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KMID : 1155220190440010014
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Journal of the Korean Society of Health Information and Health Statistics
2019 Volume.44 No. 1 p.14 ~ p.21
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Sex Difference in Associations between Severity Level of Overactive Bladder and Perceived Stress, Depression in Korean Patients
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Nam Ji-Young
Ryu So-Yeon
Park Jong
Choi Seong-Woo
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Abstract
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Objectives: The purpose of this study is to determine whether severity level of overactive bladder (OAB) is related to perceived stress and depression.
Method: Total 200 patients diagnosed with OAB participated in this study. The severity of OAB symptoms was estimated by the OAB symptoms score and the Perceived Stress Scale (PSS) and the Center for Epidemiological Studies Depression Scale (CES-D) were used to estimate stress levels and depression.
Results: In the ANCOVA analysis, after adjusted for covariates, PSS increased according to the severity level of OAB (mild: 10.7 [0.8], moderate: 12.9 [0.6], severe: 14.9 [1.5], p=0.014, p for trend=0.004), but there was no significant correlation between the severity level of OAB and CES-D. When stratified by sex, both in males and females, the severity level of OAB was associated with PSS (males: p=0.069, p for trend=0.026; females: p=0.170, p for trend=0.070) Also, PSS and CES-D were significantly higher in females than in males at moderate level of OAB (PSS: male 11.1 [0.8], female 15.8 [0.9], p< 0.001; CES-D: male 7.1 [0.9], female 12.4 [1.0], p<0.001). However, there were no significant differences between male and female at the mild and severe level of OAB.
Conclusions: There was significant association of PSS with increasing severity level of OAB, but there was no association the severity level of OAB and CES-D. Also, PSS and CES-D were significantly higher in females than in males at moderate level of OAB.
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KEYWORD
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Overactive bladder, Psychological stress, Depression, Urology, Republic of Korea
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