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Overnight urge perception in nocturia is independent of depression, PTSD, or anxiety in a male veterans administration population

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Abstract
Study Objectives: The goal of this study was to compare the urge perception associated with nocturnal voiding at the time of voiding in individuals with and without depression, posttraumatic stress disorder (PTSD), or anxiety diagnoses to test the hypothesis that patients with such diagnoses are more likely to experience insomnia-driven convenience voiding during the sleep period. Methods: A database of voiding diaries with urge perception grades (UPGs) from 429 adult males seeking treatment for nocturia at a Veterans Affairs-based urology clinic was analyzed. The UPG categorizes perception for urinating from 0 (out of convenience) to 4 (desperate urge). Diaries completed by males age 18 years and older showing >= 2 nocturnal voids were included. Those included (n = 178) were divided into two cohorts based on the presence (n = 62) or absence (n = 116) of one or more previously established mental health diagnoses (depression, PTSD, or anxiety). The chi-square test was used to determine significance between groups. Results: Patients with a mental health diagnosis were more likely to report convenience voiding compared to those without depression, PTSD, or anxiety (14.5% versus 0.8%, P < .01). However, most voids in both groups were associated with the perception of urinary urgency. There were no differences in urinary volumes or hourly rates of urine production between the groups. Conclusions: A relatively small subset of urology patients experience nocturnal voiding because they are awake for reasons other than the urge to void. Mental health factors had a substantial, albeit minimal, effect. Most nocturia reflects urgency to urinate rather than voiding by convenience.
Keywords
insomnia, mental health, nocturia, nocturnal voiding, sleep disorders, FREQUENCY-VOLUME CHARTS, SLEEP, SYMPTOMS, DISORDERS, INCREASES, DURATION, INSOMNIA, ADULTS

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MLA
Monaghan, Thomas, et al. “Overnight Urge Perception in Nocturia Is Independent of Depression, PTSD, or Anxiety in a Male Veterans Administration Population.” JOURNAL OF CLINICAL SLEEP MEDICINE, vol. 15, no. 4, 2019, pp. 615–21, doi:10.5664/jcsm.7726.
APA
Monaghan, T., Bliwise, D., Suss, N., Epstein, M., Wu, Z., Michelson, K., … Weiss, J. (2019). Overnight urge perception in nocturia is independent of depression, PTSD, or anxiety in a male veterans administration population. JOURNAL OF CLINICAL SLEEP MEDICINE, 15(4), 615–621. https://doi.org/10.5664/jcsm.7726
Chicago author-date
Monaghan, Thomas, DL Bliwise, NR Suss, MR Epstein, ZD Wu, KP Michelson, CW Agudelo, DJ Robins, A Wagg, and Jeffrey Weiss. 2019. “Overnight Urge Perception in Nocturia Is Independent of Depression, PTSD, or Anxiety in a Male Veterans Administration Population.” JOURNAL OF CLINICAL SLEEP MEDICINE 15 (4): 615–21. https://doi.org/10.5664/jcsm.7726.
Chicago author-date (all authors)
Monaghan, Thomas, DL Bliwise, NR Suss, MR Epstein, ZD Wu, KP Michelson, CW Agudelo, DJ Robins, A Wagg, and Jeffrey Weiss. 2019. “Overnight Urge Perception in Nocturia Is Independent of Depression, PTSD, or Anxiety in a Male Veterans Administration Population.” JOURNAL OF CLINICAL SLEEP MEDICINE 15 (4): 615–621. doi:10.5664/jcsm.7726.
Vancouver
1.
Monaghan T, Bliwise D, Suss N, Epstein M, Wu Z, Michelson K, et al. Overnight urge perception in nocturia is independent of depression, PTSD, or anxiety in a male veterans administration population. JOURNAL OF CLINICAL SLEEP MEDICINE. 2019;15(4):615–21.
IEEE
[1]
T. Monaghan et al., “Overnight urge perception in nocturia is independent of depression, PTSD, or anxiety in a male veterans administration population,” JOURNAL OF CLINICAL SLEEP MEDICINE, vol. 15, no. 4, pp. 615–621, 2019.
@article{8670547,
  abstract     = {{Study Objectives: The goal of this study was to compare the urge perception associated with nocturnal voiding at the time of voiding in individuals with and without depression, posttraumatic stress disorder (PTSD), or anxiety diagnoses to test the hypothesis that patients with such diagnoses are more likely to experience insomnia-driven convenience voiding during the sleep period.

Methods: A database of voiding diaries with urge perception grades (UPGs) from 429 adult males seeking treatment for nocturia at a Veterans Affairs-based urology clinic was analyzed. The UPG categorizes perception for urinating from 0 (out of convenience) to 4 (desperate urge). Diaries completed by males age 18 years and older showing >= 2 nocturnal voids were included. Those included (n = 178) were divided into two cohorts based on the presence (n = 62) or absence (n = 116) of one or more previously established mental health diagnoses (depression, PTSD, or anxiety). The chi-square test was used to determine significance between groups.

Results: Patients with a mental health diagnosis were more likely to report convenience voiding compared to those without depression, PTSD, or anxiety (14.5% versus 0.8%, P < .01). However, most voids in both groups were associated with the perception of urinary urgency. There were no differences in urinary volumes or hourly rates of urine production between the groups.

Conclusions: A relatively small subset of urology patients experience nocturnal voiding because they are awake for reasons other than the urge to void. Mental health factors had a substantial, albeit minimal, effect. Most nocturia reflects urgency to urinate rather than voiding by convenience.}},
  articleno    = {{PII jc-18-00557}},
  author       = {{Monaghan, Thomas and Bliwise, DL and Suss, NR and Epstein, MR and Wu, ZD and Michelson, KP and Agudelo, CW and Robins, DJ and Wagg, A and Weiss, Jeffrey}},
  issn         = {{1550-9389}},
  journal      = {{JOURNAL OF CLINICAL SLEEP MEDICINE}},
  keywords     = {{insomnia,mental health,nocturia,nocturnal voiding,sleep disorders,FREQUENCY-VOLUME CHARTS,SLEEP,SYMPTOMS,DISORDERS,INCREASES,DURATION,INSOMNIA,ADULTS}},
  language     = {{eng}},
  number       = {{4}},
  pages        = {{PII jc-18-00557:615--PII jc-18-00557:621}},
  title        = {{Overnight urge perception in nocturia is independent of depression, PTSD, or anxiety in a male veterans administration population}},
  url          = {{http://dx.doi.org/10.5664/jcsm.7726}},
  volume       = {{15}},
  year         = {{2019}},
}

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