Psychosocial Factors Associated with Lower Urinary Tract Symptoms One Year Postpartum
Bibliographic Data
| ID | 15501265 |
|---|---|
| Authors | Shayna D Cunningham (0000-0001-8876-9962, University of Connecticut, corresponding author), Rogie Royce Carandang (0000-0001-6668-911X, University of Connecticut), Lisa M Boyd (0000-0001-9702-679X, Virginia Tech), Jessica B Lewis (0000-0003-4602-0130, Yale University), Jeannette R Ickovics (0000-0001-5361-8160, Yale University), Leslie Rickey (0000-0002-1306-8982, Yale University), Leslie M Rickey (Departments of Urology and Obstetrics, Gynecology & Reproductive Services, Yale School of Medicine, New Haven, CT 06510, USA) |
| Year | 2023 |
| Volume | 21 |
| Issue | 1 |
| Pages | 40-40 |
| Publication date | 2023-12-27 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | International Journal of Environmental Research and Public Health (JOURNAL) |
| Journal identifiers | ISSN: 1661-7827 • E-ISSN: 1660-4601 |
| Publisher | Multidisciplinary Digital Publishing Institute (PUBLISHER • CH) |
| DOI | 10.3390/ijerph21010040 |
| PMID | 38248505 |
| OpenAlex | W4390272411 |
| Language | EN |
| References cited | 58 |
Pregnancy carries substantial risk for developing lower urinary tract symptoms (LUTSs), with potential lifelong impacts on bladder health. Little is known about modifiable psychosocial factors that may influence the risk of postpartum LUTSs. We examined associations between depressive symptoms, perceived stress, and postpartum LUTSs, and the moderating effects of perceived social support, using data from a cohort study of Expect With Me group prenatal care (n = 462). One year postpartum, 40.3% participants reported one or more LUTS. The most frequent LUTS was daytime frequency (22.3%), followed by urinary incontinence (19.5%), urgency (18.0%), nocturia (15.6%), and bladder pain (6.9%). Higher odds of any LUTS were associated with greater depressive symptoms (adjusted odds ratio (AOR) 1.08, 95% confidence interval (CI) 1.04-1.11) and perceived stress (AOR 1.12, 95% CI 1.04-1.19). Higher perceived social support was associated with lower odds of any LUTS (AOR 0.94, 95% CI 0.88-0.99). Perceived social support mitigated the adverse effects of depressive symptoms (interaction AOR 0.99, 95% CI 0.98-0.99) and perceived stress (interaction AOR 0.97, 95% CI 0.95-0.99) on experiencing any LUTS. Greater depressive symptoms and perceived stress may increase the likelihood of experiencing LUTSs after childbirth. Efforts to promote bladder health among postpartum patients should consider psychological factors and social support
Childbirth · Logistic regression · Lower urinary tract symptoms · Nocturia · Obstetrics · Odds · Odds ratio · Postpartum period · Pregnancy · Prostate · Psychiatry · Psychosocial · Social support · Urinary system · Medicine · Pelvic floor disorders treatments · Psychology · Urinary Bladder and Prostate Research · Urinary Tract Infections Management · Internal Medicine
Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support
Epidemiology of maternal depression, risk factors, and child outcomes in low-income and middle-income countries
Social support and protection from depression
Psychometric Characteristics of the Multidimensional Scale of Perceived Social Support
The CES-D Scale
A Global Measure of Perceived Stress
| Citation velocity | historical |
|---|---|
| Highly cited | No |