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Dysfunctional Urinary Incontinence Strategies: A Mediation Model to Explain Why Urinary Incontinence Symptoms Are
Marta G Porto1, João Marôco2, Teresa Mascarenhas3
1William James Center for Research, Ispa - Instituto Universitário, Lisbon, Portugal.
Neurourology and Urodynamics
|May 19, 2025
Summary
Urinary incontinence (UI) severity significantly increases social isolation (SI) in middle-aged women through dysfunctional coping strategies like hiding symptoms. Addressing these maladaptive behaviors is key to reducing SI and improving quality of life.
Area of Science:
- Urology
- Psychology
- Public Health
Background:
- Female urinary incontinence (UI) can lead to social isolation (SI).
- Women often self-manage UI symptoms using coping strategies, which can be dysfunctional and worsen SI.
- There is limited research on how dysfunctional UI coping strategies mediate the relationship between UI severity and SI.
Purpose of the Study:
- To investigate the mediating role of dysfunctional UI hiding and defensive coping strategies.
- To explain the relationship between UI severity and SI in middle-aged women.
- To examine women experiencing stress, urgency, and mixed UI.
Main Methods:
- Cross-sectional, observational, descriptive, and correlational design.
- Recruited 1090 women aged 40-65 online who reported UI symptoms and were not receiving treatment.
- Utilized structural equation modeling for mediation analysis.
Main Results:
- Dysfunctional coping strategies significantly mediated the relationship between UI severity and SI, explaining 45% of the variability in SI.
- The direct effect of UI severity on SI was not significant when indirect paths were accounted for.
- The mediation model was consistent across different UI types.
Conclusions:
- UI severity impacts SI through defensive and hiding coping behaviors in women who have not sought treatment.
- Healthcare interventions should address these maladaptive coping strategies to reduce SI.
- Tailoring interventions to modify coping behaviors is crucial for enhancing the quality of life for women with UI.
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