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Lower urinary tract symptoms and depressive symptoms in elderly men.
J Affect Disord 2006; 96(1-2):83-8JA

Abstract

BACKGROUND

To evaluate the impact of moderate to severe lower urinary tract symptoms (LUTS) on clinically significant depressive symptoms in elderly Chinese men aged 65 and above.

METHODS

In a large prospective cohort of 2000 Chinese men aged 65 to 92 years of age in Hong Kong, the association between moderate to severe lower urinary tract symptoms and clinically relevant depressive symptoms was studied. After excluding men with prostate or bladder cancer or surgery, 1980 subjects provided response to a structured interviewer-administered questionnaire and physical examination. A case-control analysis was performed, comparing subjects with clinically relevant depressive symptoms (cases) to those without depressive symptoms (controls).

RESULTS

In multiple analyses adjusting for all factors that were shown to be significantly associated with having clinically relevant depressive symptoms in the initial bivariate analyses, being widowed, divorced or single were associated with increased risk of having clinically relevant depressive symptoms. Having a history of cardiac disease, being a current smoker and the use of corticosteroid were also associated with increased risk. Having moderate to severe LUTS was significantly associated with increased odds of having clinically relevant depressive symptoms (OR: 2.40; CI: 1.68-3.43) even after adjustment.

LIMITATION

This study was cross-sectional and there were no clinician-based diagnostic interviews that were conducted to diagnose clinical depression and thus only clinically relevant depressive symptoms were assessed.

CONCLUSIONS

In elderly men, moderate to severe LUTS are important public health problems that are associated with increased risk of having clinically relevant depressive symptoms. These findings suggest that physicians who deal with patients with moderate to severe LUTS should consider the psychological health of their patients as this population is at risk of having clinically relevant depressive symptoms.

Authors+Show Affiliations

Department of Community and Family Medicine, The Chinese University of Hong Kong, 4/F, School of Public Health Prince of Wales Hospital Shatin, N.T., Hong Kong. yeungshanwong@cuhk.edu.hkNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

16815555

Citation

Wong, Samuel Y S., et al. "Lower Urinary Tract Symptoms and Depressive Symptoms in Elderly Men." Journal of Affective Disorders, vol. 96, no. 1-2, 2006, pp. 83-8.
Wong SY, Hong A, Leung J, et al. Lower urinary tract symptoms and depressive symptoms in elderly men. J Affect Disord. 2006;96(1-2):83-8.
Wong, S. Y., Hong, A., Leung, J., Kwok, T., Leung, P. C., & Woo, J. (2006). Lower urinary tract symptoms and depressive symptoms in elderly men. Journal of Affective Disorders, 96(1-2), pp. 83-8.
Wong SY, et al. Lower Urinary Tract Symptoms and Depressive Symptoms in Elderly Men. J Affect Disord. 2006;96(1-2):83-8. PubMed PMID: 16815555.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lower urinary tract symptoms and depressive symptoms in elderly men. AU - Wong,Samuel Y S, AU - Hong,Athena, AU - Leung,Jason, AU - Kwok,Timothy, AU - Leung,Ping C, AU - Woo,Jean, Y1 - 2006/07/11/ PY - 2006/03/03/received PY - 2006/05/22/revised PY - 2006/05/22/accepted PY - 2006/7/4/pubmed PY - 2007/2/13/medline PY - 2006/7/4/entrez SP - 83 EP - 8 JF - Journal of affective disorders JO - J Affect Disord VL - 96 IS - 1-2 N2 - BACKGROUND: To evaluate the impact of moderate to severe lower urinary tract symptoms (LUTS) on clinically significant depressive symptoms in elderly Chinese men aged 65 and above. METHODS: In a large prospective cohort of 2000 Chinese men aged 65 to 92 years of age in Hong Kong, the association between moderate to severe lower urinary tract symptoms and clinically relevant depressive symptoms was studied. After excluding men with prostate or bladder cancer or surgery, 1980 subjects provided response to a structured interviewer-administered questionnaire and physical examination. A case-control analysis was performed, comparing subjects with clinically relevant depressive symptoms (cases) to those without depressive symptoms (controls). RESULTS: In multiple analyses adjusting for all factors that were shown to be significantly associated with having clinically relevant depressive symptoms in the initial bivariate analyses, being widowed, divorced or single were associated with increased risk of having clinically relevant depressive symptoms. Having a history of cardiac disease, being a current smoker and the use of corticosteroid were also associated with increased risk. Having moderate to severe LUTS was significantly associated with increased odds of having clinically relevant depressive symptoms (OR: 2.40; CI: 1.68-3.43) even after adjustment. LIMITATION: This study was cross-sectional and there were no clinician-based diagnostic interviews that were conducted to diagnose clinical depression and thus only clinically relevant depressive symptoms were assessed. CONCLUSIONS: In elderly men, moderate to severe LUTS are important public health problems that are associated with increased risk of having clinically relevant depressive symptoms. These findings suggest that physicians who deal with patients with moderate to severe LUTS should consider the psychological health of their patients as this population is at risk of having clinically relevant depressive symptoms. SN - 0165-0327 UR - https://www.unboundmedicine.com/medline/citation/16815555/Lower_urinary_tract_symptoms_and_depressive_symptoms_in_elderly_men_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0165-0327(06)00245-X DB - PRIME DP - Unbound Medicine ER -