Coping with stress and quality of life in women with stress urinary incontinence

Introduction Urinary incontinence (UI) involves uncontrolled leakage of urine through the urethra as a result of damage to its sphincter muscle and a disturbed function of the urogenital diaphragm within the pelvis minor. The symptoms of UI radically impair psychological, somatic, and social functioning. The aim of each disease stress coping process is to reduce the impact of harmful agents as well as the acquisition of necessary preventive measures in order to combat the disorder. Aim of the study was to assess the relationship between coping styles used when dealing with stress associated with disease and the quality of life. Material and methods The study was carried out at an outpatients’ clinic located in the Lublin Province (eastern Poland), covering 150 women with diagnosed stress urinary incontinence, aged between 32 and 79. The following methods were used: (a) Coping Inventory for Stressful Situations (Endler, Parker) to assess coping styles, (b) CASP-19 scale (Higgins, Hyde, Wiggins, Blade) to measure the overall quality of life, and (c) Urinary Incontinence Life Quality Scale (Szymona-Pałkowska, Kraczkowski). Results The preferred style in the studied group of women was Task-Oriented Coping. This style is associated with a low score on the Independence from Symptoms scale and low Control, being simultaneously correlated with Autonomy and Self-Realisation. Emotion-Oriented Coping is associated with low psychological, physical and social well-being, as well as with little independence from the disease symptoms, little pleasure and self-realisation, but it gives a sense of internal control. Avoidance-Oriented Coping does not significantly correlate with any of the Overall Quality of Life dimensions. Conclusions Women suffering from UI tend to try to solve their problem by means of cognitive transformation. In their situation, clinging to the problem turns out to be a depressing factor and entails a lower quality of their life.

[1]  K. Janowski,et al.  Selected determinants of quality of life in women with urinary incontinence , 2014, Przeglad menopauzalny = Menopause review.

[2]  J. Opara,et al.  The prevalence of stress urinary incontinence in women studying nursing and related quality of life , 2014, Przeglad menopauzalny = Menopause review.

[3]  Haejung Lee,et al.  The effects of personal resources and coping strategies on depression and anxiety in patients with chronic obstructive pulmonary disease. , 2013, Heart & lung : the journal of critical care.

[4]  L. Bidzan,et al.  A Model of the Psychological Factors Conditioning Health Related Quality of Life in Urodynamic Stress Incontinence Patients After TVT , 2012 .

[5]  L. Bidzan,et al.  A Multi-Disciplinary Perspective on the Diagnosis and Treatment of Urinary Incontinence in Young Women , 2012 .

[6]  Krzysztof Mehlich,et al.  Stress urine incontinence especially in elite women athletes extremely practicing sports , 2011 .

[7]  D. Segedi,et al.  Quality of life in women with urinary incontinence. , 2011, Medicinski glasnik : official publication of the Medical Association of Zenica-Doboj Canton, Bosnia and Herzegovina.

[8]  K. Myhr,et al.  Coping with multiple sclerosis: a 5‐year follow‐up study , 2009, Acta neurologica Scandinavica.

[9]  L. Bidzan,et al.  Psychosexual biography and the strategies used by women afflicted with stress urinary incontinence during intercourse: two case studies. , 2009, Medical Science Monitor.

[10]  C. Bungener,et al.  Coping Strategy and Anxiety Evolution in Multiple Sclerosis Patients Initiating Interferon-Beta Treatment , 2009, European Neurology.

[11]  A. Milani,et al.  Which factors influenced the result of a tension free vaginal tape operation in a single teaching hospital? , 2007, Acta Obstetricia et Gynecologica Scandinavica.

[12]  C. Bungener,et al.  Coping and quality of life in one hundred and thirty five subjects with multiple sclerosis , 2007, Multiple sclerosis.

[13]  E. McDonald,et al.  Coping and psychological adjustment among people with multiple sclerosis. , 2004, Journal of psychosomatic research.

[14]  R. Wiggins,et al.  Researching Quality of Life in Early Old Age: The Importance of the Sociological Dimension , 2003 .

[15]  W. Beatty,et al.  Correlates of coping style in patients with multiple sclerosis , 1998, Multiple sclerosis.

[16]  D. Goodkin,et al.  Depression, coping and level of neurological impairment in multiple sclerosis , 1997, Multiple sclerosis.

[17]  L. Mullins,et al.  Coping with general and disease-related stressors by patients with multiple sclerosis: relationships to psychological distress , 1997, Multiple sclerosis.

[18]  T. Revenson,et al.  Disability and coping as predictors of psychological adjustment to rheumatoid arthritis. , 1989, Journal of consulting and clinical psychology.

[19]  S. Wonderlich,et al.  Differences in coping styles among persons with spinal cord injury: a cluster-analytic approach. , 1987, Journal of consulting and clinical psychology.

[20]  S. Folkman,et al.  Stress: Appraisal and Coping , 2020, Encyclopedia of Behavioral Medicine.

[21]  M. Bidzan,et al.  STRATEGIES FOR COPING WITH STRESS URINARY INCONTINENCE IN WOMEN , 2011 .

[22]  P. Miotła,et al.  [The quality of life of patients with overactive bladder after local injections of botulinum toxin A--a preliminary report]. , 2010, Ginekologia Polska.

[23]  S. Harkins,et al.  Emotional distress and urinary incontinence among older women. , 2006 .

[24]  G. Iwanowicz-Palus,et al.  [Quality of life of women with urinary incontinence]. , 2004, Wiadomosci lekarskie.