Anatomical urinary stress incontinence in women with rheumatoid arthritis: its frequency and coping strategies.
OBJECTIVE
The objectives of this study were to develop a valid screening tool for anatomical urinary stress incontinence (AUSI), to use it to determine the frequency of AUSI in women with RA, and to identify the cognitive, behavioral, and psychological coping strategies used by these women to deal with incontinence.


METHODS
A screening tool concerning AUSI was validated by comparing self-reported incidences of AUSI with clinical evaluation. Questionnaires regarding presence of AUSI and cognitive, behavioral, and psychological coping strategies were sent to 750 women clinically diagnosed with RA.


RESULTS
Of the 262 respondents (35% response rate), 21% had characteristics of AUSI, a rate similar to general population studies. Coping strategies varied depending on whether the women were at home or away from home and whether the women were alone or with others.


CONCLUSIONS
There is a need for women with incontinence and the health care workers who serve them to be educated about AUSI and its treatments.
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C
Adams
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Lorish
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C
Cushing
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Willis
J
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Jackson
J
J
Walter
D000223:Adaptation, Psychological; D000368:Aged; D001172:Arthritis, Rheumatoid / Q000150:complications*; D005260:Female; D006801:Humans; D015994:Incidence; D008403:Mass Screening; D008875:Middle Aged; D014550:Urinary Incontinence, Stress / Q000453:epidemiology* / Q000517:prevention & control* / Q000523:psychology