medigraphic.com
SPANISH

Revista Mexicana de Urología

Organo Oficial de la Sociedad Mexicana de Urología
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2026, Number 2

<< Back Next >>

Rev Mex Urol 2026; 86 (2)

Prevalence of anxiety and depression and their relationship with overactive bladder

Leyva-Vázquez JI, Treviño-Cavazos O, Loya-Maldonado KM; Herrera-Morales JC, Guerrero-Reyes G, Gutiérrez-González A, Hernández-Velázquez R
Full text How to cite this article

Language: Spanish
References: 15
Page: 1-14
PDF size: 273.59 Kb.


Key words:

Depression, anxiety, overactive bladder, urinary urgency.

ABSTRACT

Background: overactive Bladder Syndrome (OAB) is defined by the International Continence Society as urgency, frequency, and nocturia, with or without urge urinary incontinence (UUI), in the absence of urinary tract infection. In Mexico, a prevalence of OAB has been reported at 19 %. These urinary symptoms can lead to affective disorders; in the United States, the prevalence of anxiety and depression in patients with OAB is 16.9 %.
Objective: to determine the prevalence of anxiety and depression and their relationship with overactive bladder.
Material and methods: prolective, cross-sectional, analytical study in a tertiary care center. From August 1 to September 30, 2024. Consecutive sampling. 95 adult female patients with OAB were included. Validated Spanish questionnaires were used: the International Consultation on Incontinence Questionnaire for Overactive Bladder (ICIQ-OAB) and the Depression, Anxiety, and Stress Scale-21 (DASS-21). The Excel 2016 database. Association with Fischer´s exact, and SPSS v25® were used.
Results: the 70-79 age group presented symptoms in 31.6 %. The most common OAB symptoms were urgency and UUI, with 50.5 % and 47.4 % reporting “sometimes.” Of the total patients, 10.5 % presented depression and 17.9 % anxiety. No significant association was found between OAB symptoms and affective disorders.
Conclusions: depression and anxiety are prevalent in women with OAB. Studies with larger samples and control groups are needed to corroborate the associations between OAB symptoms and affective disorders.


REFERENCES

  1. Bradley CS, Nygaard IE, Hillis SL, Torner JC,Sadler AG. Longitudinal associations betweenmental health conditions and overactivebladder in women veterans. American Journalof Obstetrics and Gynecology. 2017;217(4):430.e1-430.e8. https://doi.org/10.1016/j.ajog.2017.06.016.

  2. Coker AO, Coker OO, Sanni D. Psychometricproperties of the 21-item Depression AnxietyStress Scale (DASS-21). African Research Review.2018;12(2): 135. https://doi.org/10.4314/afrrev.v12i2.13.

  3. Cruz-Ruíz J, Farrera-González V, Ransom-Rodríguez A, Avalos-Jiménez J C, Landa-SolerM, González-Serrano A, et al. Prevalenciade vejiga hiperactiva en la Ciudad de México.Resultados de un análisis preliminar. RevistaMexicana de Urología. 2018;78(3). https://doi.org/10.48193/revistamexicanadeurologa.v78i3.77.

  4. D’Ancona C, Haylen B, Oelke M, Abranches-Monteiro L, Arnold E, Goldman H, et al. TheInternational Continence Society (ICS) reporton the terminology for adult male lower urinarytract and pelvic floor symptoms and dysfunction.Neurourology and Urodynamics. 2019;38(2): 433–477. https://doi.org/10.1002/nau.23897.

  5. Golabek T, Skalski M, Przydacz M, ŚwierkoszA, Siwek M, Golabek K, et al. Lower urinarytract symptoms, nocturia and overactivebladder in patients with depression and anxiety.Psychiatria Polska. 2016;50(2): 417–430. https://doi.org/10.12740/PP/OnlineFirst/59162.

  6. Kawahara T, Ninomiya S, Tsutsumi S, Ito H,Yao M, Uemura H. Impact of depression onoveractive bladder. International Journal ofUrology: Official Journal of the Japanese UrologicalAssociation. 2021;28(2): 245–246. https://doi.org/10.1111/iju.14434.

  7. Kinsey D, Pretorius S, Glover L, AlexanderT. The psychological impact of overactivebladder: A systematic review. Journal of HealthPsychology. 2016;21(1): 69–81. https://doi.org/10.1177/1359105314522084.

  8. Lai HH, Shen B, Rawal A, Vetter J. Therelationship between depression and overactivebladder/urinary incontinence symptoms inthe clinical OAB population. BMC urology.2016;16(1): 60. https://doi.org/10.1186/s12894-016-0179-x.

  9. Melotti IGR, Juliato CRT, Coelho SC de A,Lima M, Riccetto CLZ. Is There Any DifferenceBetween Depression and Anxiety in OveractiveBladder According to Sex? A Systematic Reviewand Meta-Analysis. International NeurourologyJournal. 2017;21(3): 204–211. https://doi.org/10.5213/inj.1734890.445.

  10. Melotti IGR, Juliato CRT, Tanaka M, RiccettoCLZ. Severe depression and anxiety in womenwith overactive bladder. Neurourology andUrodynamics. 2018;37(1): 223–228. https://doi.org/10.1002/nau.23277.

  11. Palma T, Raimondi M, Souto S, Fozzatti C,Palma P, Riccetto C. [Correlation betweenage and overactive bladder symptoms inyoung women in Brazil]. Actas UrologicasEspanolas. 2013;37(3): 156–161. https://doi.org/10.1016/j.acuro.2012.07.009.

  12. Gurrola Peña G M, Balcazár Nava P, BonillaMuños M P, Virseda Heras J A. Estructurafactorial y consistencia interna de la escala deDepresión Ansiedad y Estrés (DASS-21) en unamuestra no clínica. Psicología y Ciencia Social/Psychology and Social Science. 2013;8(2). https://www.redalyc.org/pdf/314/31480201.pdf

  13. Pethiyagoda Aub, Pethiyagoda K, AriyasingheDi, Wijesinghe S, Dimiyawa Km, WijethungaTm. Relationship between Lower UrinaryTract Symptoms and Emotional State amonga Sample of Clinic Attendees of a TertiaryCare Center in Central Sri Lanka. Archives ofNephrology and Urology. 2022;04(04). https://doi.org/10.26502/anu.2644-2833046.

  14. Reis AM, Brito LGO, Lunardi ALB, Pinto eSilva MP, Juliato CRT. Depression, anxiety,and stress in women with urinary incontinencewith or without myofascial dysfunction in thepelvic floor muscles: A cross-sectional study.Neurourology and Urodynamics. 2021;40(1):334–339. https://doi.org/10.1002/nau.24563.

  15. Ruiz F, García Martín MB, Suárez Falcón JC,Odriozola González P. The hierarchical factorstructure of the Spanish version of DepressionAnxiety and Stress Scale-21. 2017; https://repositorio.unican.es/xmlui/handle/10902/38496




CC BY-NC-ND

2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Mex Urol. 2026;86