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Published on: November 21, 2013
Urinary incontinence in acute psychosis
1S. Choudhury, Psychiatrist, 151 Base Hospital, C/O 99 APO.
Indian Journal of Psychiatry
|July 12, 2011
Summary
Temporary urinary incontinence affects 1.63% of psychiatric patients without cognitive impairment. These patients often have a history of psychosis, childhood enuresis, and prior incontinence episodes.
Area of Science:
- Psychiatry
- Urology
Background:
- Urinary incontinence is a common issue in healthcare settings.
- Its prevalence and specific risk factors in psychiatric populations require further investigation.
Purpose of the Study:
- To determine the incidence of temporary urinary incontinence in psychiatric patients without delirium or dementia.
- To identify clinical characteristics associated with this condition.
Main Methods:
- Prospective study of 984 consecutive admissions to a psychiatry ward over two years.
- Comparison of incontinent patients (n=16) with control groups (n=64, including psychotic controls, n=26).
Main Results:
- The incidence of temporary urinary incontinence was 1.63% (16/984) in the target population.
- Incontinent patients were more likely to be psychotic, have a history of childhood enuresis, and previous incontinence during psychosis.
- They also received a wider range of treatments and had longer hospitalizations compared to psychotic controls.
Conclusions:
- Temporary urinary incontinence is a notable issue in psychiatric patients without cognitive impairment.
- Psychotic symptoms, enuresis history, and prior incontinence episodes are associated risk factors.
- These patients may require more intensive treatment and longer hospital stays.
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