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...
Main Authors: | , , , , , , , , , |
---|---|
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 |
_version_ | 1797582312408350720 |
---|---|
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. |
first_indexed | 2024-03-10T23:20:17Z |
format | Article |
id | doaj.art-36e435103a0e457f9ca9c9d21d668fd8 |
institution | Directory Open Access Journal |
issn | 2077-0383 |
language | English |
last_indexed | 2024-03-10T23:20:17Z |
publishDate | 2023-08-01 |
publisher | MDPI AG |
record_format | Article |
series | Journal of Clinical Medicine |
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 |
work_keys_str_mv | AT muhammedfurkandasdelen whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT furkanalmas whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT suleymancelik whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT nursanemcelik whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT zuleyhaseyhan whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT pilarlaguna whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT selamialbayrak whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT rahimhoruz whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT mehmetkocak whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety AT jeandelarosette whenbladderandbraincollideisthereagenderdifferenceintherelationshipbetweenurinaryincontinencechronicdepressionandanxiety |