Araştırma Makalesi
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Aşırı Aktif Mesaneli Kadınlarda Depresyon İlişkisi

Yıl 2023, Cilt: 16 Sayı: 1, 68 - 74, 30.04.2023
https://doi.org/10.52976/vansaglik.1172717

Öz

Amaç: Çalışmamızda, aşırı aktif mesane (AAM) tanılı kadın hastalarda AAM şiddeti ile depresyon arasındaki ilişki araştırılarak
literatürdeki boşluğun doldurulması amaçlanmıştır.
Materyal ve Metod: Çalışmamıza Mart 2022 ile Haziran 2022 tarihleri arasında başvuran aşırı aktif mesane tanılı 112 kadın hasta
dahil edilmiştir. Katılımcılar poliklinikte değerlendirildikten sonra tüm katılımcılar sosyodemografik veri formu, Beck Depresyon
Ölçeği (BDÖ), Aşırı Aktif Mesane Değerlendirme Formu (OAB-V8) ile değerlendirildi.
Bulgular: Depresyon ve AAM şiddet skorlarına bakıldığında grubun depresyon puan ortalaması 13,88±6,4 ve OAB-V8 puan
ortalaması 30,23±6,32 saptandı. Katılımcıların diğer medikal geçmişlerine bakıldığında ise %21,5’inin (n=24) geçmişte depresyon ve
anksiyete bozukluğu tanılarıyla takip edildiği; hâlihazırda ilaç kullanmadıkları görüldü. %64,3’ü (n=72) menapoz dönemindeydi.
Katılımcıların OAB-V8 puanları ile Beck Depresyon Ölçeği şiddet sınıflaması arasındaki ilişkiyi ve bu şiddet sınıflamaları arasında
bir fark olup olmadığını incelemek üzere yapılan tek yönlü varyans analizi (ANOVA) sonucunda anlamlı farklılıklar saptanmıştır
(F=6,815; p=0,000).
Sonuç: Çalışmamız her ne kadar kesitsel bir dizayna sahip olsa da depresyon düzeyi arttıkça AAM şiddetinin de arttığına dair
sonuçlar elde edilmiştir. AAM tanılı hastalarda multidisipliner yaklaşım ve ayrıntılı psikolojik değerlendirme önem taşımaktadır.

Destekleyen Kurum

HİÇBİR KURUMDAN DESTEK ALINMAMIŞTIR.

Kaynakça

  • Referans1: Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 2002;187(1):116-26.
  • Referans2: Acquadro C, Kopp Z, Coyne KS, Corcos J, Tubaro A, Choo M-S. Translating overactive bladder questionnaires in 14 languages. Urology 2006;67(3):536-40.
  • Referans3: Beck AT, Ward C, Mendelson M, Mock J, Erbaugh J. Beck depression inventory (BDI). Arch Gen Psychiatry 1961;4(6):561-71.
  • Referans4: Chiara G, Piccioni V, Perino M, Ohlmeier U, Fassino S, Leombruni P. Psychological investigation in female patients suffering from urinary incontinence. Int Urogynecol J 1998;9(2):73-7.
  • Referans5:Coyne K, Revicki D, Hunt T, Corey R, Stewart W, Bentkover J, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res 2002;11(6):563-74.
  • Referans6: de Groat WC. Influence of central serotonergic mechanisms on lower urinary tract function. Urology 2002;59(5):30-6.
  • Referans7: Gormley EA, Lightner DJ, Burgio KL, Chai TC, Clemens JQ, Culkin DJ, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol 2012;188(6S):2455-63.
  • Referans8: Hisli N. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989;7:3-13.
  • Referans9: Ito T, Sakakibara R, Shimizu E, Kishi M, Tsuyuzaki Y, Tateno F, et al. Is major depression a risk for bladder, bowel, and sexual dysfunction? Low Urin Tract Symptoms 2012;4(2):87-95.
  • Referans10: Klausner AP, Streng T, Na Y-G, Raju J, Batts TW, Tuttle JB, et al. The role of corticotropin releasing factor and its antagonist, astressin, on micturition in the rat. Auton Neurosci 2005;123(1-2):26-35
  • Referans11: Laganà L, Bloom DW, Ainsworth A. Urinary incontinence: its assessment and relationship to depression among community-dwelling multiethnic older women. Scientific World Journal 2014;2014.
  • Referans12: Lai HH, North CS, Andriole GL, Sayuk GS, Hong BA. Polysymptomatic, polysyndromic presentation of patients with urological chronic pelvic pain syndrome. J Urol 2012;187(6):2106-12.
  • Referans13: Lai HH, Rawal A, Shen B, Vetter J. The relationship between anxiety and overactive bladder or urinary incontinence symptoms in the clinical population. Urology 2016;98:50-7.
  • Referans14: Lee H-y, Rhee Y, Choi KS. Urinary incontinence and the association with depression, stress, and self-esteem in older Korean Women. Sci Rep 2021;11(1):1-7.
  • Referans15: Melotti IGR, Juliato CRT, Tanaka M, Riccetto CLZ. Severe depression and anxiety in women with overactive bladder. Neurourol Urodyn 2018;37(1):223-8.
  • Referans16: Melville JL, Walker E, Katon W, Lentz G, Miller J, Fenner D. Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am j Obstet Gynecol 2002;187(1):80-7.
  • Referans17: Nuotio M, Luukkaala T, Tammela TL, Jylhä M. Six-year follow-up and predictors of urgency-associated urinary incontinence and bowel symptoms among the oldest old: a population-based study. Arch Gerontol Geriatr 2009;49(2):e85-e90.
  • Referans18: Stach‐Lempinen B, Hakala AL, Laippala P, Lehtinen K, Metsänoja R, Kujansuu E. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003;22(6):563-8.
  • Referans19: Sakakibara R, Ito T, Yamamoto T, Uchiyama T, Yamanishi T, Kishi M, et al. Depression, anxiety and the bladder. Low Urin Tract Symptoms 2013;5(3):109-20.
  • Referans20: Sakakibara R, Uchiyama T, Awa Y, Liu Z, Yamamoto T, Ito T, et al. Psychogenic urinary dysfunction: a uro‐neurological assessment. Neurourol Urodyn 2007;26(4):518-24.
  • Referans21: Sakakibara R, Ito T, Uchiyama T, Awa Y, Yamaguchi C, Hattori T. Effects of milnacipran and paroxetine on overactive bladder due to neurologic diseases: a urodynamic assessment. Urol Int 2008;81(3):335-9.
  • Referans22: Sakakibara R, Uchiyama T, Yamanishi T, Kishi M. Dementia and lower urinary dysfunction: with a reference to anticholinergic use in elderly population. Int J Urol 2008;15(9):778-88.
  • Referans23: Scheife R, Takeda M. Central nervous system safety of anticholinergic drugs for the treatment of overactive bladder in the elderly. Clin Ther 2005;27(2):144-53.
  • Referans24: Tarcan T, Mangır N, Özgür MÖ, Akbal C. OAB-V8 Aşırı aktif mesane sorgulama formu validasyon çalışması. Üroloji Bülteni 2012;21(21):113-6.
  • Referans25: Thor KB, Donatucci C. Central nervous system control of the lower urinary tract: new pharmacological approaches to stress urinary incontinence in women. J Urol 2004;172(1):27-33
  • Referans26: Waetjen LE, Ye J, Feng W-Y, Johnson WO, Greendale GA, Sampselle CM, et al. Association between menopausal transition stages and developing urinary incontinence. Obstet Gynecol 2009;114(5):989.
  • Referans27: Vrijens D, Drossaerts J, van Koeveringe G, Van Kerrebroeck P, van Os J, Leue C. Affective symptoms and the overactive bladder—a systematic review. J Psychosom Res 2015;78(2):95-108.

The Relationship with Depression in Women with Overactive Bladder

Yıl 2023, Cilt: 16 Sayı: 1, 68 - 74, 30.04.2023
https://doi.org/10.52976/vansaglik.1172717

Öz

InObjective: The mandibular molars represent one of the most common dental groups in which root canal treatments fail due to their complex anatomical structure and presence of the radix entomolaris or c-shaped root canals. For the long-term successful treatment of these teeth, all anatomical variations should be well known. The aim of this study was to evaluate the number of roots and root canal anatomy of mandibular molars in a group of Turkish patients by examining cone-beam computed tomography (CBCT) images.
Material and Method: The CBCT images of 936 mandibular first and second molars of a total of 280 patients were evaluated, and the number of roots, root canal anatomy, and incidence of the radix entomolaris and c-shaped root canals in these teeth. The patients’ gender and age were also recorded, and their possible correlation with the dental data was investigated.
Results: Among the total 936 mandibular molars, 98.8% had two roots, and the radix entomolaris was present in 1%. The number of root canals was 3 in 79.7% of the teeth, 4 in 17.7%, and 2 in 2.7%. Of the mandibular second molars, 6.6% showed C-shaped root canal formation. The rate of a single canal (Vertucci type I) was 4.7% for the mesial roots of the second molars, while the distal roots of the mandibular first molars showed type IV formation at a rate of 30.3%.
Conclusion: Considering the contribution of our findings to clinical practice, the incidence of C-shaped canals in the mandibular second molars was 6.6%. Radix entomolaris was present in 1% of all the teeth. Four root canals were detected in 17.7% of the mandibular molars.

Kaynakça

  • Referans1: Abrams P, Cardozo L, Fall M, Griffiths D, Rosier P, Ulmsten U, et al. The standardisation of terminology of lower urinary tract function: report from the Standardisation Sub-committee of the International Continence Society. Am J Obstet Gynecol 2002;187(1):116-26.
  • Referans2: Acquadro C, Kopp Z, Coyne KS, Corcos J, Tubaro A, Choo M-S. Translating overactive bladder questionnaires in 14 languages. Urology 2006;67(3):536-40.
  • Referans3: Beck AT, Ward C, Mendelson M, Mock J, Erbaugh J. Beck depression inventory (BDI). Arch Gen Psychiatry 1961;4(6):561-71.
  • Referans4: Chiara G, Piccioni V, Perino M, Ohlmeier U, Fassino S, Leombruni P. Psychological investigation in female patients suffering from urinary incontinence. Int Urogynecol J 1998;9(2):73-7.
  • Referans5:Coyne K, Revicki D, Hunt T, Corey R, Stewart W, Bentkover J, et al. Psychometric validation of an overactive bladder symptom and health-related quality of life questionnaire: the OAB-q. Qual Life Res 2002;11(6):563-74.
  • Referans6: de Groat WC. Influence of central serotonergic mechanisms on lower urinary tract function. Urology 2002;59(5):30-6.
  • Referans7: Gormley EA, Lightner DJ, Burgio KL, Chai TC, Clemens JQ, Culkin DJ, et al. Diagnosis and treatment of overactive bladder (non-neurogenic) in adults: AUA/SUFU guideline. J Urol 2012;188(6S):2455-63.
  • Referans8: Hisli N. Beck depresyon envanterinin universite ogrencileri icin gecerliligi, guvenilirligi.(A reliability and validity study of Beck Depression Inventory in a university student sample). J Psychol 1989;7:3-13.
  • Referans9: Ito T, Sakakibara R, Shimizu E, Kishi M, Tsuyuzaki Y, Tateno F, et al. Is major depression a risk for bladder, bowel, and sexual dysfunction? Low Urin Tract Symptoms 2012;4(2):87-95.
  • Referans10: Klausner AP, Streng T, Na Y-G, Raju J, Batts TW, Tuttle JB, et al. The role of corticotropin releasing factor and its antagonist, astressin, on micturition in the rat. Auton Neurosci 2005;123(1-2):26-35
  • Referans11: Laganà L, Bloom DW, Ainsworth A. Urinary incontinence: its assessment and relationship to depression among community-dwelling multiethnic older women. Scientific World Journal 2014;2014.
  • Referans12: Lai HH, North CS, Andriole GL, Sayuk GS, Hong BA. Polysymptomatic, polysyndromic presentation of patients with urological chronic pelvic pain syndrome. J Urol 2012;187(6):2106-12.
  • Referans13: Lai HH, Rawal A, Shen B, Vetter J. The relationship between anxiety and overactive bladder or urinary incontinence symptoms in the clinical population. Urology 2016;98:50-7.
  • Referans14: Lee H-y, Rhee Y, Choi KS. Urinary incontinence and the association with depression, stress, and self-esteem in older Korean Women. Sci Rep 2021;11(1):1-7.
  • Referans15: Melotti IGR, Juliato CRT, Tanaka M, Riccetto CLZ. Severe depression and anxiety in women with overactive bladder. Neurourol Urodyn 2018;37(1):223-8.
  • Referans16: Melville JL, Walker E, Katon W, Lentz G, Miller J, Fenner D. Prevalence of comorbid psychiatric illness and its impact on symptom perception, quality of life, and functional status in women with urinary incontinence. Am j Obstet Gynecol 2002;187(1):80-7.
  • Referans17: Nuotio M, Luukkaala T, Tammela TL, Jylhä M. Six-year follow-up and predictors of urgency-associated urinary incontinence and bowel symptoms among the oldest old: a population-based study. Arch Gerontol Geriatr 2009;49(2):e85-e90.
  • Referans18: Stach‐Lempinen B, Hakala AL, Laippala P, Lehtinen K, Metsänoja R, Kujansuu E. Severe depression determines quality of life in urinary incontinent women. Neurourol Urodyn 2003;22(6):563-8.
  • Referans19: Sakakibara R, Ito T, Yamamoto T, Uchiyama T, Yamanishi T, Kishi M, et al. Depression, anxiety and the bladder. Low Urin Tract Symptoms 2013;5(3):109-20.
  • Referans20: Sakakibara R, Uchiyama T, Awa Y, Liu Z, Yamamoto T, Ito T, et al. Psychogenic urinary dysfunction: a uro‐neurological assessment. Neurourol Urodyn 2007;26(4):518-24.
  • Referans21: Sakakibara R, Ito T, Uchiyama T, Awa Y, Yamaguchi C, Hattori T. Effects of milnacipran and paroxetine on overactive bladder due to neurologic diseases: a urodynamic assessment. Urol Int 2008;81(3):335-9.
  • Referans22: Sakakibara R, Uchiyama T, Yamanishi T, Kishi M. Dementia and lower urinary dysfunction: with a reference to anticholinergic use in elderly population. Int J Urol 2008;15(9):778-88.
  • Referans23: Scheife R, Takeda M. Central nervous system safety of anticholinergic drugs for the treatment of overactive bladder in the elderly. Clin Ther 2005;27(2):144-53.
  • Referans24: Tarcan T, Mangır N, Özgür MÖ, Akbal C. OAB-V8 Aşırı aktif mesane sorgulama formu validasyon çalışması. Üroloji Bülteni 2012;21(21):113-6.
  • Referans25: Thor KB, Donatucci C. Central nervous system control of the lower urinary tract: new pharmacological approaches to stress urinary incontinence in women. J Urol 2004;172(1):27-33
  • Referans26: Waetjen LE, Ye J, Feng W-Y, Johnson WO, Greendale GA, Sampselle CM, et al. Association between menopausal transition stages and developing urinary incontinence. Obstet Gynecol 2009;114(5):989.
  • Referans27: Vrijens D, Drossaerts J, van Koeveringe G, Van Kerrebroeck P, van Os J, Leue C. Affective symptoms and the overactive bladder—a systematic review. J Psychosom Res 2015;78(2):95-108.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Sağlık Kurumları Yönetimi
Bölüm Orijinal Araştırma Makaleleri
Yazarlar

Süleyman Sağır 0000-0001-5300-8071

Kübra Sezer Katar 0000-0001-7184-7960

Müslüm Ergün 0000-0002-7297-5785

Mustafa Kurtoğlu 0000-0002-6975-2070

Yayımlanma Tarihi 30 Nisan 2023
Gönderilme Tarihi 8 Eylül 2022
Yayımlandığı Sayı Yıl 2023 Cilt: 16 Sayı: 1

Kaynak Göster

APA Sağır, S., Sezer Katar, K., Ergün, M., Kurtoğlu, M. (2023). Aşırı Aktif Mesaneli Kadınlarda Depresyon İlişkisi. Van Sağlık Bilimleri Dergisi, 16(1), 68-74. https://doi.org/10.52976/vansaglik.1172717

ISSN 

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