Urinary incontinence, depression and posttraumatic stress disorder in women veterans

Am J Obstet Gynecol. 2012 Jun;206(6):502.e1-8. doi: 10.1016/j.ajog.2012.04.016. Epub 2012 Apr 16.

Abstract

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.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Cross-Sectional Studies
  • Depression / complications*
  • Female
  • Health Surveys
  • Humans
  • Iowa
  • Logistic Models
  • Middle Aged
  • Multivariate Analysis
  • Odds Ratio
  • Prevalence
  • Prospective Studies
  • Stress Disorders, Post-Traumatic / complications*
  • Urinary Incontinence, Stress / epidemiology
  • Urinary Incontinence, Stress / etiology*
  • Urinary Incontinence, Urge / epidemiology
  • Urinary Incontinence, Urge / etiology*
  • Veterans Health / statistics & numerical data*