When bladder and brain collide: Is there a gender difference in the relationship between urinary incontinence, chronic depression, and anxiety?
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info:eu-repo/semantics/openAccessAttribution 4.0 Internationalhttps://creativecommons.org/licenses/by/4.0/Date
2023Author
Daşdelen, Muhammed FurkanAlmas, Furkan
Çelik, Süleyman
Çelik, Nursanem
Seyhan, Züleyha
del Pilar Laguna Pes, Maria
Albayrak, Selami
Horuz, Rahim
Koçak, Mehmet
de la Rosette, Jean J. M. C. H.
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Daşdelen, M. F., Almas, F., Çelik, S., Çelik, N., Seyhan, Z., del Pilar Laguna Pes, M. ... de la Rosette, J. J. M. C. H. (2023). When bladder and brain collide: Is there a gender difference in the relationship between urinary incontinence, chronic depression, and anxiety? Journal of Clinical Medicine, 12(17). https://dx.doi.org/10.3390/jcm12175535Abstract
In longitudinal and cross-sectional studies, depression and anxiety have been associated with urinary incontinence (UI) in women. However, this association has not been studied in men. Utilizing data from the 2008 Turkish Health Studies Survey conducted by the Turkish Statistical Institute, we analyzed 13,830 participants aged 15 years and above. We investigated the association of UI with psychological discomfort in both sexes using multivariable logistic regression. High psychological discomfort significantly correlated with UI in males (OR 2.30, 95% CI 1.43–3.71) and females (OR 2.78, 95% CI 1.80–4.29). Anxiety increased UI likelihood in females (OR 2.36, 95% CI 1.61–3.46) and males (OR 2.37, 95% CI 1.10–5.13). Depression related significantly to UI in females (OR 2.54, 95% CI 1.81–3.58) but not males (OR 1.63, 95% CI 0.71–3.76). Antidepressant and anxiolytic use was not significantly related to UI in either gender. Anxiety and psychological discomfort contribute to UI in both genders. While depression significantly correlates with UI in females, it does not show the same magnitude and significance in males. Antidepressant and anxiolytic use did not significantly influence the association. These findings underscore the psychological distress-UI link, advocating a holistic approach for managing UI in individuals with mental health conditions.
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