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• W2022297209 abstract "No AccessJournal of UrologyAdult Urology1 May 2014Overactive Bladder and Mental Health Symptoms in Recently Deployed Female Veterans Catherine S. Bradley, Ingrid E. Nygaard, James C. Torner, Stephen L. Hillis, Skyler Johnson, and Anne G. Sadler Catherine S. BradleyCatherine S. Bradley Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa Departments of Obstetrics and Gynecology and Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa Financial interest and/or other relationship with the National Institutes of Health. More articles by this author , Ingrid E. NygaardIngrid E. Nygaard Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah More articles by this author , James C. TornerJames C. Torner Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa More articles by this author , Stephen L. HillisStephen L. Hillis Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa Department of Radiology, University of Iowa Carver College of Medicine, Iowa City, Iowa Department of Biostatistics, University of Iowa College of Public Health, Iowa City, Iowa More articles by this author , Skyler JohnsonSkyler Johnson Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa More articles by this author , and Anne G. SadlerAnne G. Sadler Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, Iowa More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.11.100AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We estimate the prevalence of current overactive bladder symptoms in recently deployed female veterans, and determine if overactive bladder symptoms are associated with problems commonly reported after deployment including mental health symptoms and prior sexual assault. Materials and Methods: Baseline data were analyzed from a nationwide cohort study of urogenital symptoms in female veterans. Women returning from deployment to Iraq or Afghanistan in the prior 2 years and ending military service were eligible. Self-reported data were collected by computer assisted telephone interview. Overactive bladder and mental health conditions were identified using standardized definitions as well as validated urinary and mental health instruments. Associations between overactive bladder and depression, post-traumatic stress disorder, anxiety and sexual assault were assessed in separate logistic regression models using propensity scores to adjust for confounding. Results: The 1,702 participants had a mean (SD) age of 31.1 (8.4) years and were racially/ethnically diverse. Overall 375 participants (22%; 95% CI 20.1, 24.1) reported overactive bladder. Mental health outcomes included post-traumatic stress disorder (19%), anxiety (21%), depression (10%) and prior sexual assault (27%). All outcomes were associated with overactive bladder (adjusted OR 2.7, 95% CI [2.0, 3.6], 2.7 [2.0, 3.5], 2.5 [1.5, 4.3] and 1.4 [1.1, 1.9], respectively). Conclusions: Overactive bladder symptoms occurred in 22% of recently deployed female veterans, and were associated with self-reported mental health symptoms and traumatic events including prior sexual assault. Screening and evaluation for bothersome urinary symptoms and mental health problems appear warranted in female veterans presenting for primary and urological care after deployment. References 1 : Prevalence and burden of overactive bladder in the United States. World J Urol2003; 20: 327. Google Scholar 2 : Urinary incontinence and depression. J Urol1999; 162: 82. Link, Google Scholar 3 : Urinary incontinence and depression in middle-aged United States women. Obstet Gynecol2003; 101: 149. Google Scholar 4 : Major depression and urinary incontinence in women: temporal associations in an epidemiologic sample. Am J Obstet Gynecol2009; 201: 490.e1. Google Scholar 5 : Corticotropin releasing factor: a mediator of emotional influences on bladder function. J Urol2004; 172: 2570. 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Google Scholar © 2014 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byWein A (2017) Re: Impact of Childhood and Recent Traumatic Events on the Clinical Presentation of Overactive BladderJournal of Urology, VOL. 199, NO. 1, (33-34), Online publication date: 1-Jan-2018.Wein A (2017) Re: The Relationship between Anxiety and Overactive Bladder or Urinary Incontinence Symptoms in the Clinical PopulationJournal of Urology, VOL. 198, NO. 4, (750-751), Online publication date: 1-Oct-2017. Volume 191Issue 5May 2014Page: 1327-1332Supplementary Materials Advertisement Copyright & Permissions© 2014 by American Urological Association Education and Research, Inc.Keywordswomen's healthveterans healthurinary bladderoveractivelower urinary tract symptomsmental disordersMetricsAuthor Information Catherine S. Bradley Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa Departments of Obstetrics and Gynecology and Urology, University of Iowa Carver College of Medicine, Iowa City, Iowa Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa Financial interest and/or other relationship with the National Institutes of Health. More articles by this author Ingrid E. Nygaard Department of Obstetrics and Gynecology, University of Utah, Salt Lake City, Utah More articles by this author James C. Torner Department of Epidemiology, University of Iowa College of Public Health, Iowa City, Iowa More articles by this author Stephen L. Hillis Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa Department of Radiology, University of Iowa Carver College of Medicine, Iowa City, Iowa Department of Biostatistics, University of Iowa College of Public Health, Iowa City, Iowa More articles by this author Skyler Johnson Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa More articles by this author Anne G. Sadler Comprehensive Access and Delivery Research and Evaluation (CADRE) Center, Iowa City VA Health Care System, Iowa City, Iowa Department of Psychiatry, University of Iowa Carver College of Medicine, Iowa City, Iowa More articles by this author Expand All Advertisement PDF downloadLoading ..." @default.
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