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. 2023 Jul;15(4):116-121.
doi: 10.1111/luts.12478. Epub 2023 Mar 30.

Lower urinary tract symptoms are elevated with depression in Japanese women

Sahoko Ninomiya  1 , Takashi Kawahara  1   2 , Sohgo Tsutsumi  1 , Hiroki Ito  1   2 , Kazuhide Makiyama  2 , Hiroji Uemura  1
Affiliations

Lower urinary tract symptoms are elevated with depression in Japanese women

Sahoko Ninomiya et al. Low Urin Tract Symptoms. 2023 Jul.

Abstract

Objectives: Depression might worsen lower urinary tract symptoms (LUTS), but the correlation is still disputed. This study examined the influence of depression on LUTS in Japanese women.

Methods: This study used a web-based questionnaire to evaluate the mental status of depression and LUTS. The mental status of depression was evaluated using the Quick Inventory of Depressive Symptomatology-Japanese version (QIDS-J), and LUTS was assessed based on the Overactive Bladder Symptom Score (OABSS) and responses to the International Consultation on Incontinence Questionnaire-Short Form.

Results: A total of 4151 of 5400 (76.9%) women responded to the questionnaire. The mean age was 48.3 ± 13.8 years. The OABSS gradually increased with the QIDS-J score. The incidence of overactive bladder (OAB) and urgency urinary incontinence (UUI) also increased along with the QIDS-J score. In the younger age group (20-39 years old), the risks of OAB and UUI were higher than in the elderly group (7.42 for OAB and 7.44 for UUI).

Conclusions: This study revealed that worsening of LUTS was correlated with depression.

Keywords: Japanese women; depression; lower urinary tract syndrome; questionnaire.

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Conflict of interest statement

We declare no conflicts of interests.

Figures

FIGURE 1
FIGURE 1
Quick Inventory of Depressive Symptomatology‐Japanese version (QIDS‐J) group distribution in each generation.
FIGURE 2
FIGURE 2
OABSS in each Quick Inventory of Depressive Symptomatology‐Japanese version (QIDS‐J) score group. OABSS, Overactive Bladder Symptom Score.
FIGURE 3
FIGURE 3
Prevalence of (A) OAB and (B) UUI in each Quick Inventory of Depressive Symptomatology‐Japanese version (QIDS‐J) score group. OAB, overactive bladder; UUI, urgency urinary incontinence.
FIGURE 4
FIGURE 4
OABSS Q3 (urgency) and Q4 (urgency incontinence) in each Quick Inventory of Depressive Symptomatology‐Japanese version (QIDS‐J) score group. OABSS, Overactive Bladder Symptom Score.
See this image and copyright information in PMC

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