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The Association of Depressive Symptoms and Urinary Incontinence Among Older Adults
Author(s) -
Dugan Elizabeth,
Cohen Stuart J.,
Bland Deirdre R.,
Preisser John S.,
Davis Cralen C.,
Suggs Patricia K.,
McGann Paul
Publication year - 2000
Publication title -
journal of the american geriatrics society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.992
H-Index - 232
eISSN - 1532-5415
pISSN - 0002-8614
DOI - 10.1111/j.1532-5415.2000.tb04699.x
Subject(s) - medicine , marital status , quality of life (healthcare) , urinary incontinence , mental health , gerontology , randomized controlled trial , physical therapy , psychiatry , population , nursing , environmental health , urology
OBJECTIVES : To examine the relationship of urinary incontinence (UI) and depressive symptoms (DS) in older adults. DESIGN : A randomized, controlled trial to determine the effects of clinical practice guideline implementation on provider attitudes and behavior, and patients' UI, health status, quality of life, and satisfaction with care. Baseline and endpoint data were collected from patients via computer‐assisted telephone interviewing. SETTING : Forty‐one nonacademic primary care practices (PCP) in North Carolina. PARTICIPANTS : A total of 668 community‐dwelling adults (age > 60) who had visited the one of the selected PCPs. INTERVENTION : PCPs in the intervention group were given instruction in the detection and management of UI, educational materials for providers and patients, office system supports, and academic detailing. MEASUREMENTS : The dependent measure was assessed using an eight‐item screener for DS. UI (status, frequency, amount), health (physical, mental), and demographic (age, gender, marital status) and self‐report information about bladder control served as predictors. RESULTS : Wilcoxon rank sum tests showed that UI status was associated with moderate to severe DS (43% vs 30%, P = .05). Multivariate analyses showed that UI status, physical and mental health, and gender were significant predictors of DS. Among UI adults (n = 230), physical and mental health, life satisfaction, and the perception that UI interfered with daily life were significant predictors of DS. CONCLUSIONS : This study provides clear evidence that UI is related to DS in older adults. J Am Geriatr Soc 48: 413–416, 2000 .