A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence.
The objective of the study was to examine the association between biopsychosocial factors and developmental trajectories of childhood urinary incontinence (UI). We used developmental trajectories (latent classes) of childhood UI from 4-9 years including bedwetting alone, daytime wetting alone, delay...
| Published in: | European Child & Adolescent Psychiatry Vol. 28; no. 1; pp. 123 - 131 |
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| Main Authors: | , , , |
| Format: | research tables/charts Journal Article |
| Published: |
Springer Nature
Jan2019
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| Online Access: | View this record in EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=134343377&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 134343377 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Jan2019 vid: 28 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 134343377 134343377 134343377 10.1007/s00787-018-1193-1 134343377 ppf: 123 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence. aug: au: Joinson, Carol Grzeda, Mariusz T. von Gontard, Alexander Heron, Jon affil: Population Health Sciences, Bristol Medical School, University of Bristol, Oakfield House, Oakfield Grove, Clifton, BS8 2BN, Bristol, UK sug: subj: Urinary Incontinence Psychosocial Factors Urinary Incontinence Risk Factors Risk Assessment Human Prospective Studies Child, Preschool Child Male Female Enuresis, Nocturnal Enuresis Bladder Diseases Gestational Age Birth Weight Temperament Affective Disorders Psychological Trauma Maternal Attitudes Toilet Training Constipation Parent-Child Relations Multiple Logistic Regression Family History Urinary Incontinence Familial and Genetic Child Development Confidence Intervals Odds Ratio Depression, Postpartum Developmental Disabilities Behavioral Symptoms Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: The objective of the study was to examine the association between biopsychosocial factors and developmental trajectories of childhood urinary incontinence (UI). We used developmental trajectories (latent classes) of childhood UI from 4-9 years including bedwetting alone, daytime wetting alone, delayed (daytime and nighttime) bladder control, and persistent (day and night) wetting (n = 8751, 4507 boys, 4244 girls). We examined whether biopsychosocial factors (developmental level, gestational age, birth weight, parental UI, temperament, behaviour/emotional problems, stressful events, maternal depression, age at initiation of toilet training, constipation) are associated with the trajectories using multinomial logistic regression (reference category = normative development of bladder control). Maternal history of bedwetting was associated with almost a fourfold increase in odds of persistent wetting [odds ratio and 95% confidence interval: 3.60 (1.75-7.40)]. In general, difficult temperament and behaviour/emotional problems were most strongly associated with combined (day and night) wetting, e.g. children with behavioural difficulties had increased odds of delayed (daytime and nighttime) bladder control [1.80 (1.59-2.03)]. Maternal postnatal depression was associated with persistent (day and night) wetting [2.09 (1.48-2.95)] and daytime wetting alone [2.38 (1.46-3.88)]. Developmental delay, stressful events, and later initiation of toilet training were not associated with bedwetting alone, but were associated with the other UI trajectories. Constipation was only associated with delayed bladder control. We find evidence that different trajectories of childhood UI are differentially associated with biopsychosocial factors. Increased understanding of factors associated with different trajectories of childhood UI could help clinicians to identify children at risk of persistent incontinence. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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