When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?

In longitudinal and cross-sectional studies, depression and anxiety have been associated with urinary incontinence (UI) in women. However, this association has not been studied in men. Utilizing data from the 2008 Turkish Health Studies Survey conducted by the Turkish Statistical Institute, we analy...

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Bibliographic Details
Published in:Journal of clinical medicine 2023-08, Vol.12 (17), p.5535
Main Authors: Dasdelen, Muhammed Furkan, Almas, Furkan, Celik, Suleyman, Celik, Nursanem, Seyhan, Zuleyha, Laguna, Pilar, Albayrak, Selami, Horuz, Rahim, Kocak, Mehmet, de la Rosette, Jean
Format: Article
Language:English
Subjects:
Age groups
Antidepressants
Anxiety
Bladder
Care and treatment
Chronic illnesses
Clinical medicine
Complications and side effects
Cross-sectional studies
Depression, Mental
Diagnosis
Dosage and administration
Gender differences
Health surveys
Households
Mental depression
Mental health
Population
Psychological aspects
Quality of life
Questionnaires
Regression analysis
Rural areas
Serotonin
Urinary incontinence
Urine
Womens health
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Summary:In longitudinal and cross-sectional studies, depression and anxiety have been associated with urinary incontinence (UI) in women. However, this association has not been studied in men. Utilizing data from the 2008 Turkish Health Studies Survey conducted by the Turkish Statistical Institute, we analyzed 13,830 participants aged 15 years and above. We investigated the association of UI with psychological discomfort in both sexes using multivariable logistic regression. High psychological discomfort significantly correlated with UI in males (OR 2.30, 95% CI 1.43–3.71) and females (OR 2.78, 95% CI 1.80–4.29). Anxiety increased UI likelihood in females (OR 2.36, 95% CI 1.61–3.46) and males (OR 2.37, 95% CI 1.10–5.13). Depression related significantly to UI in females (OR 2.54, 95% CI 1.81–3.58) but not males (OR 1.63, 95% CI 0.71–3.76). Antidepressant and anxiolytic use was not significantly related to UI in either gender. Anxiety and psychological discomfort contribute to UI in both genders. While depression significantly correlates with UI in females, it does not show the same magnitude and significance in males. Antidepressant and anxiolytic use did not significantly influence the association. These findings underscore the psychological distress-UI link, advocating a holistic approach for managing UI in individuals with mental health conditions.
ISSN:2077-0383
2077-0383
DOI:10.3390/jcm12175535