Anxiety and depression in women with urinary incontinence using E-health.
Anxiety
Depression
Epidemiology
Urinary incontinence
eHealth
Journal
International urogynecology journal
ISSN: 1433-3023
Titre abrégé: Int Urogynecol J
Pays: England
ID NLM: 101567041
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
20
10
2019
accepted:
14
01
2020
pubmed:
26
2
2020
medline:
24
6
2021
entrez:
26
2
2020
Statut:
ppublish
Résumé
Previous studies have found high prevalence rates of anxiety and depression in women with urinary incontinence (UI). This study investigates the prevalence in women who had turned to eHealth for treatment of UI and identifies possible factors associated with depression. We analyzed data from two randomized controlled trials evaluating eHealth treatment for UI, including 373 women with stress UI (SUI), urgency UI (UUI), or mixed UI (MUI). We used the Hospital Anxiety and Depression Scale (HADS) and defined a score of ≥8 as depression or anxiety. The ICIQ-UI-SF questionnaire was used to score incontinence severity. Logistic regression was used to determine factors associated with depression and anxiety. Women with UUI or MUI were older than women with SUI, mean age 58.3 vs 48.6 years (p = <0.001). Four out of five participating women had a university education. The prevalence of anxiety and depression in women with SUI was 12.4% and 3.2% respectively. In women with MUI/UUI, 13.8% had anxiety and 10.6% had depression. In multivariate analyses, the odds ratio of having depression was 4.2 (95% CI = 1.4-12.3) for women with MUI/UUI compared with SUI when controlling for other risk factors. The odds of depression in women with MUI/UUI were increased compared with SUI. The prevalence of anxiety and depression was considerably lower than reported in large cross-sectional surveys. Socioeconomic differences may partly explain this finding, as the use of eHealth still is more common among highly educated women.
Identifiants
pubmed: 32095954
doi: 10.1007/s00192-020-04227-2
pii: 10.1007/s00192-020-04227-2
pmc: PMC7788012
doi:
Types de publication
Journal Article
Randomized Controlled Trial
Langues
eng
Sous-ensembles de citation
IM
Pagination
103-109Subventions
Organisme : Familjen Kamprads Stiftelse
ID : 20170202
Organisme : Forskningsrådet om Hälsa, Arbetsliv och Välfärd
ID : 2014-5140
Organisme : Region Jämtland Härjedalen
ID : JLL-866281
Références
Abrams P, Cardozo L, Fall M, et al. The standardisation of terminology in lower urinary tract function: report from the standardisation sub-committee of the International Continence Society. Urology. 2003;61:37–49.
doi: 10.1016/S0090-4295(02)02243-4
Hannestad YS, Rortveit G, Sandvik H, et al. A community-based epidemiological survey of female urinary incontinence: the Norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-Trøndelag. J Clin Epidemiol. 2000;53:1150–7.
doi: 10.1016/S0895-4356(00)00232-8
Hunskaar S, Burgio K, Diokno A, et al. Epidemiology and natural history of urinary incontinence in women. Urology. 2003;62:16–23.
doi: 10.1016/S0090-4295(03)00755-6
Shamliyan T, Wyman J, Kane RL. Nonsurgical treatments for urinary incontinence in adult women: diagnosis and comparative effectiveness. Rockville, MD: Agency for Healthcare Research and Quality (US); 2012.
Wood LN, Anger JT. Urinary incontinence in women. BMJ. 2014;349:g4531.
doi: 10.1136/bmj.g4531
Haylen BT, de Ridder D, Freeman RM, et al. An International Urogynecological Association (IUGA)/International Continence Society (ICS) joint report on the terminology for female pelvic floor dysfunction. Neurourol Urodyn. 2010;29:4–20. https://doi.org/10.1002/nau.20798 .
doi: 10.1002/nau.20798
pubmed: 19941278
Dumoulin C, Cacciari LP, Hay-Smith EJC. Pelvic floor muscle training versus no treatment, or inactive control treatments, for urinary incontinence in women. Cochrane Database Syst Rev. 2018;10:CD005654. https://doi.org/10.1002/14651858.CD005654.pub4 .
doi: 10.1002/14651858.CD005654.pub4
Borello-France D, Burgio KL, Goode PS, et al. Adherence to behavioral interventions for stress incontinence: rates, barriers, and predictors. Phys Ther. 2013;93:757–73. https://doi.org/10.2522/ptj.20120072 .
doi: 10.2522/ptj.20120072
pubmed: 23431210
pmcid: 3664038
Siddiqui NY, Levin PJ, Phadtare A, et al. Perceptions about female urinary incontinence: a systematic review. Int Urogynecol J. 2014;25:863–71. https://doi.org/10.1007/s00192-013-2276-7 .
doi: 10.1007/s00192-013-2276-7
pubmed: 24310988
Hannestad YS, Rortveit G, Hunskaar S. Help-seeking and associated factors in female urinary incontinence. The Norwegian EPINCONT study. Epidemiology of incontinence in the county of Nord-Trøndelag. Scand J Prim Health Care. 2002;20:102–7.
doi: 10.1080/pri.20.2.102.107
Monz B, Chartier-Kastler E, Hampel C, et al. Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: results from PURE. Eur Urol. 2007;51:1073–81; discussion 1081–1082. https://doi.org/10.1016/j.eururo.2006.09.022 .
doi: 10.1016/j.eururo.2006.09.022
pubmed: 17081676
Dahlberg K, Forsell Y, Damström-Thakker K, Runeson B. Mental health problems and healthcare contacts in an urban and a rural area. Comparisons of two Swedish counties. Nord J Psychiatry. 2007;61:40–6. https://doi.org/10.1080/08039480601129333 .
doi: 10.1080/08039480601129333
pubmed: 17365788
Kessler RC, Chiu WT, Demler O, et al. Prevalence, severity, and comorbidity of 12-month DSM-IV disorders in the National Comorbidity Survey Replication. Arch Gen Psychiatry. 2005;62:617–27. https://doi.org/10.1001/archpsyc.62.6.617 .
doi: 10.1001/archpsyc.62.6.617
pubmed: 15939839
pmcid: 2847357
Felde G, Bjelland I, Hunskaar S. Anxiety and depression associated with incontinence in middle-aged women: a large Norwegian cross-sectional study. Int Urogynecol J. 2012;23:299–306. https://doi.org/10.1007/s00192-011-1564-3 .
Eysenbach G. What is e-health? J Med Internet Res. 2001;3:E20. https://doi.org/10.2196/jmir.3.2.e20 .
Marcolino MS, Oliveira JAQ, D’Agostino M, et al. The impact of mHealth interventions: systematic review of systematic reviews. JMIR Mhealth Uhealth. 2018;6:e23. https://doi.org/10.2196/mhealth.8873 .
doi: 10.2196/mhealth.8873
pubmed: 29343463
pmcid: 5792697
Kontos E, Blake KD, Chou W-YS, Prestin A. Predictors of eHealth usage: insights on the digital divide from the health information National Trends Survey 2012. J Med Internet Res. 2014;16:e172. https://doi.org/10.2196/jmir.3117 .
doi: 10.2196/jmir.3117
pubmed: 25048379
pmcid: 4129114
Sjöström M, Umefjord G, Stenlund H, et al. Internet-based treatment of stress urinary incontinence: 1- and 2-year results of a randomized controlled trial with a focus on pelvic floor muscle training. BJU Int. 2015;116:955–64. https://doi.org/10.1111/bju.13091 .
doi: 10.1111/bju.13091
pubmed: 25683075
pmcid: 4690161
Asklund I, Nyström E, Sjöström M, et al. Mobile app for treatment of stress urinary incontinence: a randomized controlled trial. Neurourol Urodyn. 2017;36:1369–76. https://doi.org/10.1002/nau.23116 .
doi: 10.1002/nau.23116
pubmed: 27611958
Sjöström M, Umefjord G, Stenlund H, et al. Internet-based treatment of stress urinary incontinence: a randomised controlled study with focus on pelvic floor muscle training. BJU Int. 2013;112:362–72. https://doi.org/10.1111/j.1464-410X.2012.11713.x .
doi: 10.1111/j.1464-410X.2012.11713.x
pubmed: 23350826
pmcid: 3798106
Avery K, Donovan J, Peters TJ, et al. ICIQ: a brief and robust measure for evaluating the symptoms and impact of urinary incontinence. Neurourol Urodyn. 2004;23:322–30. https://doi.org/10.1002/nau.20041 .
doi: 10.1002/nau.20041
pubmed: 15227649
Zigmond AS, Snaith RP. The Hospital Anxiety and Depression Scale. Acta Psychiatr Scand. 1983;67:361–70.
doi: 10.1111/j.1600-0447.1983.tb09716.x
Bjelland I, Dahl AA, Haug TT, Neckelmann D. The validity of the hospital anxiety and depression scale. An updated literature review. J Psychosom Res. 2002;52:69–77.
doi: 10.1016/S0022-3999(01)00296-3
Klovning A, Avery K, Sandvik H, Hunskaar S. Comparison of two questionnaires for assessing the severity of urinary incontinence: the ICIQ-UI SF versus the incontinence severity index. Neurourol Urodyn. 2009;28:411–5. https://doi.org/10.1002/nau.20674 .
doi: 10.1002/nau.20674
Coyne KS, Kvasz M, Ireland AM, et al. 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. https://doi.org/10.1016/j.eururo.2011.07.049 .
doi: 10.1016/j.eururo.2011.07.049
pubmed: 21831517
Bjelland I, Krokstad S, Mykletun A, et al. Does a higher educational level protect against anxiety and depression? The HUNT study. Soc Sci Med. 2008;66:1334–45. https://doi.org/10.1016/j.socscimed.2007.12.019 .
doi: 10.1016/j.socscimed.2007.12.019
pubmed: 18234406
Viswanath K, Kreuter MW. Health disparities, communication inequalities, and eHealth. Am J Prev Med. 2007;32:S131–3. https://doi.org/10.1016/j.amepre.2007.02.012 .
doi: 10.1016/j.amepre.2007.02.012
pubmed: 17466818
pmcid: 2043145
Latulippe K, Hamel C, Giroux D. Social health inequalities and eHealth: a literature review with qualitative synthesis of theoretical and empirical studies. J Med Internet Res. 2017;19:e136. https://doi.org/10.2196/jmir.6731 .
doi: 10.2196/jmir.6731
pubmed: 28450271
pmcid: 5427250
Svenskarna och internet 2018. Accessed 24 April 2019. https://svenskarnaochinternet.se/rapporter/svenskarna-och-internet-2018/
Torrent-Sellens J, Díaz-Chao Á, Soler-Ramos I, Saigí-Rubió F. Modelling and predicting eHealth usage in Europe: a multidimensional approach from an online survey of 13,000 European Union internet users. J Med Internet Res. 2016;18:e188. https://doi.org/10.2196/jmir.5605 .
doi: 10.2196/jmir.5605
pubmed: 27450189
pmcid: 4975796