Is There Any Difference Between Depression and Anxiety in Overactive Bladder According to Sex? A Systematic Review and Meta-Analysis
| Autor: | Marcelo Lopes de Lima, Suelene Costa de Albuquerque Coelho, Iane Glauce Ribeiro Melotti, Cássia Raquel Teatin Juliato, Cássio Riccetto |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Urinary urgency Urology 030232 urology & nephrology Review Anxiety lcsh:RC870-923 urologic and male genital diseases 03 medical and health sciences 0302 clinical medicine Medicine Nocturia Clinical Investigation Depression (differential diagnoses) 030219 obstetrics & reproductive medicine Urinary Bladder Overactive Depression business.industry Odds ratio lcsh:Diseases of the genitourinary system. Urology medicine.disease female genital diseases and pregnancy complications Neurology Overactive bladder Meta-analysis Cohort Quality of Life Original Article Neurology (clinical) medicine.symptom business Clinical psychology |
| Zdroj: | International Neurourology Journal International Neurourology Journal, Vol 21, Iss 3, Pp 204-211 (2017) |
| ISSN: | 2093-6931 |
| DOI: | 10.5213/inj.1734890.445 |
| Popis: | Purpose Overactive bladder (OAB) is characterized by urinary urgency with or without urge incontinence, accompanied by frequency and nocturia. It affects individuals of all ages and can predispose affected individuals to depression and anxiety. However, few studies have been conducted on this topic. The objective of this study was to perform a systematic review and meta-analysis assessing the symptoms of depression, anxiety, and OAB using validated instruments. Methods The search for articles was based on the following descriptors: overactive bladder, depression, and anxiety (“Urinary bladder, Overactive AND Depression and Anxiety”) OR (“Urinary bladder, Overactive AND Depression” OR “Urinary bladder, Overactive AND Anxiety”). The databases searched included PubMed, MEDLINE, and SciELO. Results Initially, 111 articles were identified, but only 11 articles, containing 11,784 participants with depression and 10,436 with anxiety, specifically addressed depression or anxiety and were included in this systematic review. Ten articles incorporated a quantitative analysis, with cohort, series, population-based, and cross-sectional designs. One qualitative study was also included. Three articles were included in the meta-analysis, resulting in a total of 7,468 participants in whom depression was evaluated and 8,030 participants in whom anxiety was analyzed. Depression and anxiety were positively correlated with OAB. Men with OAB were considerably more likely than women to have anxiety (odds ratio [OR], 1.56; 95% confidence interval [CI], 1.40–1.73) but there was no sex-related difference in depression (OR, 0.96; 95% CI, 0.77–1.21). Conclusions This study showed a positive correlation between OAB and anxiety and depression. Men were considerably more likely than women to have anxiety related to OAB, but depression levels in OAB patients were not sex-related. This review highlights the need to investigate depression and anxiety in patients with OAB. |
| Databáze: | OpenAIRE |
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