{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,19]],"date-time":"2026-04-19T19:57:36Z","timestamp":1776628656586,"version":"3.51.2"},"reference-count":39,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2003,8,27]],"date-time":"2003-08-27T00:00:00Z","timestamp":1061942400000},"content-version":"vor","delay-in-days":238,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"Medical Research Fund of Tampere University Hospital"},{"name":"South Karelia Central Hospital, Finland"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Neurourology and Urodynamics"],"published-print":{"date-parts":[[2003,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aims<\/jats:title><jats:p>The purpose of this study was to assess depression and anxiety in urinary incontinent women and to investigate factors influencing their self\u2010perception of urinary incontinence severity.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In this prospective study, 82 incontinent women estimated the severity of urinary incontinence using a visual analogue scale and completed a validated quality of life instrument: urinary incontinence severity score. Psychiatrists evaluated depression and anxiety using a structured interview of Hamilton Depression and Hamilton Anxiety Scales. Patients were classified on the basis of history and urodynamic evaluation into two diagnostic groups: stress urinary incontinence (n\u2009=\u200957) and idiopatic urge incontinence with or without stress incontinence (n\u2009=\u200925).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Major depression occurred in 44.0% of women with idiopatic urge (\u00b1stress) incontinence and in 17.5% women with stress incontinence (odds ratio (OR 3.69), 95% confidence interval (95% CI 1.30\u201310.49)). Twenty two patients had severe incontinence defined as Urinary Incontinence Severity Score \u226514 points (upper quartile) and 23 patients defined as visual analogue scale \u22659 (upper quartile). In logistic regression analysis, major depression (OR 5.57; 95% CI 1.19\u201326.11), urge incontinence diagnosis (OR 23.13; 95% CI 1.90\u2013282.11), parity (OR 2.33; 95% CI 1.16\u20134.60) and high Urgency Score (OR 1.94; 95% CI 1.32\u20132.85) predicted Urinary Incontinence Severity Score above the upper quartile. Only the pad\u2010test (OR 1.01; 95% CI 1.00\u20131.02) predicted visual analogue scale above upper quartile.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Major depression correlates with reduced incontinence specific quality of life. This data also suggests an association between depression and idiopatic urge incontinence. Neurourol. Urodynam. 22:563\u2013568, 2003. \u00a9 2003 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/nau.10137","type":"journal-article","created":{"date-parts":[[2003,9,2]],"date-time":"2003-09-02T19:31:46Z","timestamp":1062531106000},"page":"563-568","source":"Crossref","is-referenced-by-count":69,"title":["Severe depression determines quality of life in urinary incontinent women"],"prefix":"10.1002","volume":"22","author":[{"given":"Beatas","family":"Stach\u2010Lempinen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asta\u2010Leena","family":"Hakala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pekka","family":"Laippala","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Klaus","family":"Lehtinen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riina","family":"Mets\u00e4noja","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erkki","family":"Kujansuu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2003,8,27]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0090-4295(97)00577-3"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.2337\/diacare.24.6.1069"},{"key":"e_1_2_1_4_1","unstructured":"1993 Springer Berlin P Bech Rating scales for psychopathology health status and quality of life: Compendium on documentation in accordance with the DSM\u2010III\u2010R and WHO systems"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.3109\/01674829409025642"},{"key":"e_1_2_1_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.1996.tb00012.x"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004040050243"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5347(17)38063-1"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01982211"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1345\/aph.19176"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.146.5.659"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.160.14.2101"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.2000.tb04699.x"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000281094"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1978.tb02818.x"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1984.tb05399.x"},{"key":"e_1_2_1_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/22.2.82"},{"key":"e_1_2_1_18_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.2044-8341.1959.tb00467.x"},{"key":"e_1_2_1_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/0163-8343(95)00100-X"},{"key":"e_1_2_1_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1532-5415.1991.tb02903.x"},{"key":"e_1_2_1_21_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1464-410X.1994.tb09182.x"},{"key":"e_1_2_1_22_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016348209156544"},{"key":"e_1_2_1_23_1","first-page":"388","article-title":"The impact of urinary incontinence on quality of life","volume":"12","author":"Kelleher CJ","year":"1993","journal-title":"Neurourol Urodyn"},{"key":"e_1_2_1_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/bju.1992.70.5.499"},{"key":"e_1_2_1_25_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.294.6571.540"},{"key":"e_1_2_1_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3999(91)90002-6"},{"key":"e_1_2_1_27_1","first-page":"64","article-title":"The Hamilton Depression Scale and its alternatives: A comparison of their reliability and validity","volume":"9","author":"Maier W","year":"1990","journal-title":"Psychopharmacol Ser"},{"key":"e_1_2_1_28_1","doi-asserted-by":"publisher","DOI":"10.3109\/03790798209166812"},{"key":"e_1_2_1_29_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.301.6746.271"},{"issue":"2","key":"e_1_2_1_30_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/S0090-4295(98)90001-2","article-title":"Epidemiology, pathophysiology, and evaluation of urinary incontinence and overactive bladder","volume":"51","author":"Paine CK","year":"1998","journal-title":"Urology"},{"key":"e_1_2_1_31_1","first-page":"40","article-title":"Use of the Hamilton Depression Scale in general practice","volume":"9","author":"Paykel ES","year":"1990","journal-title":"Psychopharmacol Ser"},{"key":"e_1_2_1_32_1","unstructured":"PoutanenO.1996.Depression in the health centre patients. Doctoral thesis Tampere University 1996 English summary."},{"key":"e_1_2_1_33_1","first-page":"835","article-title":"Stress incontinence in women. Psychological status before and after treatment","volume":"36","author":"Rosenzweig BA","year":"1991","journal-title":"J Reprod Med"},{"key":"e_1_2_1_34_1","doi-asserted-by":"publisher","DOI":"10.3109\/00016349709047789"},{"key":"e_1_2_1_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/003655901753367587"},{"key":"e_1_2_1_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/s003450100227"},{"key":"e_1_2_1_37_1","doi-asserted-by":"publisher","DOI":"10.1067\/mob.2001.108072"},{"key":"e_1_2_1_38_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-0528.1996.tb09669.x"},{"key":"e_1_2_1_39_1","first-page":"378","article-title":"Psychosocial impact of urinary incontinence in women","volume":"70","author":"Wyman JF","year":"1987","journal-title":"Obstet Gynecol"},{"key":"e_1_2_1_40_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005392-199907000-00020"}],"container-title":["Neurourology and Urodynamics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fnau.10137","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nau.10137","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,21]],"date-time":"2023-11-21T00:17:32Z","timestamp":1700525852000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nau.10137"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,1]]},"references-count":39,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2003,1]]}},"alternative-id":["10.1002\/nau.10137"],"URL":"https:\/\/doi.org\/10.1002\/nau.10137","archive":["Portico"],"relation":{},"ISSN":["0733-2467","1520-6777"],"issn-type":[{"value":"0733-2467","type":"print"},{"value":"1520-6777","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,1]]}}}