title: Influence of coping styles on quality of life in men with new and increasing lower urinary tract symptoms. The Krimpen Study in community-dwelling men.
abstract: OBJECTIVE
  The present study aims to determine the influence of coping on quality of life (QOL) in elderly men developing lower urinary tract symptoms (LUTS).
  
  
  METHODS
  Longitudinal population-based study with a follow-up period of 6.5 years on 1,688 men aged 50-78 years. Data were collected through self-administered questionnaires, including the Sickness Impact Profile (SIP, three domains), Inventory of Subjective Health (ISH), International Prostate Symptom Score (IPSS), and the Utrecht Coping List (UCL). Various physical and urological measurements were completed. Multiple linear regressions were used to determine the change in QOL in men with incident LUTS in relation to coping behavior.
  
  
  RESULTS
  Overall no significant association is found between changes in LUTS with a change in QOL. However, a positive change in QOL is significantly associated with a change in LUTS when men use the coping style active problem solving and a negative relation exists with coping style reassuring thoughts.
  
  
  CONCLUSIONS
  Different coping styles have a different impact on the relation between a change in LUTS and a change in generic QOL in community-dwelling elderly men. This makes a future exploration of the clinical treatment possibilities warranted.
authors.affiliation: Department of General Practice, Erasmus MC, Rotterdam, The Netherlands. e.vanderwerf-kok@erasmusmc.nl
authors.forename: Esther T
authors.initials: ET
authors.lastname: Kok
authors.forename: Frans P M J
authors.initials: FP
authors.lastname: Groeneveld
authors.forename: Jan J V
authors.initials: JJ
authors.lastname: Busschbach
authors.forename: Wim C J
authors.initials: WC
authors.lastname: Hop
authors.forename: J L H Ruud
authors.initials: JL
authors.lastname: Bosch
authors.forename: Siep
authors.initials: S
authors.lastname: Thomas
authors.forename: Arthur M
authors.initials: AM
authors.lastname: Bohnen
mesh_terms: D000203:Activities of Daily Living; D000223:Adaptation, Psychological; D000368:Aged; D001294:Attitude to Health; D017281:Cost of Illness; D005500:Follow-Up Studies; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D011159:Population Surveillance; D011788:Quality of Life; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D014570:Urologic Diseases / Q000523:psychology*