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Published Online: 1 January 2011

Prevalence and Correlates of Urinary Incontinence in a Large Cohort of Psychiatric Inpatients

Terry Rabinowitz, M.D., D.D.S., Lynn Martin, Ph.D., Patty Montague, M.Sc., and John P Hirdes, Ph.D.Authors Info & Affiliations
Publication: Psychiatric Services
Volume 62, Number 1
https://doi.org/10.1176/ps.62.1.pss6201_0097
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Abstract

Objective:

Urinary incontinence is physically and psychologically disabling, and little information exists about this condition in psychiatric populations. This exploratory study examined the prevalence of urinary incontinence and factors associated with this condition among persons with mental illness in three age groups: under 45, 45–64, and 65 and older.

Methods:

Data were from the Resident Assessment Instrument-Mental Health. Population-level data on adult inpatient psychiatric admissions (N=41,004) in Ontario, Canada, between October 2005 and June 2007 were analyzed.

Results:

The prevalence of urinary incontinence was 6.2%, with higher rates among women and with increasing age. Across age groups, common treatable factors were found, including diarrhea, poorer cognitive and physical functioning, and use of chair restraint.

Conclusions:

Urinary incontinence was relatively common among psychiatric inpatients and associated with a number of treatable conditions. When it is assessed early during an admission and appropriate treatment measures are implemented, time in the hospital may decrease. (Psychiatric Services 62:97–100, 2011)

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Table 1 Significant results from multivariable logistic regression models of potential predictors of urinary incontinence among adult psychiatric inpatients, by age group

Information & Authors

Information

Published In

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Cover: View Across Frenchman's Bay From Mt. Desert Island, After a Squall, by Thomas Cole, 1845. Oil on canvas, 38 × 62 inches. Cincinnati Art Museum, gift of Alice Scarborough.
Psychiatric Services
Volume 62 • Number 1 • January 2011
Pages: 97 - 100
PubMed: 21209308

History

Published online: 1 January 2011
Published in print: January 2011

Authors

Affiliations

Terry Rabinowitz, M.D., D.D.S.
Dr. Rabinowitz is affiliated with the Departments of Psychiatry and Family Medicine, University of Vermont College of Medicine and Fletcher Allen Health Care, 111 Colchester Ave., Burlington, VT 05401-1473 (e-mail: [email protected]).
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Lynn Martin, Ph.D.
Dr. Martin is with the Master of Public Health Program, Lakehead University, Thunder Bay, Ontario, Canada.
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Patty Montague, M.Sc.
Ms. Montague is with Custom Analytica, Guelph, Ontario, Canada.
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John P Hirdes, Ph.D.
Dr. Hirdes is with the Department of Health Research and Gerontology, University of Waterloo, Waterloo, Ontario, Canada, and Homewood Research Institute, Guelph.
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