Skip to main content
Top
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

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

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.
Literatuur
1.
go back to reference Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. American Journal of Obstetrics and Gynecology, 187(1), 116–126.PubMedCrossRef Abrams, P., Cardozo, L., Fall, M., Griffiths, D., Rosier, P., Ulmsten, U., et al. (2002). The standardisation of terminology of lower urinary tract function: Report from the Standardisation Sub-committee of the International Continence Society. American Journal of Obstetrics and Gynecology, 187(1), 116–126.PubMedCrossRef
3.
go back to reference Subak, L. L., Goode, P. S., Brubaker, L., Kusek, J. W., Schembri, M., Lukacz, E. S., et al. (2014). Urinary incontinence management costs are reduced following Burch or sling surgery for stress incontinence. American Journal of Obstetrics and Gynecology, 211(2), 171 e171–171 e177. doi:10.1016/j.ajog.2014.03.012.CrossRef Subak, L. L., Goode, P. S., Brubaker, L., Kusek, J. W., Schembri, M., Lukacz, E. S., et al. (2014). Urinary incontinence management costs are reduced following Burch or sling surgery for stress incontinence. American Journal of Obstetrics and Gynecology, 211(2), 171 e171–171 e177. doi:10.​1016/​j.​ajog.​2014.​03.​012.CrossRef
4.
go back to reference Guzelsoy, M., Demirci, H., Coban, S., Belkiz Gungor, B., Ustunyurt, E., & Isildak, S. (2014). Impact of urinary incontinence on quality of life among residents living in Turkey. Urology Journal, 11(2), 1447–1451.PubMed Guzelsoy, M., Demirci, H., Coban, S., Belkiz Gungor, B., Ustunyurt, E., & Isildak, S. (2014). Impact of urinary incontinence on quality of life among residents living in Turkey. Urology Journal, 11(2), 1447–1451.PubMed
5.
go back to reference Naughton, M. J., & Wyman, J. F. (1997). Quality of life in geriatric patients with lower urinary tract dysfunction. American Journal of the Medical Sciences, 314(4), 219–227.PubMedCrossRef Naughton, M. J., & Wyman, J. F. (1997). Quality of life in geriatric patients with lower urinary tract dysfunction. American Journal of the Medical Sciences, 314(4), 219–227.PubMedCrossRef
6.
go back to reference Xu, D., & Kane, R. L. (2013). Effect of urinary incontinence on older nursing home residents’ self-reported quality of life. Journal of the American Geriatrics Society, 61(9), 1473–1481. doi:10.1111/jgs.12408.PubMedCrossRef Xu, D., & Kane, R. L. (2013). Effect of urinary incontinence on older nursing home residents’ self-reported quality of life. Journal of the American Geriatrics Society, 61(9), 1473–1481. doi:10.​1111/​jgs.​12408.PubMedCrossRef
7.
go back to reference Tincello, D., Sculpher, M., Tunn, R., Quail, D., van der Vaart, H., Falconer, C., et al. (2010). Patient characteristics impacting health state index scores, measured by the EQ-5D of females with stress urinary incontinence symptoms. Value in Health, 13(1), 112–118. doi:10.1111/j.1524-4733.2009.00599.x.PubMedCrossRef Tincello, D., Sculpher, M., Tunn, R., Quail, D., van der Vaart, H., Falconer, C., et al. (2010). Patient characteristics impacting health state index scores, measured by the EQ-5D of females with stress urinary incontinence symptoms. Value in Health, 13(1), 112–118. doi:10.​1111/​j.​1524-4733.​2009.​00599.​x.PubMedCrossRef
9.
go back to reference Saadoun, K., Ringa, V., Fritel, X., Varnoux, N., Zins, M., & Breart, G. (2006). Negative impact of urinary incontinence on quality of life, a cross-sectional study among women aged 49-61 years enrolled in the GAZEL cohort. Neurourology and Urodynamics, 25(7), 696–702. doi:10.1002/nau.20245.PubMedCrossRef Saadoun, K., Ringa, V., Fritel, X., Varnoux, N., Zins, M., & Breart, G. (2006). Negative impact of urinary incontinence on quality of life, a cross-sectional study among women aged 49-61 years enrolled in the GAZEL cohort. Neurourology and Urodynamics, 25(7), 696–702. doi:10.​1002/​nau.​20245.PubMedCrossRef
10.
go back to reference St John, W., Wallis, M., Griffiths, S., & McKenzie, S. (2010). Daily-living management of urinary incontinence: A synthesis of the literature. Journal of Wound, Ostomy and Continence Nursing, 37(1), 80–90. doi:10.1097/WON.0b013e3181c68f9d.CrossRef St John, W., Wallis, M., Griffiths, S., & McKenzie, S. (2010). Daily-living management of urinary incontinence: A synthesis of the literature. Journal of Wound, Ostomy and Continence Nursing, 37(1), 80–90. doi:10.​1097/​WON.​0b013e3181c68f9d​.CrossRef
11.
go back to reference Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer. Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
12.
go back to reference Roesch, S. C., & Weiner, B. (2001). A meta-analytic review of coping with illness: Do causal attributions matter? Journal of Psychosomatic Research, 50(4), 205–219.PubMedCrossRef Roesch, S. C., & Weiner, B. (2001). A meta-analytic review of coping with illness: Do causal attributions matter? Journal of Psychosomatic Research, 50(4), 205–219.PubMedCrossRef
13.
go back to reference Chao, R. C. L. (2011). Managing stress and maintaining well-being: Social support, problem-focused coping, and avoidant coping. Journal of Counseling and Development, 89(3), 338–348.CrossRef Chao, R. C. L. (2011). Managing stress and maintaining well-being: Social support, problem-focused coping, and avoidant coping. Journal of Counseling and Development, 89(3), 338–348.CrossRef
15.
go back to reference Wahl, A., Hanestad, B., Wiklund, I., & Moum, T. (1999). Coping and quality of life in patients with psoriasis. Quality of Life Research, 8(5), 427–433.PubMedCrossRef Wahl, A., Hanestad, B., Wiklund, I., & Moum, T. (1999). Coping and quality of life in patients with psoriasis. Quality of Life Research, 8(5), 427–433.PubMedCrossRef
20.
go back to reference O’Donnell, M., Lose, G., Sykes, D., Voss, S., & Hunskaar, S. (2005). Help-seeking behaviour and associated factors among women with urinary incontinence in France, Germany, Spain and the United Kingdom. European Urology, 47(3), 385–392. doi:10.1016/j.eururo.2004.09.014. (discussion 392).PubMedCrossRef O’Donnell, M., Lose, G., Sykes, D., Voss, S., & Hunskaar, S. (2005). Help-seeking behaviour and associated factors among women with urinary incontinence in France, Germany, Spain and the United Kingdom. European Urology, 47(3), 385–392. doi:10.​1016/​j.​eururo.​2004.​09.​014. (discussion 392).PubMedCrossRef
22.
go back to reference Brown, W. J., & Miller, Y. D. (2001). Too wet to exercise? Leaking urine as a barrier to physical activity in women. Journal of Science and Medicine in Sport, 4(4), 373–378.PubMedCrossRef Brown, W. J., & Miller, Y. D. (2001). Too wet to exercise? Leaking urine as a barrier to physical activity in women. Journal of Science and Medicine in Sport, 4(4), 373–378.PubMedCrossRef
23.
go back to reference Sampselle, C. M. (2003). Teaching women to use a voiding diary: What ‘mind over bladder’ can accomplish. The American Journal of Nursing, 103(11), 62–64.PubMedCrossRef Sampselle, C. M. (2003). Teaching women to use a voiding diary: What ‘mind over bladder’ can accomplish. The American Journal of Nursing, 103(11), 62–64.PubMedCrossRef
24.
go back to reference Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48(11), 1507–1515.PubMedCrossRef Sprangers, M. A., & Schwartz, C. E. (1999). Integrating response shift into health-related quality of life research: A theoretical model. Social Science and Medicine, 48(11), 1507–1515.PubMedCrossRef
25.
go back to reference Kok, E. T., Groeneveld, F. P., Busschbach, J. J., Hop, W. C., Bosch, J. L., Thomas, S., et al. (2007). Influence of coping styles on quality of life in men with new and increasing lower urinary tract symptoms. The Krimpen Study in community-dwelling men. Urologia Internationalis, 79(3), 226–230. doi:10.1159/000107954.PubMedCrossRef Kok, E. T., Groeneveld, F. P., Busschbach, J. J., Hop, W. C., Bosch, J. L., Thomas, S., et al. (2007). Influence of coping styles on quality of life in men with new and increasing lower urinary tract symptoms. The Krimpen Study in community-dwelling men. Urologia Internationalis, 79(3), 226–230. doi:10.​1159/​000107954.PubMedCrossRef
26.
go back to reference Ritsner, M., Ben-Avi, I., Ponizovsky, A., Timinsky, I., Bistrov, E., & Modai, I. (2003). Quality of life and coping with schizophrenia symptoms. Quality of Life Research, 12(1), 1–9.PubMedCrossRef Ritsner, M., Ben-Avi, I., Ponizovsky, A., Timinsky, I., Bistrov, E., & Modai, I. (2003). Quality of life and coping with schizophrenia symptoms. Quality of Life Research, 12(1), 1–9.PubMedCrossRef
27.
go back to reference Van De Ven, M. O., Engels, R. C., Sawyer, S. M., Otten, R., & Van Den Eijnden, R. J. (2007). The role of coping strategies in quality of life of adolescents with asthma. Quality of Life Research, 16(4), 625–634. doi:10.1007/s11136-006-9146-4.CrossRef Van De Ven, M. O., Engels, R. C., Sawyer, S. M., Otten, R., & Van Den Eijnden, R. J. (2007). The role of coping strategies in quality of life of adolescents with asthma. Quality of Life Research, 16(4), 625–634. doi:10.​1007/​s11136-006-9146-4.CrossRef
28.
go back to reference Fultz, N., Girts, T., Kinchen, K., Nygaard, I., Pohl, G., & Sternfeld, B. (2005). Prevalence, management and impact of urinary incontinence in the workplace. Occupational Medicine, 55(7), 552–557. doi:10.1093/occmed/kqi152. (Lond).PubMedCrossRef Fultz, N., Girts, T., Kinchen, K., Nygaard, I., Pohl, G., & Sternfeld, B. (2005). Prevalence, management and impact of urinary incontinence in the workplace. Occupational Medicine, 55(7), 552–557. doi:10.​1093/​occmed/​kqi152. (Lond).PubMedCrossRef
29.
go back to reference Li, J., Wang, X., Wan, X., Wu, C., & Wang, K. (2014). Coping style of community women with urinary incontinence and its influencing factors. Journal of Nursing, 21(7), 8–11. (China). Li, J., Wang, X., Wan, X., Wu, C., & Wang, K. (2014). Coping style of community women with urinary incontinence and its influencing factors. Journal of Nursing, 21(7), 8–11. (China).
30.
go back to reference Huang, L., Zhang, S. W., Wu, S. L., Ma, L., & Deng, X. H. (2008). The Chinese version of ICIQ: A useful tool in clinical practice and research on urinary incontinence. Neurourology and Urodynamics, 27(6), 522–524. doi:10.1002/nau.20546.PubMedCrossRef Huang, L., Zhang, S. W., Wu, S. L., Ma, L., & Deng, X. H. (2008). The Chinese version of ICIQ: A useful tool in clinical practice and research on urinary incontinence. Neurourology and Urodynamics, 27(6), 522–524. doi:10.​1002/​nau.​20546.PubMedCrossRef
31.
go back to reference Sandvik, H., Seim, A., Vanvik, A., & Hunskaar, S. (2000). A severity index for epidemiological surveys of female urinary incontinence: Comparison with 48-hour pad-weighing tests. Neurourology and Urodynamics, 19(2), 137–145.PubMedCrossRef Sandvik, H., Seim, A., Vanvik, A., & Hunskaar, S. (2000). A severity index for epidemiological surveys of female urinary incontinence: Comparison with 48-hour pad-weighing tests. Neurourology and Urodynamics, 19(2), 137–145.PubMedCrossRef
32.
go back to reference Wu, C., Liu, Y., Guan, X., & Wang, K. (2012). Coping styles of women suffering urinary incontinence: Instrument development and validation. Journal of Nursing Science, 27(8), 39–41. (China). Wu, C., Liu, Y., Guan, X., & Wang, K. (2012). Coping styles of women suffering urinary incontinence: Instrument development and validation. Journal of Nursing Science, 27(8), 39–41. (China).
33.
go back to reference Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (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.PubMedCrossRef Patrick, D. L., Martin, M. L., Bushnell, D. M., Yalcin, I., Wagner, T. H., & Buesching, D. P. (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.PubMedCrossRef
34.
go back to reference Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.PubMedCrossRef Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.PubMedCrossRef
35.
go back to reference Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312.CrossRef Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312.CrossRef
36.
go back to reference Monz, B., Chartier-Kastler, E., Hampel, C., Samsioe, G., Hunskaar, S., Espuna-Pons, M., et al. (2007). Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: Results from PURE. European Urology, 51(4), 1073–1081. doi:10.1016/j.eururo.2006.09.022. (discussion 1081–1072).PubMedCrossRef Monz, B., Chartier-Kastler, E., Hampel, C., Samsioe, G., Hunskaar, S., Espuna-Pons, M., et al. (2007). Patient characteristics associated with quality of life in European women seeking treatment for urinary incontinence: Results from PURE. European Urology, 51(4), 1073–1081. doi:10.​1016/​j.​eururo.​2006.​09.​022. (discussion 1081–1072).PubMedCrossRef
37.
go back to reference Wu, C., Wang, K., Sun, T., Xu, D., & Palmer, M. H. (2015). Predicting help-seeking intention of women with urinary incontinence in Jinan, China: A theory of planned behaviour model. Journal of Clinical Nursing, 24(3–4), 457–464. doi:10.1111/jocn.12623.PubMedCrossRef Wu, C., Wang, K., Sun, T., Xu, D., & Palmer, M. H. (2015). Predicting help-seeking intention of women with urinary incontinence in Jinan, China: A theory of planned behaviour model. Journal of Clinical Nursing, 24(3–4), 457–464. doi:10.​1111/​jocn.​12623.PubMedCrossRef
38.
go back to reference Wang, L., Gong, K., Li, C., Liu, Z., & Yin, H. (2010). Effects of coping style and social support on quality of life of elderly women with urinary incontinence. Shanghai Nursing, 10(2), 12–16. (China). Wang, L., Gong, K., Li, C., Liu, Z., & Yin, H. (2010). Effects of coping style and social support on quality of life of elderly women with urinary incontinence. Shanghai Nursing, 10(2), 12–16. (China).
39.
go back to reference Delarmelindo Rde, C., Parada, C. M., Rodrigues, R. A., & Bocchi, S. C. (2013). Women’s strategies for coping with urinary incontinence. Revista da Escola de Engermagem da USP, 47(2), 296–303.PubMedCrossRef Delarmelindo Rde, C., Parada, C. M., Rodrigues, R. A., & Bocchi, S. C. (2013). Women’s strategies for coping with urinary incontinence. Revista da Escola de Engermagem da USP, 47(2), 296–303.PubMedCrossRef
41.
go back to reference Shaw, C. (2001). A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence. Journal of Clinical Nursing, 10(1), 15–24.PubMedCrossRef Shaw, C. (2001). A review of the psychosocial predictors of help-seeking behaviour and impact on quality of life in people with urinary incontinence. Journal of Clinical Nursing, 10(1), 15–24.PubMedCrossRef
42.
go back to reference Margalith, I., Gillon, G., & Gordon, D. (2004). Urinary incontinence in women under 65: Quality of life, stress related to incontinence and patterns of seeking health care. Quality of Life Research, 13(8), 1381–1390.PubMedCrossRef Margalith, I., Gillon, G., & Gordon, D. (2004). Urinary incontinence in women under 65: Quality of life, stress related to incontinence and patterns of seeking health care. Quality of Life Research, 13(8), 1381–1390.PubMedCrossRef
43.
go back to reference Borrie, M. J., Bawden, M., Speechley, M., & Kloseck, M. (2002). Interventions led by nurse continence advisers in the management of urinary incontinence: A randomized controlled trial. Canadian Medical Association Journal, 166(10), 1267–1273.PubMedPubMedCentral Borrie, M. J., Bawden, M., Speechley, M., & Kloseck, M. (2002). Interventions led by nurse continence advisers in the management of urinary incontinence: A randomized controlled trial. Canadian Medical Association Journal, 166(10), 1267–1273.PubMedPubMedCentral
44.
go back to reference Seim, A., Hermstad, R., & Hunskaar, S. (1997). Management in general practice significantly reduced psychosocial consequences of female urinary incontinence. Quality of Life Research, 6(3), 257–264.PubMedCrossRef Seim, A., Hermstad, R., & Hunskaar, S. (1997). Management in general practice significantly reduced psychosocial consequences of female urinary incontinence. Quality of Life Research, 6(3), 257–264.PubMedCrossRef
45.
go back to reference Tomlinson, B. U., Dougherty, M. C., Pendergast, J. F., Boyington, A. R., Coffman, M. A., & Pickens, S. M. (1999). Dietary caffeine, fluid intake and urinary incontinence in older rural women. International Urogynecology Journal and Pelvic Floor Dysfunction, 10(1), 22–28.PubMedCrossRef Tomlinson, B. U., Dougherty, M. C., Pendergast, J. F., Boyington, A. R., Coffman, M. A., & Pickens, S. M. (1999). Dietary caffeine, fluid intake and urinary incontinence in older rural women. International Urogynecology Journal and Pelvic Floor Dysfunction, 10(1), 22–28.PubMedCrossRef
47.
go back to reference Altaweel, W., & Alharbi, M. (2012). Urinary incontinence: Prevalence, risk factors, and impact on health related quality of life in Saudi women. Neurourology and Urodynamics, 31(5), 642–645. doi:10.1002/nau.22201.PubMedCrossRef Altaweel, W., & Alharbi, M. (2012). Urinary incontinence: Prevalence, risk factors, and impact on health related quality of life in Saudi women. Neurourology and Urodynamics, 31(5), 642–645. doi:10.​1002/​nau.​22201.PubMedCrossRef
48.
go back to reference Wong, T., Lau, B. Y., Mak, H. L., Pang, M. W., Cheon, C., & Yip, S. K. (2006). Changing prevalence and knowledge of urinary incontinence among Hong Kong Chinese women. International Urogynecology Journal and Pelvic Floor Dysfunction, 17(6), 593–597. doi:10.1007/s00192-006-0072-3.PubMedCrossRef Wong, T., Lau, B. Y., Mak, H. L., Pang, M. W., Cheon, C., & Yip, S. K. (2006). Changing prevalence and knowledge of urinary incontinence among Hong Kong Chinese women. International Urogynecology Journal and Pelvic Floor Dysfunction, 17(6), 593–597. doi:10.​1007/​s00192-006-0072-3.PubMedCrossRef
49.
go back to reference Koch, L. H. (2006). Help-seeking behaviors of women with urinary incontinence: An integrative literature review. Journal of Midwifery and Women’s Health, 51(6), e39–e44.PubMedCrossRef Koch, L. H. (2006). Help-seeking behaviors of women with urinary incontinence: An integrative literature review. Journal of Midwifery and Women’s Health, 51(6), e39–e44.PubMedCrossRef
50.
go back to reference Kinchen, K. S., Burgio, K., Diokno, A. C., Fultz, N. H., Bump, R., & Obenchain, R. (2003). Factors associated with women’s decisions to seek treatment for urinary incontinence. Journal of Women’s Health, 12(7), 687–698. doi:10.1089/154099903322404339. (Larchmt).PubMedCrossRef Kinchen, K. S., Burgio, K., Diokno, A. C., Fultz, N. H., Bump, R., & Obenchain, R. (2003). Factors associated with women’s decisions to seek treatment for urinary incontinence. Journal of Women’s Health, 12(7), 687–698. doi:10.​1089/​1540999033224043​39. (Larchmt).PubMedCrossRef
51.
go back to reference Goldstein, M., Hawthorne, M. E., Engeberg, S., McDowell, B. J., & Burgio, K. L. (1992). Urinary incontinence. Why people do not seek help. Journal of Gerontological Nursing, 18(4), 15–20.PubMedCrossRef Goldstein, M., Hawthorne, M. E., Engeberg, S., McDowell, B. J., & Burgio, K. L. (1992). Urinary incontinence. Why people do not seek help. Journal of Gerontological Nursing, 18(4), 15–20.PubMedCrossRef
52.
go back to reference Horrocks, S., Somerset, M., Stoddart, H., & Peters, T. J. (2004). What prevents older people from seeking treatment for urinary incontinence? A qualitative exploration of barriers to the use of community continence services. Family Practice, 21(6), 689–696. doi:10.1093/fampra/cmh622.PubMedCrossRef Horrocks, S., Somerset, M., Stoddart, H., & Peters, T. J. (2004). What prevents older people from seeking treatment for urinary incontinence? A qualitative exploration of barriers to the use of community continence services. Family Practice, 21(6), 689–696. doi:10.​1093/​fampra/​cmh622.PubMedCrossRef
54.
go back to reference Rizk, D. E., Hassan, M. Y., Shaheen, H., Cherian, J. V., Micallef, R., & Dunn, E. (2001). The prevalence and determinants of health care-seeking behavior for fecal incontinence in multiparous United Arab Emirates females. Diseases of the Colon and Rectum, 44(12), 1850–1856.PubMedCrossRef Rizk, D. E., Hassan, M. Y., Shaheen, H., Cherian, J. V., Micallef, R., & Dunn, E. (2001). The prevalence and determinants of health care-seeking behavior for fecal incontinence in multiparous United Arab Emirates females. Diseases of the Colon and Rectum, 44(12), 1850–1856.PubMedCrossRef
55.
go back to reference Xu, D., Wang, X., Li, J., & Wang, K. (2015). The mediating effect of ‘bothersome’ urinary incontinence on help-seeking intentions among community-dwelling women. Journal of Advanced Nursing, 71(2), 315–325. doi:10.1111/jan.12514.PubMedCrossRef Xu, D., Wang, X., Li, J., & Wang, K. (2015). The mediating effect of ‘bothersome’ urinary incontinence on help-seeking intentions among community-dwelling women. Journal of Advanced Nursing, 71(2), 315–325. doi:10.​1111/​jan.​12514.PubMedCrossRef
56.
go back to reference Grey, M., Boland, E. A., Davidson, M., Li, J., & Tamborlane, W. V. (2000). Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life. The Journal of Pediatrics, 137(1), 107–113. doi:10.1067/mpd.2000.106568.PubMedCrossRef Grey, M., Boland, E. A., Davidson, M., Li, J., & Tamborlane, W. V. (2000). Coping skills training for youth with diabetes mellitus has long-lasting effects on metabolic control and quality of life. The Journal of Pediatrics, 137(1), 107–113. doi:10.​1067/​mpd.​2000.​106568.PubMedCrossRef
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

Andere artikelen Uitgave 1/2016

Quality of Life Research 1/2016 Naar de uitgave