1958 THE EFFECTS OF STRESS ON LOWER URINARY TRACT SYMPTOMS IN HEALTHY MARINE RECRUITS

Abstract

You have accessJournal of UrologyUrodynamics/Incontinence/Female Urology: Non-Neurogenic Voiding Dysfunction1 Apr 20121958 THE EFFECTS OF STRESS ON LOWER URINARY TRACT SYMPTOMS IN HEALTHY MARINE RECRUITS Eric Biewenga, Chong Choe, Michael Santomauro, Elizabeth Abou, Jennifer Webb-Murphy, and Emily Cole Eric BiewengaEric Biewenga San Diego, CA More articles by this author , Chong ChoeChong Choe San Diego, CA More articles by this author , Michael SantomauroMichael Santomauro San Diego, CA More articles by this author , Elizabeth AbouElizabeth Abou San Diego, CA More articles by this author , Jennifer Webb-MurphyJennifer Webb-Murphy San Diego, CA More articles by this author , and Emily ColeEmily Cole San Diego, CA More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2012.02.2117AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Operational stress is common among military service members. There is a paucity of research on the relationship between stress and Lower Urinary Tract Symptoms (LUTS). The objective of this study was to assess the potential impact of perceived stress on LUTS among male Marines enrolled in basic recruit training. METHODS A company of U.S. Marine Corps male recruits conducting basic training voluntarily completed questionnaires including a validated Lower Urinary Tract Symptoms (LUTS) Scale, Perceived Stress Scale (PSS), Quality of Life Index, Satisfaction with Life Scale, and Multidimensional Perceived Social Support Scale (SS) at three pre-selected time points during training [in-processing (T1), peak of training (T2), prior to graduation (T3)]. Statistical analyses performed included Repeated Measures Analysis of Variance (ANOVA) and Regression using SPSS (version 18.0). RESULTS 527 Marine recruits participated in the study. The majority of participants were between the ages of 17-20 yrs old (88.9%), and the ethnic diversity of responders mirrored that of the current U.S. census. 1.5% of responders reported a previous visit to a urologist. Statistically significant overall score differences were found across the three time points for the following measures: 1) PSS [F(2,817)=13.7, p≤.05), 2) total LUTS score [F(2,817)=13.7, p≤.05], 3) three subcategories of the LUTS questionnaire: Voiding [F(1.8,793)=58.4, p≤.05], Storage [F(2,848)=117.6, p≤.05], and Post-micturition [F(2,835)= 25.2, p≤.05]. Post-hoc analysis revealed that service members perceived significantly more stress (PSS) during T2 [M=15.6, SE=.34] compared to both T1 [M=14.5, SE=.34] and T3 [M=14.0, SE=.33]. Service members also reported greater LUTS during T2 [M=31.7, SE.39] when compared to both T1 [M=29.1, SE.35] and T3 [M=27.9, SE=.31]. Regression analysis revealed that the overall PSS score was moderately predictive of overall LUTS score [F(1,524)=85.8, p≤.05; R=.375]. When analyzed individually, LUTS subcategories also all correlated ∼(R=.30) with perceived stress. CONCLUSIONS Perceived stress during basic recruit training was greatest at T2, which was moderately predictive of the highest overall LUTS scores. To our knowledge, this is the first human study that demonstrates this correlation. Further research is needed to better understand potential clinical implications. © 2012 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 187Issue 4SApril 2012Page: e790 Advertisement Copyright & Permissions© 2012 by American Urological Association Education and Research, Inc.MetricsAuthor Information Eric Biewenga San Diego, CA More articles by this author Chong Choe San Diego, CA More articles by this author Michael Santomauro San Diego, CA More articles by this author Elizabeth Abou San Diego, CA More articles by this author Jennifer Webb-Murphy San Diego, CA More articles by this author Emily Cole San Diego, CA More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...