PREVALÊNCIA DE DEPRESSÃO EM MULHERES CLIMATÉRICAS COM INCONTINÊNCIA URINÁRIA.

Abstract

Introduction: Menopause is an endocrine phenomenon due to ovarian follicle depletion that occurs in middle-aged women, while urinary incontinence (UI) is defined as involuntary loss of urine. Both conditions have been associated with a higher prevalence of depressive disorders; however, the prevalence of peri and postmenopausal depression in women with UI remains largely unknown. Objective: To investigate the association between depression and UI in peri and postmenopausal women. Methodology: This cross-sectional study included 300 peri and postmenopausal women, who attended at Gynecology outpatient clinics of the University Hospital of the Federal University of Maranhão between January 2016 and June 2017. The following questionnaires were used: Beck Depression Inventory (BDI-II) to evaluate depression scores; the Urinary Incontinence Assessment Questionnaire (ICIQ-SF) and QUID questionnaire; the Blatt Kupperman’s Questionnaire to evaluate climacteric symptoms (MENQOL) and the Quality of Life Questionnaire (UQUOL). Statistical analysis included Pearson's chi-square test, Mann-Whitney test and Kendall's tau b correlation coefficients at a significance level of 5%. Results: There was a statistically significant association between higher depression scores and the presence of UI (p = 0.018). Worse quality of life scores associated with menopause were also observed in women with UI (p <0.001). Conclusion: Women in the peri and postmenopausal period with UI may be more susceptible to the development of depressive symptoms and worse quality of life when compared to women without UI.