Abstract:
INTRODUCTION AND HYPOTHESIS:Depression is more common in patients with urinary incontinence (UI). Drug or rehabilitation therapy have been shown to be effective in reducing urgency UI (UUI) symptoms, but whether these treatments can ameliorate the negative impact of UUI on the psychological aspects of quality of life is unclear. METHODS:A secondary analysis of an assessor-blinded randomized controlled trial was performed. The number of depressive symptoms was the primary outcome as measured by the Center for Epidemiologic Studies Depression scale (CES-D). RESULTS:Thirty-six (22%) subjects had a CES-D score >16 at baseline, the cutoff for having depressive symptoms. A significant association was found between having a CES-D score >16 and lower quality of life related to UI at baseline. The mean CES-D score among those with depressive symptoms at baseline was significantly reduced throughout the study, with a mean of 23.7 at baseline, to 18.3 and 15.2 at the 3-month and 1-year follow-up (p < 0.001), respectively. The number of participants who had depressive symptoms decreased during the study period only in the physical therapy groups, from 31 at baseline to 28 and 25, at 3 and 12 months, respectively, while there was no such change in the drug group. CONCLUSIONS:Patients with UUI who had depressive symptoms showed significant improvement in their depressive symptoms with treatment over 1 year. This improvement occurred regardless of the type of treatment. This study emphasizes the increasingly recognized problem of undiagnosed depression among middle-aged women with UUI.
journal_name
Int Urogynecol Jjournal_title
International urogynecology journalauthors
Kafri R,Kodesh A,Shames J,Golomb J,Melzer Idoi
10.1007/s00192-013-2116-9subject
Has Abstractpub_date
2013-11-01 00:00:00pages
1953-9issue
11eissn
0937-3462issn
1433-3023journal_volume
24pub_type
杂志文章,随机对照试验abstract::Bladder dysfunction is a very prevalent disorder and often refractory to behavioral and pharmacologic therapies. Sacral nerve stimulation is an approved method of managing urinary urgency, frequency, urge incontinence, and urinary retention. Alternative approaches to neuromodulation are being developed. The purpose of...
journal_title:International urogynecology journal
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journal_title:International urogynecology journal
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journal_title:International urogynecology journal
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更新日期:2012-11-01 00:00:00
abstract:INTRODUCTION AND HYPOTHESIS:Vaginal pessaries may offer symptomatic improvement for women with pelvic organ prolapse (POP) or urinary incontinence (UI). This study aimed to investigate multidisciplinary perspectives on vaginal pessary use in clinical practice and to understand the service organisation of vaginal pessar...
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更新日期:2018-02-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2012-12-01 00:00:00
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pub_type: 杂志文章
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更新日期:2012-02-01 00:00:00
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更新日期:2019-08-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,评审
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pub_type: 杂志文章,评审
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journal_title:International urogynecology journal
pub_type: 杂志文章
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更新日期:2019-09-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章,meta分析,评审
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-010-1353-4
更新日期:2011-05-01 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-013-2053-7
更新日期:2013-09-01 00:00:00
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pub_type: 杂志文章
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更新日期:2020-10-21 00:00:00
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journal_title:International urogynecology journal
pub_type: 杂志文章
doi:10.1007/s00192-014-2382-1
更新日期:2014-11-01 00:00:00