Impact of Overactive Bladder Syndrome on Perceived Stress and Depression: Differences According to Economic Status of Patients
Dr Jun Seok Kim (1), Won Jin Cho (2), Joon Hwa Noh (1)
(1) Department of Urology, Kwangju Christian Hospital, , South Korea, (2) Department of Urology, Chosun University School of Medicine, Gwangju, Korea., , South Korea
The aim of this study was to investigate whether overactive bladder syndrome (OAB) is associated with perceived stress and depression, and to determine whether socioeconomic status of OAB patients impact on differences of perceived stress and depression.
The study enrolled 200 patients who were diagnosed with OAB, prospectively. The severity of OAB symptoms was estimated by OAB symptom scales (OABSS). Perceived stress scale (PSS) and center for epidemiological studies-depression scale (CES-D) was used to estimate their perceived stress and depression level. Enrolled patients were divided into several groups according to OAB severity and socioeconomic status. A mild symptom was defined as an OABSS≤5, a moderated symptom as a 6≤OABSS≤11, a severe symptom as an OABSS≥12. One-way ANOVA was used to investigate a correlation between OAB severity and stress levels. Chi-square test, independent t test and one-way ANOVA were performed to compare between groups. Patients with neurogenic bladder, urinary tract infection, Parkinson’s disease and psychological disorders were excluded.
There was a significant correlation between the severity of OAB and PSS (PSS, p=0.006; CES-D, p=0.123). As the OAB symptoms were severer, PSS was worsened (p=0.006). According to the economic status of patients, there were significant differences in PSS and CES-D. Standard amount of monthly income of OAB patient was correlated with PSS and CES-D. Patients with lower income had higher PSS and CES-D in a moderate to severe OAB group (PSS, p=0.022; CES-D, p=0.028).
The symptom of OAB influences on psychological stress. Patients with severe OAB symptoms would undergo more psychological stress than patients with mild symptoms. Economic status of patients with OAB might be important on psychological stress and depression. In patients with moderate to severe OAB symptoms, lower income impact on higher psychological stress and depression.