Mental Health, Sleep and Physical Function in Treatment Seeking Women with Urinary Incontinence

Nazema Y Siddiqui; Jonathan B Wiseman; David Cella; Catherine S Bradley; H. Henry Lai; Margaret E Helmuth; Abigail R Smith; James W Griffith; Cindy L Amundsen; Kimberly S Kenton; J. Quentin Clemens; Karl J Kreder; Robert M Merion; Ziya Kirkali; John W Kusek; Anne P Cameron; LURN

doi:10.1016/j.juro.2018.04.076

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Mental Health, Sleep and Physical Function in Treatment Seeking Women with Urinary Incontinence

Journal article

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Mental Health, Sleep and Physical Function in Treatment Seeking Women with Urinary Incontinence

Nazema Y Siddiqui, Jonathan B Wiseman, David Cella, Catherine S Bradley, H. Henry Lai, Margaret E Helmuth, Abigail R Smith, James W Griffith, Cindy L Amundsen, Kimberly S Kenton, …

The Journal of Urology, Vol.200(4), pp.848-855

10/2018

DOI: 10.1016/j.juro.2018.04.076

PMCID: PMC6146022

PMID: 29730202

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Abstract

We examined how mental health measures, sleep and physical function are associated with the presence and type of urinary incontinence and severity in women seeking treatment for lower urinary tract symptoms. This baseline cross-sectional analysis was performed in treatment seeking women with lower urinary tract symptoms. All participants completed the LUTS (Lower Urinary Tract Symptoms) Tool (Pfizer, New York, New York), which was used to classify women based on urinary incontinence symptoms and measure severity. The PROMIS (Patient-Reported Outcomes Measurement Information System) questionnaire for depression, anxiety, sleep disturbance and physical function, the PSS (Perceived Stress Scale) and the IPAQ-SF (International Physical Activity Questionnaire Short Form) were administered. Multivariable regression modeling was done to assess associations with urinary symptom presence, type and severity. We studied 510 women with a mean ± SD age of 56 ± 14 years. Of the women 82% were Caucasian, 47% were obese and 14% reported diabetes. Urinary incontinence was reported by 420 women (82.4%), including stress urinary incontinence in 70, urgency urinary incontinence in 85, mixed urinary incontinence in 240 and other urinary incontinence in 25. On adjusted analyses there was no difference in any mental health, sleep or physical function measure based on the presence vs the absence of urinary incontinence. Among women with urinary incontinence PROMIS anxiety and sleep disturbance scores were higher in those with mixed urinary incontinence than stress urinary incontinence. Increasing urinary incontinence severity was associated with higher PROMIS depression and anxiety scores, and higher PSS scores. However, higher urinary incontinence severity was not associated with a difference in sleep or physical function. Among treatment seeking women with lower urinary tract symptoms, increasing urinary incontinence severity rather than the presence or type of urinary incontinence was associated with increased depression, anxiety and stress.

anxiety

patient reported outcome measures

depression

urinary incontinence

urinary bladder

Details

Title: Subtitle: Mental Health, Sleep and Physical Function in Treatment Seeking Women with Urinary Incontinence
Creators: Nazema Y Siddiqui - Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina
Jonathan B Wiseman - Arbor Research Collaborative for Health, Ann Arbor, Michigan
David Cella - Department of Medical Social Sciences, Northwestern University, Chicago, Illinois
Catherine S Bradley - Departments of Obstetrics and Gynecology and Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa
H. Henry Lai - Departments of Surgery and Anesthesiology, Washington University School of Medicine, St. Louis, Missouri
Margaret E Helmuth - Arbor Research Collaborative for Health, Ann Arbor, Michigan
Abigail R Smith - Arbor Research Collaborative for Health, Ann Arbor, Michigan
James W Griffith - Department of Medical Social Sciences, Northwestern University, Chicago, Illinois
Cindy L Amundsen - Division of Urogynecology and Reconstructive Surgery, Department of Obstetrics and Gynecology, Duke University, Durham, North Carolina
Kimberly S Kenton - Feinberg School of Medicine, Northwestern University, Chicago, Illinois
J. Quentin Clemens - University of Michigan, Ann Arbor, Michigan
Karl J Kreder - Departments of Obstetrics and Gynecology and Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa
Robert M Merion - Arbor Research Collaborative for Health, Ann Arbor, Michigan
Ziya Kirkali - National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland
John W Kusek - National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland
Anne P Cameron - University of Michigan, Ann Arbor, Michigan
LURN
Resource Type: Journal article
Publication Details: The Journal of Urology, Vol.200(4), pp.848-855
DOI: 10.1016/j.juro.2018.04.076
PMID: 29730202
PMCID: PMC6146022
NLM abbreviation: J Urol
ISSN: 0022-5347
eISSN: 1527-3792
Publisher: Elsevier Inc
Language: English
Date published: 10/2018
Academic Unit: Epidemiology; Obstetrics and Gynecology; Urology
Record Identifier: 9983930280702771

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