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Major depression in female urinary incontinence
Simone N Vigod1, Donna E Stewart
1University of Toronto and the Women's Health Program, University Health Network Toronto, Ontario, Canada.
Psychosomatics
|March 2, 2006
Summary
Urinary incontinence significantly increases the risk of major depression in Canadian women, particularly younger adults. This dual diagnosis leads to greater healthcare use and distress.
Area of Science:
- Public Health
- Epidemiology
- Women's Health
Background:
- Urinary incontinence (UI) is a prevalent condition affecting women's quality of life.
- Major depression is a significant public health concern with substantial societal impact.
Purpose of the Study:
- To investigate the association between urinary incontinence and major depression in Canadian women.
- To quantify the prevalence of depression among women with and without UI.
- To examine the impact of comorbid UI and depression on healthcare utilization and well-being.
Main Methods:
- Utilized data from the Canadian Community Health Survey.
- Analyzed the prevalence of major depression in women with and without urinary incontinence.
- Compared outcomes such as physician use, distress, and work absence between groups.
Main Results:
- Prevalence of depression was 15.5% in women with UI versus 9.2% in women without UI.
- Among women with UI, depression prevalence was 30% in the 18-44 age group.
- Women with both conditions reported higher physician use, distress, and work absence.
Conclusions:
- Urinary incontinence and major depression frequently coexist in Canadian women.
- The combined impact of UI and depression is greater than the sum of their individual effects.
- Healthcare providers should screen for depression in women with UI and vice versa.
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