Impact of overactive bladder symptoms on employment, social interactions and emotional well-being in six European countries

被引:236
作者
Irwin, DE [1 ]
Milsom, I
Kopp, Z
Abrams, P
Cardozo, L
机构
[1] Univ N Carolina, Sch Publ Hlth, Dept Epidemiol, Chapel Hill, NC 27514 USA
[2] Univ Gothenburg, Sahlgrenska Acad, Dept Obstet & Gynaecol, Gothenburg, Sweden
[3] Pfizer Inc, Outcomes Res, New York, NY USA
[4] Southmead Gen Hosp, British Urol Inst, Dept Urol, Bristol, Avon, England
[5] Kings Coll Hosp London, Dept Urogynaecol, London, England
关键词
overactive bladder; epidemiology; productivity; symptom perception;
D O I
10.1111/j.1464-410X.2005.05889.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To determine the impact of overactive bladder (OAB) symptoms on issues related to employment, social interactions, and emotional well-being in a population aged 40-64 years. SUBJECTS AND METHODS The study comprised a cross-sectional population-based survey of 11 521 individuals aged 40-64 years, conducted in France, Germany, Italy, Spain, Sweden, and the UK. The survey involved a two-stage screening procedure. Initially, individuals with any lower urinary tract symptoms were identified. Those whose only symptom/(s) was suggestive of a urinary tract infection, stress incontinence, or prostate obstruction were excluded from further study. Respondents were asked questions about the impact that their symptoms had on their emotional well-being, social interactions and productivity at home and at work. RESULTS Of those with OAB, approximate to 32% (1272) reported that having these symptoms made them feel depressed, and 28% reported feeling very stressed. There were statistically significant differences in reported feelings of stress and depression when OAB symptoms were stratified by OAB with incontinence (OAB+) vs those with OAB with no incontinence (OAB-), with values for emotional stress of OAB+ 36.4% vs OAB- 19.6%, for depression of OAB+ 39.8% vs OAB- 23.3%. Participants with OAB+were significantly more likely than those with OAB- to express worry about having accidents and concern about participating in activities away from home because of their bladder symptoms. In addition, those with OAB+ were significantly more likely to report that these bladder symptoms were a source of great concern and made them feel uncomfortable in social situations compared to those with OAB-. Men were significantly more likely than women to report OAB+ having an impact on their daily work life, including worry about interrupting meetings, impact on decisions about work location and hours, and voluntary termination or early retirement. This effect was primarily in men reporting OAB+. CONCLUSION OAB symptoms have a significant effect on the emotional well-being and productivity of those affected, both at home and at work.
引用
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页码:96 / 100
页数:5
相关论文
共 11 条
[1]  
Abrams P, 2002, NEUROUROL URODYNAM, V21, P167, DOI 10.1002/nau.10052
[2]  
Abrams P, 2000, AM J MANAG CARE, V6, pS580
[3]   Depressive disorders in Europe:: prevalence figures from the ODIN study [J].
Ayuso-Mateos, JL ;
Vázquez-Barquero, JL ;
Dowrick, C ;
Lehtinen, V ;
Dalgard, OS ;
Casey, P ;
Wilkinson, C ;
Lasa, L ;
Page, H ;
Dunn, G ;
Wilkinson, G .
BRITISH JOURNAL OF PSYCHIATRY, 2001, 179 :308-316
[4]  
Dugan E, 1998, QUAL LIFE RES, V7, P337, DOI 10.1023/A:1008898602951
[5]  
Kobelt G, 1999, BJU INT, V83, P583
[6]   How widespread are the symptoms of an overactive bladder and how are they managed?: A population-based prevalence study [J].
Milsom, I ;
Abrams, P ;
Cardozo, L ;
Roberts, RG ;
Thüroff, J ;
Wein, AJ .
BJU INTERNATIONAL, 2001, 87 (09) :760-766
[7]   Relationship between patient reports of urinary incontinence symptoms and quality of life measures [J].
Robinson, D ;
Pearce, KF ;
Preisser, JS ;
Dugan, E ;
Suggs, PK ;
Cohen, SJ .
OBSTETRICS AND GYNECOLOGY, 1998, 91 (02) :224-228
[8]   Prevalence and burden of overactive bladder in the United States [J].
Stewart, WF ;
Van Rooyen, JB ;
Cundiff, GW ;
Abrams, P ;
Herzog, AR ;
Corey, R ;
Hunt, TL ;
Wein, AJ .
WORLD JOURNAL OF UROLOGY, 2002, 20 (06) :327-336
[9]  
Wein AJ, 1999, INT J FERTIL WOMEN M, V44, P56
[10]  
Zhou Z, 2001, J UROLOGY, V13, P7