Cross-Sectional Associations of Depressive Symptoms, Anxiety Symptoms, and Emotional Support Seeking with Lower Urinary Tract Symptoms and Bladder Health.
Sonya S Brady, Deepa R Camenga, Tamera Coyne-Beasley, Chloe Falke, Colleen M Fitzgerald, Bernard L Harlow, Kimberly Kenton, Heather Klusaritz, Cora E Lewis, Dulce P Rodriguez-Ponciano, Kyle D Rudser, Abigail R Smith, Ariana L Smith, Siobhan Sutcliffe, Eliza Wilson-Powers, Shayna D Cunningham
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引用次数: 0
Abstract
Introduction and hypothesis: Depressive and anxiety symptoms are known risk factors for lower urinary tract symptoms (LUTS). To inform prevention and treatment strategies, this research examined whether greater emotional support seeking weakened associations of affective symptoms with LUTS and poorer bladder health.
Methods: Data were collected from women in the USA who participated in the RISE FOR HEALTH study of bladder health. In this cross-sectional analysis (analytic sample n = 1444), self-reported LUTS, perceived bladder health, and perceived impact of bladder health on five domains of living (social and occupational activities, travel, physical activities, intimacy, and emotions) were separately regressed on depressive symptoms, anxiety symptoms, and emotional support seeking. Interaction tests examined whether emotional support seeking modified associations of affective symptoms with LUTS and bladder health.
Results: Report of worse depressive symptoms, worse anxiety symptoms, and lower levels of engagement in emotional support seeking were associated with more frequent LUTS, poorer perceived bladder health, and lower perceived positive impact of bladder health on each domain of living. Emotional support seeking was not associated with LUTS and bladder health outcomes when adjusting for affective symptoms, and did not modify associations of affective symptoms with LUTS and bladder health outcomes.
Conclusions: Intervention research to prevent LUTS and promote bladder health can test strategies that include screening and providing timely treatment of affective symptoms. Health care providers treating women for LUTS can screen for affective symptoms and make referrals to ensure that both the physical health and the mental health needs of patients are being met.
引言和假设：抑郁和焦虑症状是已知的下尿路症状（LUTS）的危险因素。为了为预防和治疗策略提供信息，本研究调查了更多的情感支持是否会削弱情感症状与LUTS和膀胱健康状况较差的关联。方法：收集参加RISE FOR HEALTH膀胱健康研究的美国妇女的数据。在这个横断面分析中（分析样本n = 1444），自我报告的LUTS、感知膀胱健康和感知膀胱健康对五个生活领域（社会和职业活动、旅行、身体活动、亲密关系和情感）的影响分别在抑郁症状、焦虑症状和情感支持寻求方面进行回归。相互作用测试检查情感支持是否寻求改变情感症状与LUTS和膀胱健康的关联。结果：抑郁症状加重、焦虑症状加重和情感支持寻求水平较低的报告与更频繁的LUTS、更差的膀胱健康感知以及更低的膀胱健康感知对生活各个领域的积极影响相关。当调整情感症状时，情感支持寻求与LUTS和膀胱健康结果无关，并且没有改变情感症状与LUTS和膀胱健康结果的关联。结论：预防LUTS和促进膀胱健康的干预研究可以测试包括筛查和及时治疗情感性症状的策略。为患有LUTS的妇女提供治疗的保健提供者可以筛查情感症状并转诊，以确保满足患者的身体健康和精神健康需求。
期刊介绍：
The International Urogynecology Journal is the official journal of the International Urogynecological Association (IUGA).The International Urogynecology Journal has evolved in response to a perceived need amongst the clinicians, scientists, and researchers active in the field of urogynecology and pelvic floor disorders. Gynecologists, urologists, physiotherapists, nurses and basic scientists require regular means of communication within this field of pelvic floor dysfunction to express new ideas and research, and to review clinical practice in the diagnosis and treatment of women with disorders of the pelvic floor. This Journal has adopted the peer review process for all original contributions and will maintain high standards with regard to the research published therein. The clinical approach to urogynecology and pelvic floor disorders will be emphasized with each issue containing clinically relevant material that will be immediately applicable for clinical medicine. This publication covers all aspects of the field in an interdisciplinary fashion
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