title: Screening for incontinence in a secure psychiatric service for women.
abstract: Incontinence is associated with mental illness and neuroleptic medications but diagnosis and treatment is often poor or non-existent. Problems of incontinence are compounded in secure psychiatric services for women by poor health, obesity, and a sedentary lifestyle. Addressing the physical health of this group necessitates a more accurate picture of the nature, incidence, and management of incontinence. A point-in-time survey of 108 women who agreed to be interviewed (93%) covered presence, frequency, and nature of incontinence, and information on management case note data was used to gather demographic and previous medical history, comparisons were made between patients with and without problems of incontinence. Findings indicate a problem of incontinence in 48% of women with a dominance of problems of stress and urge enuresis. Of modifiable factors that contribute to enuresis, the current study highlighted the contribution of obesity, smoking and clozapine medication. A further finding was the preference for managing rather than treating problems of incontinence. Actions to improve the detection and treatment of this problem are described.
authors.affiliation: St Andrew's Academic Centre, Northampton, UK.|University of Northampton, Northampton, UK.
authors.forename: Clive G
authors.initials: CG
authors.lastname: Long
authors.affiliation: St Andrew's, Cliftonville, Northampton, UK.
authors.forename: Rachel
authors.initials: R
authors.lastname: West
authors.affiliation: St Andrew's, Cliftonville, Northampton, UK.
authors.forename: Rizwana
authors.initials: R
authors.lastname: Siddique
authors.affiliation: St Andrew's, Cliftonville, Northampton, UK.
authors.forename: Samantha
authors.initials: S
authors.lastname: Rigg
authors.affiliation: St Andrew's, Cliftonville, Northampton, UK.
authors.forename: Ellen
authors.initials: E
authors.lastname: Banyard
authors.affiliation: St Andrew's, Cliftonville, Northampton, UK.
authors.forename: Swee-Kit
authors.initials: SK
authors.lastname: Stillman
authors.affiliation: St Andrew's, Cliftonville, Northampton, UK.
authors.forename: Sarah
authors.initials: S
authors.lastname: Butler
authors.affiliation: St Andrew's, Cliftonville, Northampton, UK.
authors.forename: Olga
authors.initials: O
authors.lastname: Dolley
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D016022:Case-Control Studies; D004688:Encopresis / Q000139:chemically induced / Q000175:diagnosis / Q000209:etiology; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D001523:Mental Disorders / Q000150:complications*; D008875:Middle Aged; D011569:Psychiatric Status Rating Scales; D011619:Psychotropic Drugs / Q000009:adverse effects; D011795:Surveys and Questionnaires; D014549:Urinary Incontinence / Q000139:chemically induced / Q000175:diagnosis* / Q000209:etiology; D053202:Urinary Incontinence, Urge / Q000139:chemically induced / Q000175:diagnosis / Q000209:etiology; D055815:Young Adult
chemical_list: D011619:Psychotropic Drugs
keywords: incontinence; physical health; secure psychiatric services; women