title: Effects of urinary incontinence: psychological well-being and distress in older community-dwelling women.
abstract: Urinary incontinence (UI) has been related to lower quality of life. However, the research has generally been cross-sectional, and causal relationships have not been determined. This research was a secondary analysis of a 6-year longitudinal study of chronic illness and psychological well-being in older (mean age = 73 at Time 1), community-dwelling women (n = 103). Over time, women with UI reported significantly lower subjective health, purpose in life, affect balance, personal growth, positive relations with others, and self-esteem and higher scores for depression, compared to women without UI. Incontinence had broad effects on multiple domains of psychological well-being that persisted over time and need to be addressed by clinicians.
authors.affiliation: Clinical Science Center, University of Wisconsin-Madison, 53792, USA.
authors.forename: Susan M
authors.initials: SM
authors.lastname: Heidrich
authors.forename: Thelma J
authors.initials: TJ
authors.lastname: Wells
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D015999:Multivariate Analysis; D012649:Self Concept; D013315:Stress, Psychological / Q000209:etiology*; D014549:Urinary Incontinence / Q000523:psychology*; D014922:Wisconsin