{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T15:04:45Z","timestamp":1791644685743,"version":"4.3.4"},"reference-count":99,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T00:00:00Z","timestamp":1718064000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Female pelvic floor dysfunction (PFD) is a common condition affecting the emotional well\u2010being of women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To estimate the prevalence of depressive and anxiety symptoms in women with PFD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Search Strategy, Selection Criteria, Data Collection and Analysis<\/jats:title>\n                    <jats:p>\n                      Following prospective registration (PROSPERO CRD42022362095) we conducted a search of three electronic databases (PubMed, Web of Science and Scopus) from inception to April 2023 without language restriction to capture studies reporting the prevalence of depression\/anxiety among women with PFD (chronic pelvic pain [CPP], urinary incontinence [UI], pelvic organ prolapse [POP], and\/or fecal incontinence [FI]). Only studies with validated tools were included. Data extraction and study quality assessment were performed by two independent reviewers. Stratifying by type of PFD, rates of depression and anxiety were pooled using random effects model computing 95% confidence interval (CI) and assessing heterogeneity using the\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      statistic. Funnel plots were used to detect potential reporting biases and small\u2010study effects.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Results<\/jats:title>\n                    <jats:p>\n                      The search yielded 767 articles, from which 54 studies containing 632\u2009605 women were included. All the studies were high quality. The prevalence of depression was: CPP 26.8% (95% CI: 19.2\u201334.4,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200998.7%; 12 studies, 4798 participants with 491 cases; Egger's\n                      <jats:italic>P<\/jats:italic>\n                      value\u2009=\u20090.009); UI 26.3% (95% CI: 19.4\u201333.2,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200999.9%; 26 studies, a total of 346\u2009114 participants with 25\u2009050 cases; Egger's\n                      <jats:italic>P<\/jats:italic>\n                      value\u2009=\u20090.944); POP 34.9% (95% CI: 24.3\u201345.6,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200968%; three studies, 297 participants with 104 cases; Egger's\n                      <jats:italic>P<\/jats:italic>\n                      value\u2009=\u20090.973); and FI 25.3% (95% CI: 0.68\u201349.9,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200999.7%; six studies, 14\u2009663 participants with 1773 cases; Egger's\n                      <jats:italic>P<\/jats:italic>\n                      value\u2009=\u20090.780). The prevalence of anxiety was: CPP 29.5% (95% CI: 16.3\u201342.7,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200997.7%; nine studies, 2483 participants with 349 cases; Egger's\n                      <jats:italic>P<\/jats:italic>\n                      value\u2009=\u20090.001); UI 46.91% (95% CI: 39.1\u201354.6,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200999.6%; 11 studies, 198\u2009491 participants with 40\u2009058 cases; Egger's\n                      <jats:italic>P<\/jats:italic>\n                      value\u2009=\u20090.337); and POP 28% (95% CI: 13.6\u201342.4,\n                      <jats:italic>I<\/jats:italic>\n                      <jats:sup>2<\/jats:sup>\n                      \u2009=\u200989%; three studies with 355 participants with 90 cases; Egger's\n                      <jats:italic>P<\/jats:italic>\n                      value\u2009=\u20090.306).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The prevalence of mental health illness was variable in the different types of PFDs. This meta\u2010analysis helps quantify the burden of depression and anxiety in PFD and will help inform the policies regarding screening of emotional well\u2010being by healthcare professionals engaged in care of women with PFD.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15719","type":"journal-article","created":{"date-parts":[[2024,6,11]],"date-time":"2024-06-11T03:43:25Z","timestamp":1718077405000},"page":"507-528","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":31,"title":["Prevalence of depression and anxiety in women with pelvic floor dysfunctions: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"167","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3543-5170","authenticated-orcid":false,"given":"Rocio Adriana","family":"Peinado Molina","sequence":"first","affiliation":[{"name":"Department of Nursing University of Jaen  Ja\u00e9n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8752-459X","authenticated-orcid":false,"given":"Sergio","family":"Mart\u00ednez V\u00e1zquez","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Jaen  Ja\u00e9n Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0878-8635","authenticated-orcid":false,"given":"Juan Miguel","family":"Mart\u00ednez Galiano","sequence":"additional","affiliation":[{"name":"Department of Nursing University of Jaen  Ja\u00e9n Spain"},{"name":"Consortium for Biomedical Research in the Epidemiology and Public Health Network (CIBERESP)  Madrid Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6159-6037","authenticated-orcid":false,"given":"Mario","family":"Rivera Izquierdo","sequence":"additional","affiliation":[{"name":"Consortium for Biomedical Research in the Epidemiology and Public Health Network (CIBERESP)  Madrid Spain"},{"name":"Department of Preventive Medicine and Public Health, Faculty of Medicine University of Granada  Granada Spain"},{"name":"Instituto de Investigaci\u00f3n Biosanitaria (ibs. 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