J Korean Med Sci.  2015 Nov;30(11):1646-1651. 10.3346/jkms.2015.30.11.1646.

Depression and Its Severity Are Strongly Associated with Both Storage and Voiding Lower Urinary Tract Symptoms Independently of Prostate Volume

• Jeong SM
• Suh B
• Jang SH
• Jin HS
• Kim N
• Kwon H
• Cho B
• Park JH

• KMID: 2351116
• DOI: http://doi.org/10.3346/jkms.2015.30.11.1646

Abstract

Depression is related to various functional medical conditions. Its association with lower urinary tract symptoms (LUTS) is also expected. We evaluated whether depression and its severity are associated with LUTS when LUTS risk factors including prostate volume (PV) are taken into account in a large population of Korean men. Study subjects included 10,275 men who underwent routine health check-ups at the Healthcare System Gangnam Center of Seoul National University Hospital. Depression was assessed using Beck Depression Inventory-II and LUTS using international prostate symptom score. PV was measured using transrectal ultrasonography by a radiologist. Effect sizes of depression severity on total, storage, and voiding symptoms were assessed. In multivariate logistic regression analysis, mild, moderate and severe depression were associated with total (adjusted odds ratio: aOR = 2.99, 3.86 and 8.99; all P < 0.001), voiding (aOR = 3.04, 3.28 and 5.58; all P < 0.001) and storage symptoms (aOR = 2.43, 3.43 and 2.89; all P < 0.05) showing dose response relationships (all P trend < 0.001). In a subgroup analysis for participants with PV data (n = 1,925), mild and moderate-severe depression were also associated with LUTS (aOR = 3.29, 2.84; P < 0.001 and 0.018, respectively). In conclusion, depression and its severity are strongly associated with total, voiding, and storage symptoms independently of PV state.

Keyword

Depression; Beck Depression Inventory; Lower Urinary Tract Symptoms; International Prostate Symptom Score; Prostate Volume

MeSH Terms

Adult
Age Distribution
Aged
Aged, 80 and over
Comorbidity
Depression/*diagnosis/*epidemiology
Humans
Incidence
Lower Urinary Tract Symptoms/*diagnosis/*epidemiology
Male
Men's Health/statistics & numerical data
Middle Aged
Organ Size
Prostate
Prostatic Hyperplasia/*diagnosis/*epidemiology
Republic of Korea/epidemiology
Risk Factors
Severity of Illness Index

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