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The Association Between Psychological and Lower Urinary Tract Symptoms: A Population Based Study in Finland
Andrew Winer1, Johnson Tsui1, Fernando Cabrera1, Jeffrey P. Weiss1, Kari A.O. Tikkenen2
1SUNY Downstate, New York, NY; 2Helsinki University Central Hospital and University of Helsinki, Helsinki, Finland
Introduction:
Our aim in this population based study is to determine if lower urinary tract symptoms (LUTS) are more prevalent in patients with anxiety and/or mood disorders.
Materials & Methods:
In 2003-2004, questionnaires were mailed to 6,000 randomly selected Finnish people aged 18-79 years. LUTS information was collected by questionnaire using the validated Danish Prostatic Symptom Index with an additional question from the American Urological Association Symptom Index. The questionnaire included items related to mood and anxiety disorder. Patients were grouped into two categories, those with and those without a mood/anxiety disorder. Prevalence and odds ratios of LUTS were calculated for both groups.
Results:
Of 6,000 subjects, 3,597(60%) responded, of whom 1,709(48%) were men and 1888(52%) were women. 300(5%) reported having a mood disorder/anxiety, of whom 116(39%) were males and 184(61%) were females. Prevalence of LUTS between those with and without mood disorder/anxiety is depicted in Table 1.
Conclusions:
Among individuals with self-reported anxiety/mood disorders, there is increased prevalence of LUTS. The increased odds ratio for LUTS in these patients suggests a link between mental health and reported LUTS. 
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