Dongjuan Xu1,2, Nana Liu1, Haili Qu3, Liqin Chen1, Kefang Wang4. 1. School of Nursing, Shandong University, No. 44, Wenhua Xi Road, Jinan, Shandong, China. 2. School of Public Health, University of Minnesota, Minneapolis, MN, USA. 3. Provincial Hospital Affiliated to Shandong University, Jinan, Shandong, China. 4. School of Nursing, Shandong University, No. 44, Wenhua Xi Road, Jinan, Shandong, China. wangkf@sdu.edu.cn.
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.
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.
Entities:
Keywords:
Coping style; Quality of life; Symptom severity; Urinary incontinence; Women
Authors: Douglas Tincello; Mark Sculpher; Ralf Tunn; Deborah Quail; Huub van der Vaart; Christian Falconer; Martina Manning; Louise Timlin Journal: Value Health Date: 2009-09-10 Impact factor: 5.725