The Influence of Psychiatric Comorbidities and Sexual Trauma on Lower Urinary Tract Symptoms in Female Veterans

Rates of psychiatric comorbidities and sexual trauma in patients in women's primary care clinic vs specialized urology clinic for treatment of LUTS. Asterisk indicates p <0.001.

Percentage of 121 patients with LUTS with combination of PSY comorbidities and/or ST. +, positive for condition. -, negative for condition. For combination groups (ie +/+) first symbol refers to PSY and second refers to ST.

Total scores from UDI-6 and IIQ-7 in 104 patients with PSY comorbidities and sexual trauma ST who presented with LUTS. +, positive for condition. -, negative for condition. For combination groups (ie +/+) first symbol refers to PSY and second refers to ST. Asterisk indicates p <0.05 compared to -/- group.

Interaction between sexual trauma (ST) and psychiatric comorbidities affects total scores on UDI-6 and IIQ-7 surveys differently. For patients with negative psychiatric history, PSY(-), addition of sexual trauma, ST (+), significantly increased UDI-6 total score. However, for patients with positive psychiatric history, PSY (+), addition of sexual trauma actually reduced total UDI-6 score (ie slope of interaction curve changes from positive to negative). Asterisk indicates p <0.05.

Comparison of survey results (UDI-6 and IIQ-7) for 52 patients with history of ST+ and 27 without history of sexual trauma or psychiatric comorbidities (ST-/PSY-). There were no differences in results for individual questions from UDI-6 (U1-U6). However, IIQ-7 scores for questions I1 (ability to do household chores), I4 (ability to travel by car/bus more than 30 minutes from home) and I6 (emotional health) were significantly higher in patients with history of sexual trauma. Asterisk indicates p <0.05.

Comparison of survey results (UDI-6 and IIQ-7) for 65 patients with history of psychiatric comorbidities (PSY+) and 27 without history of psychiatric comorbidities or sexual trauma (PSY-/ST-). There were no differences in results for individual questions from UDI-6 (U1-U6). However, IIQ-7 scores for questions I5 (participation in social activities), I6 (emotional health) and I7 (feeling frustrated) were significantly higher in patients with history of psychiatric comorbidities. Asterisk indicates p <0.05.