Dataset Information

Association of urinary incontinence and depression or anxiety: a meta-analysis.

ABSTRACT:

Objective

We explored the relationship between urinary incontinence (UI) and depression or anxiety.

Methods

We searched the Cochrane Library, Embase, and PubMed for articles on the association between depression, anxiety, and UI. We calculated pooled 95% confidence intervals (CIs) and odds ratios (ORs).

Results

Twelve articles (31,462 participants) were included. The UI group had significantly higher depression and anxiety levels than the non-UI group (OR?=?1.73, 95%CI: 1.64-1.82, I²?=?75.5%). In subgroup analysis, depression and anxiety were significantly higher in participants with UI than in those without UI (OR?=?1.95, 95%CI: 1.82-2.10, I²?=?64.3% and OR?=?1.54, 95%CI: 1.43-1.65, I²?=?59.2%, respectively). ?In subgroup analysis by age, participants with UI had significantly higher depression and anxiety, regardless of age, than the non-UI group (OR?=?1.59, 95%CI: 1.29-1.95, I²?=?59.1% and OR?=?1.98, 95%CI: 1.62-2.43, I²?=?75.5%, respectively).

Conclusion

Patients with UI had significantly higher depression and anxiety levels than those without UI. Depression and anxiety were higher in patients with UI than in those without UI, regardless of age. Larger sample sizes and more high-quality studies are needed to validate our findings.

SUBMITTER: Cheng S

PROVIDER: S-EPMC7303787 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Association of urinary incontinence and depression or anxiety: a meta-analysis.

Cheng Shulin S Lin Dong D Hu Tinghui T Cao Liang L Liao Hai H Mou Xiaoxi X Zhang Qiang Q Liu Junbo J Wu Tao T

The Journal of international medical research 20200601 6

<h4>Objective</h4>We explored the relationship between urinary incontinence (UI) and depression or anxiety.<h4>Methods</h4>We searched the Cochrane Library, Embase, and PubMed for articles on the association between depression, anxiety, and UI. We calculated pooled 95% confidence intervals (CIs) and odds ratios (ORs).<h4>Results</h4>Twelve articles (31,462 participants) were included. The UI group had significantly higher depression and anxiety levels than the non-UI group (OR = 1.73, 95%CI: 1.6 ...[more]

PMID: 32552169

Similar Datasets

Project description:ContextStress urinary incontinence (SUI) and urgency urinary incontinence (UUI) are associated with physical and psychological morbidity, and large societal costs. The long-term effects of delivery modes on each kind of incontinence remain uncertain.ObjectiveTo investigate the long-term impact of delivery mode on SUI and UUI.Evidence acquisitionWe searched Medline, Scopus, CINAHL, and relevant major conference abstracts up to October 31, 2014, including any observational study with adjusted analyses or any randomized trial addressing the association between delivery mode and SUI or UUI ≥1 yr after delivery. Two reviewers extracted data, including incidence/prevalence of SUI and UUI by delivery modes, and assessed risk of bias.Evidence synthesisPooled estimates from 15 eligible studies demonstrated an increased risk of SUI after vaginal delivery versus cesarean section (adjusted odds ratio [aOR]: 1.85; 95% confidence interval [CI], 1.56-2.19; I(2)=57%; risk difference: 8.2%). Metaregression demonstrated a larger effect of vaginal delivery among younger women (p=0.005). Four studies suggested no difference in the risk of SUI between spontaneous vaginal and instrumental delivery (aOR: 1.11; 95% CI, 0.84-1.45; I(2)=50%). Eight studies suggested an elevated risk of UUI after vaginal delivery versus cesarean section (aOR: 1.30; 95% CI, 1.02-1.65; I(2)=37%; risk difference: 2.6%).ConclusionsCompared with cesarean section, vaginal delivery is associated with an almost twofold increase in the risk of long-term SUI, with an absolute increase of 8%, and an effect that is largest in younger women. There is also an increased risk of UUI, with an absolute increase of approximately 3%.Patient summaryIn this systematic review we looked for the long-term effects of childbirth on urinary leakage. We found that vaginal delivery is associated with an almost twofold increase in the risk of developing leakage with exertion, compared with cesarean section, with a smaller effect on leakage in association with urgency.

Dataset Information

Association of urinary incontinence and depression or anxiety: a meta-analysis.

Objective

Methods

Results

Conclusion

Publications

Association of urinary incontinence and depression or anxiety: a meta-analysis.

Similar Datasets

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