Abstract
Objective
To investigate the relationship between urinary incontinence (UI) and depression in
middle-aged and older Korean women.
Study design
A total of 1116 participants diagnosed with UI among 7486 respondents were included
in this study, using data from a well-established survey that investigated a nationally
representative population: the Korean Longitudinal Study of Ageing (KLoSA). Computer-assisted
personal interviewing was used to assess the status of UI and depression. Depression
was assessed using the 10-item Center for Epidemiological Studies-Depression (CES-D
10) scale. Odds ratios (ORs) and 95% confidence intervals (95% CIs) for depression
were adjusted for age, household income level, marital status, education level, working
status, smoking behavior, alcohol drinking behavior, exercise level, residence, and
accompanying chronic diseases.
Results
The proportion of patients with depression was significantly higher among women with
UI (9.1%) than among women without UI (6.3%) (P< 0.0001). The depression scores became worse with worsening UI symptoms (OR of better
vs. same vs. worse, 1.00 vs. 1.51 vs. 2.15, respectively; P for trend = 0.0001), with an increased number of days experiencing UI during the prior month during
the 2 years of the panel study period (OR of none vs. 1 ≤ days ≤ 10 days vs. 10 days < were 1.00 vs. 2.15 vs. 4.36; P for trend = 0.003).
Conclusions
Inadequately controlled and frequent UI is strongly associated with depression in
middle-aged and older Korean women. The management of worsening UI may be of value
as part of the assessment and management of depression.
Keywords
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Article info
Publication history
Published online: November 21, 2017
Accepted:
November 20,
2017
Received in revised form:
July 24,
2017
Received:
January 29,
2017
Identification
Copyright
© 2017 Elsevier B.V. All rights reserved.
