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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Main Authors: Muhammed Furkan Dasdelen, Furkan Almas, Suleyman Celik, Nursanem Celik, Zuleyha Seyhan, Pilar Laguna, Selami Albayrak, Rahim Horuz, Mehmet Kocak, Jean de la Rosette
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Journal of Clinical Medicine
Subjects:
Online Access:https://www.mdpi.com/2077-0383/12/17/5535
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author Muhammed Furkan Dasdelen
Furkan Almas
Suleyman Celik
Nursanem Celik
Zuleyha Seyhan
Pilar Laguna
Selami Albayrak
Rahim Horuz
Mehmet Kocak
Jean de la Rosette
author_facet Muhammed Furkan Dasdelen
Furkan Almas
Suleyman Celik
Nursanem Celik
Zuleyha Seyhan
Pilar Laguna
Selami Albayrak
Rahim Horuz
Mehmet Kocak
Jean de la Rosette
author_sort Muhammed Furkan Dasdelen
collection DOAJ
description 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.
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spelling doaj.art-36e435103a0e457f9ca9c9d21d668fd82023-11-19T08:21:59ZengMDPI AGJournal of Clinical Medicine2077-03832023-08-011217553510.3390/jcm12175535When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?Muhammed Furkan Dasdelen0Furkan Almas1Suleyman Celik2Nursanem Celik3Zuleyha Seyhan4Pilar Laguna5Selami Albayrak6Rahim Horuz7Mehmet Kocak8Jean de la Rosette9International School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeInternational School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeInternational School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeSchool of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeInternational School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeInternational School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeSchool of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeInternational School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeInternational School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeInternational School of Medicine, Istanbul Medipol University, 34810 Istanbul, TürkiyeIn 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.https://www.mdpi.com/2077-0383/12/17/5535urinary incontinencedepressionanxietycross-sectional studyTurkishsurvey
spellingShingle Muhammed Furkan Dasdelen
Furkan Almas
Suleyman Celik
Nursanem Celik
Zuleyha Seyhan
Pilar Laguna
Selami Albayrak
Rahim Horuz
Mehmet Kocak
Jean de la Rosette
When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?
Journal of Clinical Medicine
urinary incontinence
depression
anxiety
cross-sectional study
Turkish
survey
title When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?
title_full When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?
title_fullStr When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?
title_full_unstemmed When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?
title_short When Bladder and Brain Collide: Is There a Gender Difference in the Relationship between Urinary Incontinence, Chronic Depression, and Anxiety?
title_sort when bladder and brain collide is there a gender difference in the relationship between urinary incontinence chronic depression and anxiety
topic urinary incontinence
depression
anxiety
cross-sectional study
Turkish
survey
url https://www.mdpi.com/2077-0383/12/17/5535
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