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Dongjuan Xu and Nana Liu have contributed equally to this work.
To investigate the relationships among symptom severity, coping styles, and quality of life (QOL) in community-dwelling women with urinary incontinence (UI).
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.
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.
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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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
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
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
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
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
Folkman, S. (1984). Stress, appraisal, and coping. New York: Springer.
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
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
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
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).
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).
Sobel, M. E. (1982). Asymptotic confidence intervals for indirect effects in structural equation models. Sociological Methodology, 13, 290–312. CrossRef
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
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).
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
- Relationships among symptom severity, coping styles, and quality of life in community-dwelling women with urinary incontinence: a multiple mediator model
- Springer International Publishing