Skip to main content

Psychological Morbidity, Sexual Satisfaction, Coping, and Quality of Life in Women with Urinary Incontinence in Rehabilitation Treatment

  • Chapter
  • First Online:
Women's Health and Biomechanics

Part of the book series: Lecture Notes in Computational Vision and Biomechanics ((LNCVB,volume 29))

  • 941 Accesses

Abstract

This chapter focuses on the relationships between psychological morbidity, sexual satisfaction, coping, and quality of life in women with urinary incontinence in rehabilitation treatment, taking into consideration the women's perception of the severity of the urine loss and the type of urinary incontinence. Women that consider their incontinence symptoms as moderate reported better quality of life, and those with mild symptoms reported greater sexual satisfaction. Women with severe symptoms relied on religion and used more self-blame coping, expression of feelings, denial, and self-distraction strategies. Women with stress urinary incontinence used active coping while women with urge urinary incontinence used behavioral disinvestment, as coping strategies. Given the impact of urinary incontinence in women’s lives, it would be important to develop health promotion strategies in order to help women cope and, as a result, improve their quality of life and the associated psychological symptoms.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 99.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 129.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 129.00
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. ICD-10 (2010) International statistical classification of diseases and related health problems. World Health Organization

    Google Scholar 

  2. Abrams P, Cardozo L, Magnus F et al (2003) The standardization of terminology of lower urinary tract function: repot from the standardization sub-committee of the international continence society. Urology 61(1):37–49. https://doi.org/10.1016/S0090-4295(02)02243-4

    Article  Google Scholar 

  3. Norton P, Brubaker L (2006) Urinary incontinence in women. Lancet 367(9504):57–67

    Article  Google Scholar 

  4. Hunskaar S, Arnold EP, Burgio K et al (2000) Epidemiology and natural history of urinary incontinence. Int Urogynecol J Pelvic Floor Dysfunct. 11(5):301–319

    Article  Google Scholar 

  5. Chadha G (2006) Urinary incontinence. Apollo Medicine. 3(1):48–53

    Article  MathSciNet  Google Scholar 

  6. Coyne KS, Zhou Z, Thompson C et al (2003) The impact on health-related quality of life of stress, urge and mixed urinary incontinence. BJU Int 92(7):731–735

    Article  Google Scholar 

  7. Papanicolaou S, Hunskaar S, Lose G et al (2005) Assessment of bothersomeness and impact on quality of life of urinary incontinence in women in France, Germany, Spain and the UK. BJU Int. 96(6):831–838. https://doi.org/10.1111/j.1464-410X.2005.05722.x

    Article  Google Scholar 

  8. Nitti VW (2001) The prevalence of urinary incontinence. Rev Urol. 3(1):2–6

    Google Scholar 

  9. Virkud A (2011) Management of stress urinary incontinence. Best Pract Res Clin Obstet Gynaecol. 25(2):205–216

    Article  Google Scholar 

  10. Yip SK, Cardozo L (2007) Psychological morbidity and female urinary incontinence. Best Pract Res Clin Obstet Gynaecol. 21(2):321–329. https://doi.org/10.1016/j.bpobgyn.2006.12.002

    Article  Google Scholar 

  11. Azevedo AA (2004) Incontinência urinária: impacto no feminino [Urinary incontinence: impact on female]. Formasau, Coimbra, p 2004

    Google Scholar 

  12. Villoroa R, Merino M, Hidalgo-Vega A et al (2016) Women with urinary incontinence in Spain: Health-related quality of life and the use of healthcare resources. Maturitas 94:52–57. https://doi.org/10.1016/j.maturitas.2016.08.010

    Article  Google Scholar 

  13. Santos P, Mendonça D, Alves O et al (2006) Prevalência e impacte da incontinência urinária de stresse: antes e durante a gravidez [Prevalence and impact of stress urinary incontinence: before and during pregnancy]. Acta Med Port 19:349–356

    Google Scholar 

  14. Viktrup L, Lose G (2001) The risk of stress incontinence 5 years after first delivery. Am J Obstet Gynecol 185(1):82–87. https://doi.org/10.1067/mob.2001.114501

    Article  Google Scholar 

  15. Schröder A et al (2010) Guidelines on Urinary Incontinence. European Association of Urology. Retrieved from: http://www.uroweb.org/gls/pdf/Urinary%20Incontinence%202010.pdf

  16. Hendrix SL (2002) Urinary incontinence and menopause: an evidence-based treatment approach. Dis Mon 48(10):622–636

    Article  Google Scholar 

  17. Subak LL, Johnson C, Whitcomb E et al (2002) Does weight loss improve incontinence in moderately obese women? Int Urogynecol J Pelvic Floor Dysfunct 13(1):40–43

    Article  Google Scholar 

  18. Nygaard I, Turvey C, Burns TL et al (2003) Urinary incontinence and depression in middle-aged United States women. Obstet Gynecol 101(1):149–156

    Google Scholar 

  19. Lazzeri M, Novara G (2008) Urinary incontinence: ensure that the patient´s voice is heard. Eur Urol 53(6):1125–1128. https://doi.org/10.1016/j.eururo.2008.02.014

    Article  Google Scholar 

  20. Kelleher C (2000) Quality of life and urinary incontinence. Baillieres Clin Obstet Gynaecol 14(2):363–379

    Article  Google Scholar 

  21. Saleh N, Bener A, Khenyab N et al (2005) Prevalence, awareness and determinants of health care-seeking behavior for urinary incontinence in Qatari women: a neglected problem? Maturitas 50(1):58–65. https://doi.org/10.1016/j.maturitas.2004.04.003

    Article  Google Scholar 

  22. Stach-Lempinen B, Hakala AL, Laippala P et al (2003) Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 22(6):563–568

    Article  Google Scholar 

  23. Meade-D´Alisera P, Merriweather T, Wentland M et al (2001) Depressive symptoms in women with urinary incontinence: a prospective study. Urol Nurs 21(6):397–399

    Google Scholar 

  24. Melville JL, Walker Edward, Katon Wayne et al (2002) Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am J Obstet Gynecol 187(1):80–87. https://doi.org/10.1067/mob.2002.124839

    Article  Google Scholar 

  25. Lisicka E, Dzigowski P, Radziszewski P et al (2010) Anxiety, depression and quality of life in women with urinary incontinence. Eur Urol 9(6):623

    Article  Google Scholar 

  26. Watson AJS, Currie I, Curran S et al (2000) A prospective study examining the association between the symptoms of anxiety and depression and severity of urinary incontinence. Eur J Obstet Gynecol Reprod Biol 88:7–9. https://doi.org/10.1016/S0301-2115(99)00122-0

    Article  Google Scholar 

  27. Minassian VA, Drutz HP, Al-Badr A (2003) Urinary incontinence as a worldwide problem. Int J Gynecol Obstet 82(3):327–338

    Article  Google Scholar 

  28. Vigod SN, Stewart DE (2006) Major depression in female urinary incontinence. Psychosomatics 47(2):147–151

    Article  Google Scholar 

  29. Vella M, Cardozo L (2005) Incontinence during sexual intercourse. Womens Health Med 2(6):42–43

    Article  Google Scholar 

  30. Xu Y, Song Y, Huang H (2011) Impact of the tension-free vaginal tape obturator procedure on sexual function in women with stress urinary incontinence. Int J Gynecol Obstet 112(2):187–189. https://doi.org/10.1016/j.ijgo.2010.09.014

    Article  Google Scholar 

  31. Dalpiaz O, Kerschbaumer A, Mitterberger M et al (2008) Female sexual dysfunction: a new urogynaecological research field. BJU Int 101(6):717–721. https://doi.org/10.1111/j.1464-410X.2007.07442.x

    Article  Google Scholar 

  32. Shaw C (2002) A systematic review of the literature on the prevalence of sexual impairment in women with urinary incontinence and the prevalence of urinary leakage during sexual activity. Eur Urol 42(5):432–440

    Article  Google Scholar 

  33. Temml C, Haidinger G, Schmidbauer J et al (200) Urinary Incontinence in both sexes: prevalence rates and impact on quality of life and sexual life. Neurourol Urodyn 19(3):259–271

    Google Scholar 

  34. Kim YH, Seo JT, Yoon H (2005) The effect of overactive bladder syndrome on the sexual quality of life in Korean young and middle aged women. Int J Impot Res 17(2):158–163

    Article  Google Scholar 

  35. Auge AP (2006) Comparações entre os índices de qualidade de vida em mulheres com incontinência urinária submetidas ou não ao tratamento cirúrgico [Comparisons between the levels of quality of life in women with urinary incontinence submitted or not to surgical treatment]. Rev Bras Ginecol Obstet 28(6):352–357

    Article  Google Scholar 

  36. Pais-Ribeiro JL, Raimundo A (2005) Satisfação sexual e percepção de saúde em mulheres com incontinência urinária [Sexual satisfaction and health perception in women with urinary incontinence]. Análise Psicológica 3(23):305–314

    Google Scholar 

  37. Urwitz-Lane R, Özel B (2006) Sexual function in women with urodynamic stress incontinence, detrusor overactivity, and mixed urinary incontinence. Am J Obstet Gynecol 195(6):1758–1761

    Article  Google Scholar 

  38. Peake S, Manderson L (2003) The constraints of a normal life: the management of urinary incontinence by middle aged women. Women Health 37(3):37–51. https://doi.org/10.1300/J013v37n03_03

    Article  Google Scholar 

  39. Brittain KR, Shaw C (2007) The social consequences of living with and dealing with incontinence – a carers perspective. Soc Sci Med 65(6):1274–1283

    Article  Google Scholar 

  40. Pais-Ribeiro JL, Rodrigues AP (2004) Questões acerca do coping: a propósito do estudo de adaptação do brief COPE [Some questions about coping: the study of the Portuguese adaptation of the brief COPE]. Psicologia, Saúde & Doenças. 5(1):3–15

    Google Scholar 

  41. Newman DK (2001) Conservative management of urinary incontinence in women. Prim Care Update Ob Gyns 8(4):153–162

    Article  MathSciNet  Google Scholar 

  42. Beiji NK, Ozbas A, Aslan E et al (2010) Overview of the social impact of urinary incontinence with a focus on Turkish women. Urol Nurs 30(6):27–334

    Google Scholar 

  43. Diokno AC, Burgio K, Fultz NH et al (2004) Medical and self-care practices reported by women with urinary incontinence. Am J Manag Care 10(2):69–78

    Google Scholar 

  44. Borba AMC, Lelis MAS, Brêtas ACP (2008) Significado de ter incontinência urinária e ser incontinente na visão das mulheres [The meaning of having urinary incontinence and being incontinent on women’s vision]. Texto Contexto Enferm 17(3):527–535

    Article  Google Scholar 

  45. Elstad EA, Maserejian NN, McKinlay JB et al (2009) Fluid manipulation as a coping strategy among individuals with lower urinary tract symptoms: a mixed methods study. J Urol 181(4):161

    Article  Google Scholar 

  46. Anders K (2000) Coping strategies for women with urinary incontinence. Baillieres Best Pract Res Clin Obstet Gynaecol 14(2):355–361

    Article  Google Scholar 

  47. Bilgic D, Kizilkaya Beji N, Ozbas A et al (2010) The coping and help seeking behaviours for management of urinary incontinence problem. Eur Urol Suppl 9(6):596

    Article  Google Scholar 

  48. Sengezer T, Sunay D, Yildirim U et al (2010) Awareness, knowledge and help-seeking behaviors of women with urinary incontinence: primary results of a multicentrics study. Eur Urol Suppl 9(6):567–568. https://doi.org/10.1016/S1569-9056(10)61323-1

  49. Reynolds P, Hurley S, Torres M et al (2000) Use of coping strategies and breast cancer survival: results from the black/white cancer survical study. Am J Epidemiol 152(10):940–949

    Article  Google Scholar 

  50. Carver CS, Weintraub JK, Scheier MF (1989) Assessing coping strategies: a theoretically based approach. J Pers Soc Psychol 56(2):267–283

    Article  Google Scholar 

  51. Krägeloh CU (2011) A systematic review of studies using the brief COPE: religious coping in factor analyses. Religions 2(3):216–246

    Article  Google Scholar 

  52. Plaufcan MR, Wamboldt FS, Holm KE (2012) Behavioral and characterological self-blame in chronic obstructive pulmonary disease. J Psychosom Res 72(1):78–83. https://doi.org/10.1016/j.jpsychores.2011.10.004

    Article  Google Scholar 

  53. Van den Akker OBA (2005) Coping, quality of life and psychological symptoms in three groups of sub-fertile women. Patient Educ Couns 57(2):183–189

    Article  Google Scholar 

  54. The WHOQOL Group (1995) The world health organization quality of life assessment (WHOQOL): position paper from the world health organization. Soc Sci Med 41(10):1403–1409

    Article  Google Scholar 

  55. Bogner HR, Gallo JJ, Sammel MD et al (2002) Urinary incontinence and psychological distress in community- dwelling older adults. J Am Geriatr Soc 50(3):489–495

    Article  Google Scholar 

  56. Lee JJ (2005) The impact of urinary incontinence levels on the social lives of older Chinese in Hong Kong. Hallym Int J Aging 7(1):63–80. https://doi.org/10.2190/1775-31J1-4564-J352

    Article  MathSciNet  Google Scholar 

  57. Fultz N, Burgio K, Diokno AC et al (2003) Burden of stress urinary incontinence for community-dwelling women. Am J Obstet Gynecol 189(5):1275–1282

    Article  Google Scholar 

  58. Vaart VD, de Leeuw JR, Roovers JP et al (2002) The effect of urinary incontinence and overactive bladder symptoms on quality of life in young women. BJU Int 90(6):544–549

    Article  Google Scholar 

  59. Mallah F, Montazeri A, Ghanbari Z et al (2014) Effect of Urinary Incontinence on quality of life among Iranian women. J Family Reprod Health 8(1):13–19

    Google Scholar 

  60. Tran K, Levin RM, Mousa SA (2009) Behavioral intervention versus pharmacotherapy or their combinations in the management of overactive bladder dysfunction. Adv Urol 345324. https://doi.org/10.1155/2009/345324

  61. Baker J, Costa D, Guarino JM et al (2014) Comparison of mindfulness-based stress reduction versus yoga on urinary urge incontinence: a randomized pilot study with 6-month and 1-year follow-up visits. Female Pelvic Med Reconstr Surg 20(3):141–146. https://doi.org/10.1097/SPV.0000000000000061

    Article  Google Scholar 

  62. Lai HH, Rawal A, Shen B et al (2016) The relationship between anxiety and overactive bladder or urinary incontinence symptoms in the clinical population. Urology 98:50–57. https://doi.org/10.1016/j.urology.2016.07.013

    Article  Google Scholar 

  63. Moore CK (2010) The impact of urinary incontinence and its treatment on female sexual function. Curr Urol Rep 11:299–303. https://doi.org/10.1007/s11934-010-0124-6

    Article  Google Scholar 

  64. Çavan S, Yaman Ö, Orhan İ et al (2016) Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. Eur J Obstet Gynecol Reprod Biol 203:303–308. https://doi.org/10.1016/j.ejogrb.2016.06.030

    Article  Google Scholar 

  65. Bilgic D, Ozbas A, Aslan E et al (2015) Coping and help-seeking behaviors for management of urinary incontinence. LUTS. https://doi.org/10.1111/luts.12120

    Article  Google Scholar 

  66. Patrick DL, Martin ML, Bushnell DM et al (1999) Quality of life of women with urinary incontinence: further development of the incontinence quality of life instrument (I-QOL). Urology. 53(1):71–76

    Article  Google Scholar 

  67. Cappelleri JC, Althof SE, Siegel RL et al (2004) Development and validation of the self-esteem and relationship (SEAR) questionnaire in erectile dysfunction. Int J Impot Res 16(1):30–38

    Article  Google Scholar 

  68. Zigmond AS, Snaith RP (1983) The hospital anxiety and depression scale. Acta Psychiatr Scand 67:361–370

    Article  Google Scholar 

  69. Carver CS (1977) You want to measure coping but your protocol´s too long: consider the brief COPE. Int J Behav Med 4(1):92–100

    Article  MathSciNet  Google Scholar 

  70. Frick A, Huang AJ, Van den Eeden SK et al (2009) Mixed urinary incontinence: greater impact on quality of life. J Urol 182(2):596–600. https://doi.org/10.1016/j.juro.2009.04.005

    Article  Google Scholar 

  71. Aslan G, Köseoğlu H, Sadik O et al (2005) Sexual function in women with urinary incontinence. Int J Impot Res 17(3):248–251

    Article  Google Scholar 

  72. Xavier FMF et al (2003) Elderly people’s definition of quality of life. Rev Bras Psiquiatr 25(1):31–39

    Article  Google Scholar 

  73. Carr AJ, Gibson B, Robinson PG (2001) Measuring quality of life: is quality of life determined by expectations or experiences? BMJ 332(7296):1240–1243

    Article  Google Scholar 

  74. Lume JR (1986) Comportamento humano em situação artificial da vida: um trabalho de investigação em hemodiálise renal [Human behavior in artificial situation of life: a research work on renal dialysis]. Faculdade de Medicina, Universidade do Porto; 1986

    Google Scholar 

  75. Abbott J, Hart A, Morton A et al (2008) Health-related quality of life in adults with cystic fibrosis: the role of coping. J Psychosom Res 64(2):149–157. https://doi.org/10.1016/j.jpsychores.2007.08.017

    Article  Google Scholar 

  76. Klein DM, Turvey CL, Pies CJ (2007) Relationship of coping styles with quality of life and depressive symptoms in older heart failure patients. J Aging Health. 19(1):22–38. https://doi.org/10.1177/0898264306296398

    Article  Google Scholar 

  77. Pargament K, Koenig H, Perez L (2000) The many methods of religious coping: development and initial validation of the RCOPE. J Clin Psychol 56(4):519–543

    Article  Google Scholar 

  78. Taylor JL, Smith PJ, Babyak MA et al (2008) Coping and quality of life in patients awaiting lung transplantation. J Psychosom Res 65(1):71–79. https://doi.org/10.1016/j.jpsychores.2008.04.009

    Article  Google Scholar 

  79. Stanton AL, Danoff-Burg S, Cameron CL et al (2000) Emotionally expressive coping predicts psychological and physical adjustment to breast cancer. J Consult Clin Psychol 68(5):875–882

    Article  Google Scholar 

  80. Lazarus RS, Folkman S (1984) Stress, appraisal, and coping. Springer, New York

    Google Scholar 

  81. Di Gangi Herms AMR, Pinggera GM, De Jonge P et al (2003) Assessing health care needs and clinical outcome with urological case complexity: a study using INTERMED. Psychosomatics 44(3):196–203. https://doi.org/10.1176/appi.psy.44.3.196

    Article  Google Scholar 

  82. Koenig HG, Larson DB, Larson SS (2001) Religion and coping with serious medical illness. Ann Pharmacother 35(3):352–359

    Article  Google Scholar 

  83. Higa R, Lopes HMB (2007) Porque profissionais de enfermagem com incontinência urinária não buscam tratamento [Why nursing professionals with urinary incontinence do not seek treatment]. Rev Bras Enferm. 60(5):503–506

    Article  Google Scholar 

  84. Wilson JF (1981) Behavioral preparation for surgery: benefit or harm? J Behav Med 4(1):79–102

    Article  Google Scholar 

  85. Lagro-Janssen T, Smits A, Weel V (1992) Urinary incontinence in women and the effect on their lives. Scand J Prim Health Care 10(3):211–216

    Article  Google Scholar 

  86. Coyne KS, Sexton CC, Irwin DE et al (2008) The impact of overactive bladder incontinence and other lower urinary tract symptoms on quality of life, work productivity, sexuality and emotional well-being in men and women: results from the EPIC study. BJU Int 101(11):1388–1395. https://doi.org/10.1111/j.1464-410X.2008.07601.x

    Article  Google Scholar 

  87. Tovian SM (1994) Urinary Incontinence: assessment, intervention, and the role of clinical health psychology in program development. J Clin Psychol Med Settings 1(4):339–361

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to M. Graça Pereira .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Graça Pereira, M., Pedras, S., Senra, C. (2018). Psychological Morbidity, Sexual Satisfaction, Coping, and Quality of Life in Women with Urinary Incontinence in Rehabilitation Treatment. In: Brandão, S., Da Roza, T., Ramos, I., Mascarenhas, T. (eds) Women's Health and Biomechanics. Lecture Notes in Computational Vision and Biomechanics, vol 29. Springer, Cham. https://doi.org/10.1007/978-3-319-71574-2_15

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-71574-2_15

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-71573-5

  • Online ISBN: 978-3-319-71574-2

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics