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Gepubliceerd in: Quality of Life Research 1/2016

22-07-2015

Relationships among symptom severity, coping styles, and quality of life in community-dwelling women with urinary incontinence: a multiple mediator model

Auteurs: Dongjuan Xu, Nana Liu, Haili Qu, Liqin Chen, Kefang Wang

Gepubliceerd in: Quality of Life Research | Uitgave 1/2016

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Abstract

Purpose

To investigate the relationships among symptom severity, coping styles, and quality of life (QOL) in community-dwelling women with urinary incontinence (UI).

Methods

A total of 592 women with UI participated in this cross-sectional study. Bivariate Pearson’s correlation was used to examine the correlations between symptom severity, coping styles, and QOL. Multivariate regression models and Sobel tests were used to test the mediating effect of coping styles. Additionally, a multiple mediator model was used to examine the mediating role of coping styles collectively. All regression models were adjusted for age, education, marital status, income, duration of UI, and type of UI.

Results

Participants tended to use avoidant and palliative coping styles and not use instrumental coping style. Avoidant and palliative coping styles were associated with poor QOL, and partially mediated the association between symptom severity and QOL. Nearly 73 % of the adverse effect of symptom severity on QOL was mediated by avoidant and palliative coping styles.

Conclusions

The use of avoidant and palliative coping styles was higher with more severe urine leakage, and QOL tended to be poorer. Coping styles should be addressed in UI management. It may be of particular value to look closely at negative coping styles and implement education and training of patients in improving their coping skills related to managing UI, which will in turn improve their QOL.
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Metagegevens
Titel
Relationships among symptom severity, coping styles, and quality of life in community-dwelling women with urinary incontinence: a multiple mediator model
Auteurs
Dongjuan Xu
Nana Liu
Haili Qu
Liqin Chen
Kefang Wang
Publicatiedatum
22-07-2015
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 1/2016
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-015-1070-z

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