[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-426680-105":3,"detail-sidebar-cat-0-en-105":81,"doc-detail-426680-en":130},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":74,"head_meta":76,"extra_data":78,"updated_unix":80},105,"en","the-mediating-role-of-sleep-quality-in-the-association-between-urinary-incontinence-and-depressive-symptoms-abstract","THE MEDIATING ROLE OF SLEEP QUALITY IN THE ASSOCIATION BETWEEN URINARY INCONTINENCE AND DEPRESSIVE SYMPTOMS - Abstract","","Urinary incontinence is a common health issue among older adults, yet the mechanisms linking it to depression remain unclear. A study of older Korean Americans in subsidized senior housing in Los Angeles (2023, N=306, mean age 79.4) examined whether sleep quality mediates between urinary incontinence and depressive symptoms. UI was measured by involuntary urine leakage frequency; sleep quality was self-rated; depression was assessed using PHQ-9. Results showed a significant direct effect of UI on depressive symptoms and supported an indirect effect via sleep quality (PROCESS macro), with the indirect pathway accounting for 26.9% of the total effect.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/the-mediating-role-of-sleep-quality-in-the-association-between-urinary-incontinence-and-depressive-symptoms-abstract/426680/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/the-mediating-role-of-sleep-quality-in-the-association-between-urinary-incontinence-and-depressive-symptoms-abstract/426680.png","ImageObject",300,407,{"name":42,"@type":43},"Blue Pony","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-22","2026-09-29",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",5,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"What was the main objective of the study?","Question",{"text":63,"@type":64},"To test whether sleep quality mediates the association between urinary incontinence and depressive symptoms in older Korean Americans living in subsidized senior housing.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"How were urinary incontinence, sleep quality, and depressive symptoms measured?",{"text":68,"@type":64},"Urinary incontinence was indicated by the frequency of involuntary urine leakage; sleep quality was self-rated from excellent to poor; depressive symptoms were assessed using the PHQ-9.",{"name":70,"@type":61,"acceptedAnswer":71},"What did the analyses show about the relationship between urinary incontinence and depression?",{"text":72,"@type":64},"Multivariate analyses found a significant direct effect of urinary incontinence on depressive symptoms, and the PROCESS macro supported a significant indirect effect through sleep quality, accounting for 26.9% of the total effect.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},426680,1791171667,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,100,105,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":97,"show_sort_weight":98,"slug":99},"Comic",60,"comic",{"id":101,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},6,"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":112,"slug":113},8,30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":55,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":111,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":22,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":30},962090760266,"https://ap-avatar.wpscdn.com/davatar_276721f389ce27ea32af1340a28f341c","Innovation in Aging, 2025, Vol. 9, No. S2 919  \nAbstract citation ID: igaf122.3105  \nTHE MEDIATING ROLE OF SLEEP QUALITY IN THE  \nASSOCIATION BETWEEN URINARY INCONTINENCE  \nAND DEPRESSIVE SYMPTOMS  \nSeo-Yun Choi1, Yuri Jang1, and Ju Hyun Kim2, 1. University of Southern California, Los Angeles, California, United States, 2. Chungnam National University, Daejeon, Republic of Korea  \nUrinary incontinence (UI) is a prevalent health issue in the older adult population. Although the negative mental health impact of UI is widely known, the underlying mechanisms remain unclear. Given that UI’s physical and emotional discomfort make older adults prone to impaired sleep, we conceptualized sleep quality as a mediator between UI and depressive symptoms. The target group of the present study is older Korean Americans living in subsidized senior housing, who are part of an older immigrant population with socioeconomic disadvantages and health disparities. Using survey data collected from older Korean-American residents of subsidized senior housing in Los Angeles in 2023 (N=306, Mean age = 79.4, SD=6.65), we examined the direct effect of UI on depressive symptoms and the mediating role of sleep quality. UI was indicated by the frequency of experiencing involuntary urine leakage (never/infrequent/frequent), sleep quality was self-rated on a scale from excellent to poor, and depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9) . Multivariate analyses showed the significant direct impact of UI on depressive symptoms. The Hayes PROCESS macro provided supportive evidence for the indirect effect of UI on depressive symptoms through sleep quality (B [SE] = .53 [.15], bias-corrected 95% Confidence Interval = [ .24, . 85]) . The indirect effect accounted for 26.9% of the total effect. Sleep quality was identified as an important pathway through which UI undermines mental health. The study’s findings highlight the importance of incorporating sleep-focused strategies into mental health interventions for those affected by UI.","cbCaisDtOuY80zWZ","https://ap.wps.com/l/cbCaisDtOuY80zWZ","pdf",45202,"English","# Study background\n# Participants and measures\n# Mediation analysis results\n# Implications for mental health interventions","[{\"question\":\"What was the main objective of the study?\",\"answer\":\"To test whether sleep quality mediates the association between urinary incontinence and depressive symptoms in older Korean Americans living in subsidized senior housing.\"},{\"question\":\"How were urinary incontinence, sleep quality, and depressive symptoms measured?\",\"answer\":\"Urinary incontinence was indicated by the frequency of involuntary urine leakage; sleep quality was self-rated from excellent to poor; depressive symptoms were assessed using the PHQ-9.\"},{\"question\":\"What did the analyses show about the relationship between urinary incontinence and depression?\",\"answer\":\"Multivariate analyses found a significant direct effect of urinary incontinence on depressive symptoms, and the PROCESS macro supported a significant indirect effect through sleep quality, accounting for 26.9% of the total effect.\"}]","THE MEDIATING ROLE OF SLEEP QUALITY IN THE ASSOCIATION BETWEEN URINARY INCONTINENCE AND DEPRESSIVE SYMPTOMS - Abstract | PDF",1790641424]