段。产后尿失禁（PPUI）可能是影响心理健康的一个因素。本研究的目的是使用抑郁、焦虑、压力量表（DASS）评估PPUI女性中与抑郁、焦虑和压力相关的变量。
对813名沙特女性进行横断面研究。参与者被要求完成一份在线DASS并提供人口统计学信息。进行单因素和多因素回归分析以评估变量与DASS之间的关联。
在经历过PPUI的女性中，45.6%（n = 108，p值<0.01）的体重指数（BMI）≥30，44.4%（n = 107，p值 = 0.00）育有4个以上子女。在多因素回归模型中，BMI（≥30比值比：1.2，p = 0.14）、子女数量（p = 0.03）、分娩方式（剖宫产比值比：1.5，p = 0.25）和尿失禁严重程度（重度尿失禁比值比：4.6，p = 0.00）与中度至重度抑郁显著相关。在多因素回归模型中，BMI（≥30比值比：1.2，p = 0.05）和尿失禁严重程度（重度尿失禁比值比：3.7，p = 0.00）与中度至重度焦虑显著相关。在多因素回归模型中，剖宫产（比值比：1.9，p = 0.05）和尿失禁严重程度（重度尿失禁比值比：6.3，p = 0.00）与中度至重度压力显著相关。
产后女性中焦虑的患病率较高。PPUI的严重程度与PPUI女性的中度至重度抑郁、焦虑和压力密切相关。
