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Urinary incontinence, depression and posttraumatic stress disorder in women veterans.

Bradley CS, Nygaard IE, Mengeling MA, Torner JC, Stockdale CK, Booth BM, Sadler AG. Urinary incontinence, depression and posttraumatic stress disorder in women veterans. American journal of obstetrics and gynecology. 2012 Jun 1; 206(6):502.e1-8.

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Abstract:

OBJECTIVE: To study associations between urinary incontinence (UI) symptoms, depression, and posttraumatic stress disorder in women veterans. STUDY DESIGN: This cross-sectional study enrolled women 20 to 52 years of age registered at 2 midwestern US Veterans Affairs Medical Centers or outlying clinics within 5 years preceding study interview. Participants completed a computer-assisted telephone interview assessing urogynecologic, medical, and mental health. Multivariable analyses studied independent associations between stress and urgency UI and depression and posttraumatic stress disorder. RESULTS: Nine hundred sixty-eight women mean aged 38.7 8.7 years were included. Of these, 191 (19.7%) reported urgency/mixed UI and 183 (18.9%) stress UI. Posttraumatic stress disorder (odds ratio, 1.8; 95% confidence interval, 1.0-3.1) but not depression (odds ratio, 1.2; 95% confidence interval, 0.73-2.0) was associated with urgency/mixed UI. Stress UI was not associated with posttraumatic stress disorder or depression. CONCLUSION: In women veterans, urgency/mixed UI was associated with posttraumatic stress disorder but not depression.





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