Personality traits and the risk of urinary incontinence: Evidence from three longitudinal samples

IF 3.6 3区医学 Q2 GERIATRICS & GERONTOLOGY

International Journal of Geriatric Psychiatry Pub Date : 2024-04-01 DOI:10.1002/gps.6084

Yannick Stephan, Angelina R. Sutin, Antonio Terracciano

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引用次数: 0

Abstract

Objective

Urinary incontinence (UI) is a common condition with a substantial negative impact on older adults' quality of life. This study examines whether individual differences in behavioral, cognitive, and emotional traits assessed by the five major dimensions of personality are related to the risk of concurrent and incident UI.

Methods

Participants were older women and men (N > 26,000) from the Midlife in the United States Survey, the Health and Retirement Study, and the English Longitudinal Study of Aging. In each cohort, personality traits (measured with the Midlife Development Inventory) and demographic (age, sex, education, and race), clinical (body mass index, diabetes, blood pressure), and behavioral (smoking) factors were assessed at baseline. UI was assessed at baseline and again 8–20 years later. Results for each cohort were combined in random-effect meta-analyses.

Results

Consistently across cohorts, higher neuroticism and lower conscientiousness were related to a higher risk of concurrent and incident UI. To a lesser extent, extraversion, openness, and agreeableness were also related to lower risk of concurrent and incident UI. BMI, diabetes, blood pressure, and smoking partially accounted for these associations. There was little evidence that age or sex moderated the associations.

Conclusions

The present study provides novel, robust, and replicable evidence linking personality traits to UI. The higher vulnerability for UI for individuals who score higher on neuroticism and lower on conscientiousness is consistent with findings for other multifactorial geriatric syndromes. Personality traits can help identify individuals at risk and may help contextualize the clinical presentation of comorbid emotional, cognitive, and behavioral symptoms.

查看原文本刊更多论文

人格特质与尿失禁风险：来自三个纵向样本的证据。

目的：尿失禁（UI）是一种常见病，对老年人的生活质量有很大的负面影响。本研究探讨了通过五大人格维度评估的行为、认知和情感特征的个体差异是否与并发和偶发尿失禁的风险有关：参与者为美国中年调查、健康与退休研究和英国老龄化纵向研究中的老年女性和男性（人数大于 26,000 人）。在每个队列中，人格特征（用中年发展量表测量）和人口统计（年龄、性别、教育程度和种族）、临床（体重指数、糖尿病、血压）和行为（吸烟）因素都在基线时进行了评估。尿量指数在基线时进行评估，并在 8-20 年后再次进行评估。在随机效应荟萃分析中合并了每个队列的结果：结果：在不同队列中，较高的神经质和较低的自觉性与较高的并发和偶发尿失禁风险有关。在较小程度上，外向性、开放性和合意性也与并发和偶发尿失禁的较低风险有关。体重指数、糖尿病、血压和吸烟在一定程度上与这些因素有关。几乎没有证据表明年龄或性别会调节这些关联：本研究提供了将人格特质与尿崩症联系起来的新颖、可靠和可复制的证据。神经质得分较高和自觉性得分较低的人更易患尿崩症，这与其他多因素老年综合征的研究结果一致。人格特质有助于识别高危人群，并可帮助确定合并情绪、认知和行为症状的临床表现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Geriatric Psychiatry 医学-精神病学

CiteScore

6.10

自引率

2.50%

发文量

168

审稿时长

4-8 weeks

期刊介绍： The rapidly increasing world population of aged people has led to a growing need to focus attention on the problems of mental disorder in late life. The aim of the Journal is to communicate the results of original research in the causes, treatment and care of all forms of mental disorder which affect the elderly. The Journal is of interest to psychiatrists, psychologists, social scientists, nurses and others engaged in therapeutic professions, together with general neurobiological researchers. The Journal provides an international perspective on the important issue of geriatric psychiatry, and contributions are published from countries throughout the world. Topics covered include epidemiology of mental disorders in old age, clinical aetiological research, post-mortem pathological and neurochemical studies, treatment trials and evaluation of geriatric psychiatry services.