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Published on: May 19, 2015
A Cross-sectional Case-control Study of Depression in Incontinent Women
Tanudeep Kaur1, Rajesh Kumari1, J B Sharma1
1Department of Obstetrics and Gynecology, AIIMS, New Delhi, India.
Background:
Urinary incontinence (UI) presents in over 50% menopausal women affecting their quality of life leading to depression and hence needs addressal and treatment as very few of them seek medical help.
Aims:
Our aim was to determine the prevalence of depression, and the correlation of severity of UI with depression in incontinent women versus continent controls.
Methodology:
A cross-sectional case-control study of previously diagnosed 100 incontinent women (Stress/Urgency/Mixed) was done over a period of 3 months. The severity of UI was assessed on Patient Incontinence Severity Assessment (a form of Likert scale) and depression was assessed on a validated Patient Health Questionnaire-9 scale.
Statistical Analysis:
The statistical analysis was performed using SPSS version 19.0.
Results:
Most of our cases were 51-60 years, with Urge UI being the most predominant (88%). Hundred percent of our incontinent patients were depressed, with 48% and 45% being severely and moderately severely depressed, respectively. A highly significant correlation was found between the severity of incontinence, amount of leakage, leaking pattern, and depression.
Conclusion:
All of our incontinent patients were depressed, with the severity of depression increasing with the severity of incontinence.
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