Introduction and Aim: Urinary Incontinence (UI) is a disorder that affects women far more frequently than men. UI has a large impact on the quality of their lives as well causes psychological disorders such as anxiety and depression. The aim was to assess depression and anxiety in urinary incontinent women. Methods: In this prospective study, 70 incontinent women; two diagnostic groups: stress urinary incontinence (n=50) and idiopatic urge incontinence with or without stress incontinence (n=20), estimated the severity of urinary incontinence using a visual analogue scale and completed a validated quality of life instrument: urinary incontinence severity score. Psychiatrists evaluated depression and anxiety using a structured interview of Hamilton Depression and Hamilton Anxiety Scales. Results: Major depression occurred in 35.0% of women with idiopatic urge (+/- stress) incontinence and in 26.5% women with stress incontinence (odds ratio (OR 3.69), 95% confidence interval (95% CI 1.30-10.49)). 22 patients had severe incontinence defined as Urinary Incontinence Severity Score > or =14 points (upper quartile) and 23 patients defined as visual analogue scale > or =9 (upper quartile). Discussion: Major depression correlates with reduced incontinence specific quality of life. This data also suggests an association between depression and idiopatic urge incontinence.