Effect of Urinary Incontinence on Quality of Life among Iranian Women
Abstract
Objective: Present study aimed to evaluate the effects of stress, urge and mixed urinary incontinence on the quality of life and mental health of Iranian women with urinary incontinence (UI).
Materials and methods:This was a cross sectional study of quality of life and mental health among women without and with different types of urinary incontinence (n = 140). Quality of life (QOL) and mental health were compared and measured using the Urogenital Distress Inventory (UDI-6), the Incontinence Impact Questionnaire (IIQ-7) and the 12-items General Health Questionnaire (GHQ-12).
Results: Women with any types of urinary incontinence showed a significant lower degree of mental health. Women with mixed incontinence reported significantly lower QOL and mental health (P < 0.0001) compared to those with stress and urge incontinence, while there was no significant difference between women with stress and urge incontinence (P= 0.95).
Conclusion: Patients with UI showed inferior mental health and QOL while these symptoms were more severe among patients with mixed urinary incontinence.
Altaweel W, Alharbi M. Urinary incontinence: prevalence, risk factors, and impact on health related quality of life in saudi women. Neurourol Urodyn 2012; 31:642-5.
Abrams P, Cardozo L, Fall M. The standardization of terminology of lower urinary tract function: report from the standardization subcommittee of the International Continence Society. Urology 2003 ;61:37–49.
Yip SK, Cardozo L. Psychological morbidity and female urinary incontinence. Best Practice & Research Clinical Obstetrics and Gynaecology. 2007; 21: 321-329.
Shaw C, Tansey R, Jackson C. Barriers to help seeking in people with urinary symptoms. Fam Pract 2001; 18: 48-52.
Bent AE. Cundiff GW. Swift SE. Urogynecology and pelvic floor dysfunction. Sixth edition. 2008.
Leroy Lda S, Lopes MH. Urinary incontinence in the puerperium and its impact on the health-related quality of life. Rev Lat Am Enfermagem. 2012; 20:346-53
Riss P, Kargl J. Quality of life and urinary incontinence in women. Maturitas. 2011;68:137-42.
Mladenović Segedi L, Segedi D, Parezanović Ilić K. Quality of life in women with urinary incontinence. Med Glas Ljek komore Zenicko-doboj kantona 2011;8:237-42.
Basak T, Uzun S, Arslan F. Incontinence features, risk factors, and quality of life in Turkish women presenting at the hospital for urinary incontinence. J Wound Ostomy Continence Nurs 2012;39:84-9.
Ko Y, Lin S-J, Salmon W, Bron MS. The impact of urinary incontinence on quality of life of the elderly. Am J Manag Care 2005;11: 103-111.
Coyne KS, Zhou Z, Thompson C, Versi E.The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BUJ Int 2003;92: 731-735.
Pang MW, Leung HY, Chan LW, Yip SK. The impact of urinary incontinence on quality of life among women in Hong Kong. Hong Kong Med J 2005;11: 158-163.
Cheung RY, Chan SS, Yiu AK, Lee LL, Chung TKh. Quality of life in women with urinary incontinence is impaired and comparable to women with chronic diseases. Hong Kong Med J 2012; 18:214-20.
Paick JS, Cho MC, Oh SJ, Kim SW, Ku JH. Influence of self-perceived incontinence severity on quality of life and sexual function in women with urinary incontinence. Neurourology and Urodynamics 2007;26: 828-835.
Bogner HR. Urinary incontinence and psychological distress in community-dwelling older African Americans and whites. J Am Geriatr Soc 2004; 52: 1870-1874.
Fultz NH, Herzog AR. Self-Reported Social and Emotional Impact of Urinary Incontinence. Journal of the American Geriatrics Society 2001;49: 892-899.
Uebersax JS, Wyman JF, Shumaker SA, McClish DK, Fantl JA..Short forms to assess life quality and symptom distress for urinary incontinence in women: the Incontinence Impact Questionnaire and the Urogenital Distress Inventory. Continence Program for Women Research Group. Neurourol Urodyn 1995;14: 131-9.
Pevalin DJ. Multiple applications of the GHQ-12 in a general population sample: an investigation of longterm retest effects. Soc Psychiatry Psychiatr Epidemio 2000;35: 508-512.
Montazeri A, Harirchi AM, Shariati M, Garmaroudi G, Ebadi M, Fateh A. The 12-item General Health Questionnaire (GHQ-12): translation and validation study of the Iranian version. Health and Quality of Life Outcomes2003; 1:66.
Teunisse D, Bosch WVD, Weel CV, Lagro-Janssen T. "It can always happen": The impact of urinary incontinence on elderly men and women. Scandinavian Journal of Primary Health Care 2006; 24:166–173.
Goldacre MJ, Abisgold JD, Yeates DGR, Voss S, Seagroatt V. Self-harm and depression in women with urinary incontinence: a record-linkage study. BJU International 2007; 99: 601-605.
Melville JL, Delaney K, Newton K, Katon W. Incontinence severity and major depression in incontinent women. Obstet Gynecol 2005;106:585–92.
Mehta KM, Simonsick EM, Penninx BW, Schulz R, Rubin SM, Satterfield S, Yaffe K. Prevalence and correlates of anxiety symptoms in well-functioning older composition study. J Am Geriatr Soc 2003;51: 499–504.
Coyne KS, Kvasz M, Ireland AM, Milsom I, Kopp ZS, Chapple CR. Urinary incontinence and its relationship to mental health and health-related quality of life in men and women in Sweden, the United Kingdom, and the United States. Eur Urol 2012;61:88-95.
Bogner HR, Gallo JJ, Sammel MD, Ford DE, Armenian HK, Eaton WW.Urinary incontinence and psychological distress in community- dwelling older adults. Journal of American Geriatrics Society2002; 50: 489-495.
Bogner HR, Gallo JJ, Swartz KL, Ford DE. Anxiety disorders and disability secondary to urinary incontinence among adults over age 50. Int J Psychiatry Med 2002;32:141–154.
Wyman JF. Treatment of urinary incontinence in men & older women. American Journal of Nursing 2003;103(Suppl3): 26-35.
Oh SJ, Ku JH. Is a generic quality of life instrument helpful for evaluating women with urinary incontinence? Qual Life Res2006; 15: 495-501.
Nilsson M, Lalos A, Lalos O. The impact of female urinary incontinence and urgency on quality of life and partner relationship. Neurourol Urodyn 2009;28:976-81.
Lee JJ. The impact of urinary incontinence levels on the social lives of older Chinese in Honk kong. Hallym International Journal of Aging 2005;7: 63-80.
Bushnell DM, Martin ML, Summers KH, Svihra J, Lionis C, Patrick DL. Quality of life of women with urinary incontinence: Cross-cultural performance of 15 language versions of the I-QOL. Qual Life Res 2005;14: 1901-1913.
Kocak I, Okyay P, Dundar M, Erol H, Beser E. Female Urinary Incontinence in the West of Turkey: Prevalence, Risk Factors and Impact on Quality of Life. European Urology 2005; 48: 634-641.
Chen GD, Lin TL, Hu SW, Chen YC, Lin LY. Prevalence and correlation of urinary incontinence and overactive bladder in Taiwanese women. Neurourol Urodyn 2003; 22: 109-17.
Sinclair AJ, Ramsay IN. The psychosocial impact of urinary incontinence in women. Obstetrician & Gynaecologist 2011;13:143–148.
Moore CK. The impact of urinary incontinence and its treatment on female sexual function. Curr Urol Rep 2010;11:299-303.
Wilson L. Focus on older people. In Promoting continence: A clinical and research resource. 2nd edition. Edited by Getliffe K, Dolman M. London: Baillière Tindall 2003;135-184.
Oh SJ, Ku JH, Hong SK, Kim SW, Paick JS, Son H. Factors influencing self-perceived disease severity in women with stress urinary incontinence combined with or without urge incontinence. Neurourol Urodyn 2005;24: 341-347.
Dedicação AC, Haddad M, Saldanha MES, Driusso P. 2009. Comparison of quality of life for different types of female urinary incontinence. Rev Bras Fisioter 13: 116-22.
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Issue | Vol 8, No 1 (March 2014) | |
Section | Original Articles | |
Keywords | ||
Mental Health Quality of Life Urinary Incontinence |
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