Anxiety disorders and disability secondary to urinary incontinence among adults over age 50

被引:29
作者
Bogner, HR
Gallo, JJ
Swartz, KL
Ford, DE
机构
[1] Univ Penn, Sch Med, Dept Family Practice & Community Med, Philadelphia, PA 19104 USA
[2] Johns Hopkins Univ, Baltimore, MD 21218 USA
关键词
urinary incontinence; anxiety; functional impairment; aged;
D O I
10.2190/Y0L8-K2UV-BG4N-VW2J
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Objective: No previous research has investigated whether there is an association between anxiety disorders and urinary incontinence. We hypothesized that anxiety disorders would be associated with increased urinary incontinence related disability. Method: Continuing participants who were aged 50 years and older in a longitudinal study of community-dwelling adults who were initially living in East Baltimore in 1981 (n = 787). Participants were classified as incontinent if any uncontrolled urine loss within the 12 months prior to the interview was reported. Urinary incontinence related functional loss was further assessed based on a series of questions relating directly to participants' inability to engage in certain activities due to their urinary incontinence. Anxiety disorders were assessed with standardized interviews. Results: Persons meeting criteria for an anxiety disorder were no more likely to have urinary incontinence than were persons without anxiety disorders (unadjusted odds ratio (OR) = 1.36, 95 percent confidence interval (CI) [0.96,1.93]). Among people with urinary incontinence (n = 159), persons meeting criteria for anxiety disorders in 1981 and in 1994 were much more likely to report urinary incontinence related functional impairment in 1994 (adjusted OR = 6.51, 95 percent CI [1.42, 29.86]). Conclusions: Individuals with changes in day-to-day routines or activities secondary to urinary incontinence were more likely to meet criteria for an anxiety disorder than were other older adults. Further studies must tease out the temporal relationship and whether early detection of urinary incontinence and associated anxiety improves quality of life and functioning.
引用
收藏
页码:141 / 154
页数:14
相关论文
共 43 条
[1]  
American Psychiatric Association, 2000, Diagnostic and statistical manual of mental disorders, V5th, DOI [10.1176/appi.books.9780890425596, DOI 10.1176/APPI.BOOKS.9780890425596]
[2]  
Armenian HK, 1998, AM J EPIDEMIOL, V148, P269
[3]   Psychopathology and attrition in the Baltimore ECA 15-year follow-up 1981-1996 [J].
Badawi, MA ;
Eaton, WW ;
Myllyluoma, J ;
Weimer, LG ;
Gallo, J .
SOCIAL PSYCHIATRY AND PSYCHIATRIC EPIDEMIOLOGY, 1999, 34 (02) :91-98
[4]  
BENVENUTI F, 1987, AM J PHYS MED REHAB, V66, P155
[5]   EFFECTS OF ESTROGEN ON URETHRAL FUNCTION IN WOMEN WITH URINARY-INCONTINENCE [J].
BHATIA, NN ;
BERGMAN, A ;
KARRAM, MM .
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY, 1989, 160 (01) :176-181
[6]   Urinary incontinence and psychological distress in community-dwelling older adults [J].
Bogner, HR ;
Gallo, JJ ;
Sammel, MD ;
Ford, DE ;
Armenian, HK ;
Eaton, WW .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2002, 50 (03) :489-495
[7]   The association of depressive symptoms and urinary incontinence among older adults [J].
Dugan, E ;
Cohen, SJ ;
Bland, DR ;
Preisser, JS ;
Davis, CC ;
Suggs, PK ;
McGann, P .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2000, 48 (04) :413-416
[8]   PSYCHOPATHOLOGY AND ATTRITION IN THE EPIDEMIOLOGIC CATCHMENT-AREA SURVEYS [J].
EATON, WW ;
ANTHONY, JC ;
TEPPER, S ;
DRYMAN, A .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1992, 135 (09) :1051-1059
[9]  
Eaton WW., 1985, Epidemiologic Field Methods in Psychiatry: The NIMH Epidemiologic Catchment Area Program
[10]   EFFICACY OF BLADDER TRAINING IN OLDER WOMEN WITH URINARY-INCONTINENCE [J].
FANTL, JA ;
WYMAN, JF ;
MCCLISH, DK ;
HARKINS, SW ;
ELSWICK, RK ;
TAYLOR, JR ;
HADLEY, EC .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1991, 265 (05) :609-613