The association between different levels of depression and overactive bladder: A cross‐sectional study of the 2005–2018 National Health and Nutrition Examination Survey

医学 膀胱过度活动 全国健康与营养检查调查 萧条(经济学) 夜尿症 置信区间 优势比 逻辑回归 内科学 横断面研究 病人健康调查表 泌尿系统 精神科 人口 焦虑 抑郁症状 环境卫生 病理 经济 宏观经济学 替代医学
作者
Muwei Li,Mingming Xu,Hang Zhou,Yang Pan,Xiaoqiang Liu
出处
期刊:Neurourology and Urodynamics [Wiley]
卷期号:43 (8): 1826-1834
标识
DOI:10.1002/nau.25563
摘要

Abstract Background There is growing evidence of a possible correlation between depression and overactive bladder (OAB). However, few studies have classified depression according to its severity. Whether there is an association between different levels of depression and OAB symptoms remains unclear. Methods Participants with complete information about depression, OAB, and covariates in the National Health and Nutrition Examination Survey (NHANES) 2005–2018 were included in this study. Depression symptoms were assessed by the Patient Health Questionnaire‐9. OAB symptoms were evaluated by the Overactive Bladder Symptom Score. Weighted multivariate logistic regression models were applied to analyze the relationship between depression and OAB. Results A total of 30 359 participants were included in this study, consisting of 6245 OAB patients and 24 114 non‐OAB participants. The multivariate logistic regression suggested depression independently correlated with OAB (odds ratio [OR] = 2.764, 95% confidence interval [CI] = 2.429–3.146, p < 0.001). Further, mild (OR = 2.355, 95% CI = 2.111–2.627, p < 0.001), moderate (OR = 3.262, 95% CI = 2.770–3.841, p < 0.001), and moderately severe to severe depression (OR = 3.927, 95% CI = 3.246–4.752, p < 0.001) were all associated with OAB. Additionally, depression was also correlated with urgency urinary incontinence (OR = 2.249, 95% CI = 1.986–2.548, p < 0.001) and nocturia (OR = 2.166, 95% CI = 1.919–2.446, p < 0.001). Conclusion This study indicated different levels of depression, even mild depression, were independent risk factors for OAB. Given the frequent coexistence and potential interactions between depression and OAB, clinicians should be aware of the importance of assessing both physical and psychological symptoms in these patients. Early diagnosis and holistic treatment may improve the treatment outcomes, particularly for those suffering from both conditions.
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