Urinary incontinence, depression and posttraumatic stress disorder in women veterans

• Published in: American journal of obstetrics and gynecology Vol. 206; no. 6; pp. 502.e1 - 502.e8
• Main Authors: Bradley, Catherine S., MD, MSCE, Nygaard, Ingrid E., MD, MS, Mengeling, Michelle A., PhD, Torner, James C., PhD, Stockdale, Colleen K., MD, MS, Booth, Brenda M., PhD, Sadler, Anne G., PhD, RN
• Format: Journal Article
• Language: English
• Published: New York, NY Mosby, Inc 01.06.2012; Elsevier
• Subjects: Adult; Adult and adolescent clinical studies; Biological and medical sciences; Cross-Sectional Studies; Depression; Depression - complications; Female; Gynecology. Andrology. Obstetrics; Health Surveys; Humans; Iowa; Logistic Models; Medical sciences; Middle Aged; Mood disorders; Multivariate Analysis; Nephrology. Urinary tract diseases; Obstetrics and Gynecology; Odds Ratio; posttraumatic stress disorder; Prevalence; Prospective Studies; Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; stress; Stress Disorders, Post-Traumatic - complications; urgency urinary incontinence; urinary incontinence; Urinary Incontinence, Stress - epidemiology; Urinary Incontinence, Stress - etiology; Urinary Incontinence, Urge - epidemiology; Urinary Incontinence, Urge - etiology; Urinary system involvement in other diseases. Miscellaneous; Urinary tract. Prostate gland; Veterans Health - statistics & numerical data; women veterans; Iowa; stress; urgency urinary incontinence; depression; urinary incontinence; posttraumatic stress disorder; women veterans; Mood disorder; Human; Urinary system disease; Depressions; Gynecology; Anxiety disorder; Depression; Posttraumatic stress disorder; Urinary tract disease; Obstetrics; Stress; Urinary incontinence; Voiding dysfunction; Female; Bladder disease; Woman
• ISSN: 0002-9378; 1097-6868
• DOI: 10.1016/j.ajog.2012.04.016

Objective To study associations between urinary incontinence (UI) symptoms, depression, and posttraumatic stress disorder in women veterans. Study Design This cross-sectional study enrolled women 20 to 52 years of age registered at 2 midwestern US Veterans Affairs Medical Centers or outlying clinics within 5 years preceding study interview. Participants completed a computer-assisted telephone interview assessing urogynecologic, medical, and mental health. Multivariable analyses studied independent associations between stress and urgency UI and depression and posttraumatic stress disorder. Results Nine hundred sixty-eight women mean aged 38.7 ± 8.7 years were included. Of these, 191 (19.7%) reported urgency/mixed UI and 183 (18.9%) stress UI. Posttraumatic stress disorder (odds ratio, 1.8; 95% confidence interval, 1.0–3.1) but not depression (odds ratio, 1.2; 95% confidence interval, 0.73–2.0) was associated with urgency/mixed UI. Stress UI was not associated with posttraumatic stress disorder or depression. Conclusion In women veterans, urgency/mixed UI was associated with posttraumatic stress disorder but not depression.