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Article: Lower urinary tract symptoms and depressive symptoms in elderly men

TitleLower urinary tract symptoms and depressive symptoms in elderly men
Authors
Issue Date2006
PublisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jad
Citation
Journal Of Affective Disorders, 2006, v. 96 n. 1-2, p. 83-88 How to Cite?
AbstractBackground: 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. © 2006 Elsevier B.V. All rights reserved.
Persistent Identifierhttp://hdl.handle.net/10722/178286
ISSN
2015 Impact Factor: 3.57
2015 SCImago Journal Rankings: 1.927
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, SYSen_US
dc.contributor.authorHong, Aen_US
dc.contributor.authorLeung, Jen_US
dc.contributor.authorKwok, Ten_US
dc.contributor.authorLeung, PCen_US
dc.contributor.authorWoo, Jen_US
dc.date.accessioned2012-12-19T09:45:02Z-
dc.date.available2012-12-19T09:45:02Z-
dc.date.issued2006en_US
dc.identifier.citationJournal Of Affective Disorders, 2006, v. 96 n. 1-2, p. 83-88en_US
dc.identifier.issn0165-0327en_US
dc.identifier.urihttp://hdl.handle.net/10722/178286-
dc.description.abstractBackground: 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. © 2006 Elsevier B.V. All rights reserved.en_US
dc.languageengen_US
dc.publisherElsevier BV. The Journal's web site is located at http://www.elsevier.com/locate/jaden_US
dc.relation.ispartofJournal of Affective Disordersen_US
dc.subject.meshAdrenal Cortex Hormones - Administration & Dosage - Adverse Effectsen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAlcohol Drinking - Adverse Effects - Epidemiology - Psychologyen_US
dc.subject.meshComorbidityen_US
dc.subject.meshCoronary Disease - Diagnosis - Epidemiology - Psychologyen_US
dc.subject.meshDepressive Disorder - Diagnosis - Epidemiology - Psychologyen_US
dc.subject.meshDiabetes Mellitus, Type 2 - Diagnosis - Epidemiology - Psychologyen_US
dc.subject.meshGeriatric Assessmenten_US
dc.subject.meshHong Kongen_US
dc.subject.meshHumansen_US
dc.subject.meshMaleen_US
dc.subject.meshNocturia - Diagnosis - Psychologyen_US
dc.subject.meshProstatic Hyperplasia - Diagnosis - Epidemiology - Psychologyen_US
dc.subject.meshPulmonary Disease, Chronic Obstructive - Diagnosis - Epidemiology - Psychologyen_US
dc.subject.meshQuality Of Life - Psychologyen_US
dc.subject.meshRisk Factorsen_US
dc.subject.meshSick Roleen_US
dc.subject.meshSmoking - Adverse Effects - Epidemiology - Psychologyen_US
dc.subject.meshStatistics As Topicen_US
dc.subject.meshUrinary Bladder Neck Obstruction - Diagnosis - Epidemiology - Psychologyen_US
dc.subject.meshUrinary Retention - Diagnosis - Epidemiology - Psychologyen_US
dc.titleLower urinary tract symptoms and depressive symptoms in elderly menen_US
dc.typeArticleen_US
dc.identifier.emailHong, A: athenawl@hkucc.hku.hken_US
dc.identifier.authorityHong, A=rp00255en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1016/j.jad.2006.05.013en_US
dc.identifier.pmid16815555-
dc.identifier.scopuseid_2-s2.0-33750020504en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-33750020504&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume96en_US
dc.identifier.issue1-2en_US
dc.identifier.spage83en_US
dc.identifier.epage88en_US
dc.identifier.isiWOS:000241930900010-
dc.publisher.placeNetherlandsen_US
dc.identifier.scopusauthoridWong, SYS=21741577200en_US
dc.identifier.scopusauthoridHong, A=8687147500en_US
dc.identifier.scopusauthoridLeung, J=15063154400en_US
dc.identifier.scopusauthoridKwok, T=7006475934en_US
dc.identifier.scopusauthoridLeung, PC=7401747829en_US
dc.identifier.scopusauthoridWoo, J=16949717700en_US

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