Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital

Ceylan, Serdar; OKYAR BAŞ, Arzu; Balcı, Cafer; Cankurtaran, Mustafa; Halil, Meltem; Dogu, Burcu Balam; Güner, Merve; Ozcan, Munevver

doi:10.4274/ejgg.galenos.2022.2022-9-8

Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital

Merve GÜNER, (Hacettepe Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Geriatri Anabilim Dalı, Ankara, Türkiye)

Munevver Ozcan, (Hacettepe Üniversitesi Hastanesi, Tıp Fakültesi, Hemşirelik Anabilim Dalı, Ankara, Türkiye)

Serdar CEYLAN, (Hacettepe Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Geriatri Anabilim Dalı, Ankara, Türkiye)

Arzu OKYAR BAŞ, (Hacettepe Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Geriatri Anabilim Dalı, Ankara, Türkiye)

Cafer BALCI, (Hacettepe Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Geriatri Anabilim Dalı, Ankara, Türkiye)

Meltem HALİL, (Hacettepe Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Geriatri Anabilim Dalı, Ankara, Türkiye)

Mustafa CANKURTARAN, (Hacettepe Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Geriatri Anabilim Dalı, Ankara, Türkiye)

Burcu BALAM YAVUZ (Hacettepe Üniversitesi, Tıp Fakültesi, Dahiliye Anabilim Dalı, Geriatri Anabilim Dalı, Ankara, Türkiye)

European journal of geriatrics and gerontology (Online)

0 0

Yıl: 2023 Cilt: 5 Sayı: 1 Sayfa Aralığı: 78 - 83 Metin Dili: İngilizce DOI: 10.4274/ejgg.galenos.2022.2022-9-8 İndeks Tarihi: 31-05-2023

Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital

Öz:

Objective: Urinary incontinence (UI) is defined as the involuntary leakage of urine. UI is a challenging geriatric syndrome and most of the patients use absorbent products or diapers to hold urine and protect their clothes. We aimed in this study to evaluate the relationship between the use of absorbent products and the presence of depressive symptoms in patients with UI. Materials and Methods: One-hundred and fifty-nine (159) community-dwelling older adults with UI who applied to our hospital outpatient clinic of geriatrics were included in the study. A comprehensive geriatric assessment was performed on the patients, and the risk of depression was evaluated with the Yesavage geriatric depression scale (GDS). Those with a GDS score of 5 and above were considered as presence of depressive symptoms. Results: Depressive symptoms were determined in 71 patients (44.6%). 91.2% of the patients were female, and the mean age was 73.6±6.4 years. The patients were divided into two groups according to the presence of depressive symptoms. The rate of use of absorbent products was 68.6% in the group with depressive symptoms and 45.9% in the group without depressive symptoms, and the difference was statistically significant (p<0.05). Use of absorbent products increases the risk of depression regardless of sex, living alone, multimorbidity, and severity and the type of incontinence (odds ratio: 2.65, 95% confidence interval: 1.27-5.57, p=0.010). Conclusion: The use of absorbent products in patients with UI is associated with the depressive symptoms. These patients should be screened for depression and evaluated for appropriate treatment options for incontinence and depression.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, van Kerrebroeck P, Victor A, Wein A; Standardisation Sub-committee of the International Continence Society. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Neurourol Urodyn 2002;21:167-178.
2. Minassian VA, Yan X, Lichtenfeld MJ, Sun H, Stewart WF. The iceberg of health care utilization in women with urinary incontinence. Int Urogynecol J 2012;23:1087-1093.
3. Lee UJ, Feinstein L, Ward JB, Kirkali Z, Martinez-Miller EE, Matlaga BR, Kobashi KC. Prevalence of Urinary Incontinence among a Nationally Representative Sample of Women, 2005-2016: Findings from the Urologic Diseases in America Project. J Urol 2021;205:1718-1724.
4. Gorina Y, Schappert S, Bercovitz A, Elgaddal N, Kramarow E. Prevalence of incontinence among older americans. Vital Health Stat 3 2014:1-33.
5. Thom D. Variation in estimates of urinary incontinence prevalence in the community: effects of differences in definition, population characteristics, and study type. J Am Geriatr Soc 1998;46:473-480.
6. Huang P, Luo K, Wang C, Guo D, Wang S, Jiang Y, Huang W, Zhang W, Ding M, Wang J. Urinary Incontinence Is Associated With Increased All- Cause Mortality in Older Nursing Home Residents: A Meta-Analysis. J Nurs Scholarsh 2021;53:561-567.
7. Yip SK, Cardozo L. Psychological morbidity and female urinary incontinence. Best Pract Res Clin Obstet Gynaecol 2007;21:321-329.
8. Ratner ES, Erekson EA, Minkin MJ, Foran-Tuller KA. Sexual satisfaction in the elderly female population: A special focus on women with gynecologic pathology. Maturitas 2011;70:210-215.
9. Brown JS, McGhan WF, Chokroverty S. Comorbidities associated with overactive bladder. Am J Manag Care 2000;6(Suppl 11):S574-579.
10. Daugirdas SP, Markossian T, Mueller ER, Durazo-Arvizu R, Cao G, Kramer H. Urinary incontinence and chronic conditions in the US population age 50 years and older. Int Urogynecol J 2020;31:1013-1020.
11. Coyne KS, Wein AJ, Tubaro A, Sexton CC, Thompson CL, Kopp ZS, Aiyer LP. The burden of lower urinary tract symptoms: evaluating the effect of LUTS on health-related quality of life, anxiety and depression: EpiLUTS. BJU Int 2009;103(Suppl 3):4-11.
12. Gotoh M, Matsukawa Y, Yoshikawa Y, Funahashi Y, Kato M, Hattori R. Impact of urinary incontinence on the psychological burden of family caregivers. Neurourol Urodyn 2009;28:492-496.
13. Swithinbank LV, Abrams P. The impact of urinary incontinence on the quality of life of women. World J Urol 1999;17:225-229.
14. Nuotio M, Jylhä M, Luukkaala T, Tammela TLJ. Urinary incontinence in a Finnish population aged 70 and over. Scand J Prim Health Care 2003;21:182-187.
15. Yang X, Cheng C, Ma W, Jia C. Mediating role of functional limitations in the association of urinary incontinence with depressive symptoms among middle-aged and older adults: The English Longitudinal Study of Aging. J Affect Disord 2022;313:158-162.
16. Helfand BT, Smith AR, Lai HH, Yang CC, Gore JL, Erickson BA, Kreder KJ, Cameron AP, Weinfurt KP, Griffith JW, Lentz A, Talaty P, Andreev VP, Kirkali Z; LURN. Prevalence and Characteristics of Urinary Incontinence in a Treatment Seeking Male Prospective Cohort: Results from the LURN Study. J Urol 2018;200:397-404.
17. Macaulay AJ, Stern RS, Stanton SL. Psychological aspects of 211 female patients attending a urodynamic unit. J Psychosom Res 1991;35:1-10.
18. Melville JL, Delaney K, Newton K, Katon W. Incontinence severity and major depression in incontinent women. Obstet Gynecol 2005;106:585-592.
19. Sørbye LW, Finne-Soveri H, Ljunggren G, Topinkova E, Garms-Homolova V, Jensdóttir AB, Bernabei R; AdHOC Project Research Group. Urinary incontinence and use of pads--clinical features and need for help in home care at 11 sites in Europe. Scand J Caring Sci 2009;23:33-44.
20. Resnick NM, Yalla SV. Management of urinary incontinence in the elderly. N Engl J Med 1985;313:800-805.
21. Guigoz Y, Lauque S, Vellas BJ. Identifying the elderly at risk for malnutrition. The Mini Nutritional Assessment. Clin Geriatr Med 2002;18:737-757.
22. Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res 1982;17:37-49.
23. Katz S, Ford AB, Moskowitz RW, Jackson BA, Jaffe MW. Studies of illness in the aged: the index of ADL: a standardized measure of biological and psychosocial function. JAMA 1963;185:914-919.
24. Folstein MF, Folstein SE, McHugh PR. “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189-198.
25. Shulman KI. Clock drawing: is it the ideal cognitive screening test? Int J Geriatr Psychiatry 2000;15:548-561.
26. Sandvik H, Espuna M, Hunskaar S. Validity of the incontinence severity index: comparison with pad-weighing tests. Int Urogynecol J Pelvic Floor Dysfunct 2006;17:520-524.
27. Meng Q, Busby-Whitehead J, Palmer MH. Absorbent products use and symptom distress in women who have urinary incontinence and heart failure. Int J Clin Pract 2016;70:1019-1026.
28. Tarbox RS, Williams WL, Friman PC. Extended diaper wearing: effects on continence in and out of the diaper. J Appl Behav Anal 2004;37:97-100.
29. Pfisterer MH, Johnson TM, Jenetzky E, Hauer K, Oster P. Geriatric patients’ preferences for treatment of urinary incontinence: a study of hospitalized, cognitively competent adults aged 80 and older. J Am Geriatr Soc 2007;55:2016-2022.
30. Johnson TM, Ouslander JG, Uman GC, Schnelle JF. Urinary incontinence treatment preferences in long-term care. J Am Geriatr Soc 2001;49:710-718.
31. Newman DK. Incontinence products and devices for the elderly. Urol Nurs 2004;24:316-333; quiz 34.
32. Getliffe K, Fader M, Cottenden A, Jamieson K, Green N. Absorbent products for incontinence: ‘treatment effects’ and impact on quality of life. J Clin Nurs 2007;16:1936-1945.

APA	Güner M, Ozcan M, Ceylan S, OKYAR BAŞ A, Balcı C, Halil M, Cankurtaran M, Dogu B (2023). Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. , 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
Chicago	Güner Merve,Ozcan Munevver,Ceylan Serdar,OKYAR BAŞ Arzu,Balcı Cafer,Halil Meltem,Cankurtaran Mustafa,Dogu Burcu Balam Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. (2023): 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
MLA	Güner Merve,Ozcan Munevver,Ceylan Serdar,OKYAR BAŞ Arzu,Balcı Cafer,Halil Meltem,Cankurtaran Mustafa,Dogu Burcu Balam Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. , 2023, ss.78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
AMA	Güner M,Ozcan M,Ceylan S,OKYAR BAŞ A,Balcı C,Halil M,Cankurtaran M,Dogu B Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. . 2023; 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
Vancouver	Güner M,Ozcan M,Ceylan S,OKYAR BAŞ A,Balcı C,Halil M,Cankurtaran M,Dogu B Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. . 2023; 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
IEEE	Güner M,Ozcan M,Ceylan S,OKYAR BAŞ A,Balcı C,Halil M,Cankurtaran M,Dogu B "Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital." , ss.78 - 83, 2023. 10.4274/ejgg.galenos.2022.2022-9-8
ISNAD	Güner, Merve vd. "Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital". (2023), 78-83. https://doi.org/10.4274/ejgg.galenos.2022.2022-9-8

APA	Güner M, Ozcan M, Ceylan S, OKYAR BAŞ A, Balcı C, Halil M, Cankurtaran M, Dogu B (2023). Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. European journal of geriatrics and gerontology (Online), 5(1), 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
Chicago	Güner Merve,Ozcan Munevver,Ceylan Serdar,OKYAR BAŞ Arzu,Balcı Cafer,Halil Meltem,Cankurtaran Mustafa,Dogu Burcu Balam Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. European journal of geriatrics and gerontology (Online) 5, no.1 (2023): 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
MLA	Güner Merve,Ozcan Munevver,Ceylan Serdar,OKYAR BAŞ Arzu,Balcı Cafer,Halil Meltem,Cankurtaran Mustafa,Dogu Burcu Balam Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. European journal of geriatrics and gerontology (Online), vol.5, no.1, 2023, ss.78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
AMA	Güner M,Ozcan M,Ceylan S,OKYAR BAŞ A,Balcı C,Halil M,Cankurtaran M,Dogu B Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. European journal of geriatrics and gerontology (Online). 2023; 5(1): 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
Vancouver	Güner M,Ozcan M,Ceylan S,OKYAR BAŞ A,Balcı C,Halil M,Cankurtaran M,Dogu B Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital. European journal of geriatrics and gerontology (Online). 2023; 5(1): 78 - 83. 10.4274/ejgg.galenos.2022.2022-9-8
IEEE	Güner M,Ozcan M,Ceylan S,OKYAR BAŞ A,Balcı C,Halil M,Cankurtaran M,Dogu B "Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital." European journal of geriatrics and gerontology (Online), 5, ss.78 - 83, 2023. 10.4274/ejgg.galenos.2022.2022-9-8
ISNAD	Güner, Merve vd. "Use of Absorbent Products in Older Men and Women Are Associated with Depressive Symptoms: A Retrospective Study from a University Hospital". European journal of geriatrics and gerontology (Online) 5/1 (2023), 78-83. https://doi.org/10.4274/ejgg.galenos.2022.2022-9-8