Korean J Psychosom Med.
2017 Dec;25(2):129-135. 10.22722/kjpm.2017.25.2.129.
The Influence of Urinary Incontinence and Depression in Elderly on the Quality of the Life
- Affiliations
-
- 1Department of Psychiatry,School of Medicine, Konkuk University, Chungju, Korea.
- 2Department of Neurology,School of Medicine, Konkuk University, Chungju, Korea. Psychiatry@kku.ac.kr
- 3Department of Urology,School of Medicine, Konkuk University, Chungju, Korea.
- 4Department of Preventive Medicine, The Catholic University of Korea, Seoul, Korea.
- 5Clinical Research Center for Depression, College of Medicine, The Catholic University of Korea, Seoul, Korea.
- KMID: 2411726
- DOI: http://doi.org/10.22722/kjpm.2017.25.2.129
Abstract
OBJECTIVES
Little is known about the influence of urinary incontinence and depression on individual's QOL(Quality of life). We aimed to clarify how the interaction between urinary incontinence and depression influences one's QOL.
METHODS
A total of 1262 patients were enrolled in this study from April, 2011 to July, 2011. We estimated the severity of depressive symptoms and QOL, using SGDS-K, EQ-5D. We also investigated the morbidity of urinary incontinence for each patient in person or by questionnaire. Comparisons of QOL between groups with or without depression, with or without urinary incontinence were established using t-test, ANOVA and Scheffe's post hoc analysis. The interaction between urinary incontinence and depression was analyzed by each domain of QOL, using multiple regression analysis.
RESULTS
Patients with depression and urinary incontinence showed significantly higher EQ-5D scores on every domain of QOL than other patients, which means significantly lower QOL. Patients with depression, no urinary incontinence reported lower QOL, especially in the domain of "˜usual activity', "˜anxiety' and "˜visual analogue scale(VAS)', whereas those with urinary incontinence, no depression showed lower QOL in "˜motility', "˜usual activities' and "˜pain' domain. Statistically significant interaction effects of two diseases were observed in the domain of "˜VAS', "˜self care' and "˜anxiety'.
CONCLUSIONS
Comorbidity of urinary incontinence and depression showed significantly lower QOL of patients, compared with urinary incontinence or depression respectively, which implies additive interaction effects of the two diseases. Optimal diagnosis and treatment of depression should be emphasized for patients with urinary incontinence.
- Full Text Links
-
- Actions
-
Cited
- CITED
-
- Close
- Share
-
- Similar articles
-
- Influence of Lower Urinary Tract Symptoms, Physical Activity, and Depression on the Quality of Sleep in Elderly Women with Urinary Incontinence
- The Effects of Lower Urinary Tract Symptoms on Depression and Quality of Life among Women in Urban Areas
- Factors Affecting the Severity of Urinary Incontinence and the Quality of Life of Women with Urinary Incontinence
- Urinary incontinence and overactive bladder
- Anxiety, Depression and Quality of Life of Married Women with Urinary Incontinence Living in the Community
