The bidirectional relationship between anxiety, depression, and lower urinary track symptoms: A nationwide population-based cohort study

doi:10.1016/j.jpsychores.2017.07.008

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Title:	The bidirectional relationship between anxiety, depression, and lower urinary track symptoms: A nationwide population-based cohort study
Authors:	Huang, Charles Lung-Cheng Wu, Ming-Ping Ho, Chung-Han Wang, Jhi-Joung
Contributors:	Chi Mei Hosp, Dept Psychiat Chia Nan Univ Pharm & Sci, Dept Social Work Chi Mei Hosp, Dept Obstet & Gynecol, Div Urogynecol & Pelv Floor Reconstruct Chia Nan Univ Pharm & Sci, Ctr Gen Educ Chi Mei Hosp, Dept Med Res Chia Nan Univ Pharm & Sci, Dept Hosp & Hlth Care Adm
Keywords:	Lower urinary tract symptoms (LUTS) Anxiety Depression National Health Insurance Research Database (NHRD) Cohort study
Date:	2017-09
Issue Date:	2018-11-30 15:53:52 (UTC+8)
Publisher:	Pergamon-Elsevier Science Ltd
Abstract:	Background: Evidence has shown a positive correlation between lower urinary tract symptoms (LUTS) and anxiety/depression, but the direction and strength of the association are still unclear. We aimed to test the bidirectional association between LUTS and anxiety/depression using a longitudinal population database. Methods: Using claims data obtained from the Taiwan National Health Insurance Research Database, 17,489 patients with LUTS and 34,978 non-LUTS matched controls (cohort 1); and 45,707 patients with anxiety, 19,306 patients with depression, 91,414 non-anxiety, and 38,720 non-depression matched controls (cohort 2) were enrolled between 1999 and 2008. All subjects were followed at least three years or until the date of death or the end of 2011 to estimate the risk of developing anxiety/depression (cohort 1) or LUTS (cohort 2). Results: After controlling for age, gender, and medical comorbidities, LUTS patients were 2.12 (95%CI: 1.95-2.30) and 2.03 (95%CI: 1.76-2.33) times more likely to develop anxiety and depression, respectively. After controlling for age, gender, and medical comorbidities, patients with anxiety and depression were 2.01 (95%CI: 1.88-2.14) and 2.37 (95%CI: 2.13-2.65) times more likely to develop LUTS, respectively. Limitations: The incidence of anxiety, depression, and LUTS may be under-estimated because only healthcare seeking subjects were enrolled in our study. Conclusions: Our findings suggested a bidirectional relationship between administrated anxiety/depression and LUTS in the cohorts. Further studies are warranted to clarify the underlying mechanisms.
Relation:	Journal of Psychosomatic Research, v.100, pp.77-82
Appears in Collections:	[Dept. of Hospital and Health (including master's program)] Periodical Articles [The Center For General Education] Periodical Articles

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