Optimising the management of children with concomitant bladder dysfunction and behavioural disorders.
Bladder dysfunction and behavioural disorders in children are commonly concomitant; hence, it is difficult to treat each in isolation. Pharmacotherapy is common treatment for behavioural disorders, and these medications may have intended or unintended positive or negative bladder sequelae. This revi...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 32; no. 10; pp. 1989 - 2000 |
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| Autores principales: | , , , , , , |
| Formato: | research systematic review tables/charts Journal Article |
| Publicado: |
Springer Nature
Oct2023
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=172360629&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 172360629 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Oct2023 vid: 32 iid: 10 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 172360629 157710998 172360629 172360629 10.1007/s00787-022-02016-4 172360629 ppf: 1989 ppct: 11 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Optimising the management of children with concomitant bladder dysfunction and behavioural disorders. aug: au: Eliezer, Dilharan D. Lam, Christopher Smith, Angela Coomarasamy, John Mithran Samnakay, Naeem Starkey, Malcolm R. Deshpande, Aniruddh V. affil: https://ror.org/048sjbt91 John Hunter Children's Hospital, New Lambton Heights, NSW, Australia sug: subj: Mental Disorders Drug Therapy Mental Disorders Complications Bladder, Neurogenic Drug Therapy Antipsychotic Agents Therapeutic Use Human Male Female Child, Preschool Child Adolescence Systematic Review Embase Medline PubMed Psycinfo Serotonin Uptake Inhibitors Therapeutic Use Decision Making Funding Source Child, Preschool: 2-5 years Child: 6-12 years Adolescent: 13-18 years Male Female ab: Bladder dysfunction and behavioural disorders in children are commonly concomitant; hence, it is difficult to treat each in isolation. Pharmacotherapy is common treatment for behavioural disorders, and these medications may have intended or unintended positive or negative bladder sequelae. This review identifies the literature regarding the effects of behavioural pharmacotherapy on bladder functioning and possible bladder management strategies in children with concomitant behaviour and bladder disorders to enable clinicians to better manage both conditions. A PROSPERO registered PRISMA-guided review of three major databases was performed. After an initial scoping study revealed significant heterogeneity, a narrative approach was undertaken to discuss the results of all relevant cases relating to children being treated with pharmacotherapy for behaviour disorders and outcomes related to bladder function. Studies were screened to identify those that described effects of commonly prescribed medications in children with behavioural disorders such as stimulants, alpha 2 agonists, tricyclic antidepressants (TCA), serotonin and noradrenergic reuptake inhibitors (SNRI), selective serotonin reuptake inhibitors (SSRI) and antipsychotics, and the findings and implications were summarised. The review identified 46 studies relevant to behavioural pharmacotherapy and bladder function (stimulants (n = 9), alpha 2 agonists (n = 2), TCAs (n = 7), SNRIs (n = 8), SSRIs (n = 8) and antipsychotics (n = 6). Six studies focused specifically on bladder management in children with behavioural disorders with concurrent behavioural pharmacotherapy. This review identifies useful factors that may assist clinicians with predicting unintended bladder effects following initiation of behavioural pharmacotherapy to facilitate the best approach to the treatment of bladder dysfunction in children with behavioural disorders. With this evidence, we have provided a useful decision-making algorithm to aide clinicians in the management of these dual pathologies. pubtype: Academic Journal doctype: research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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