Mental health problems, stressful life events and new-onset urinary incontinence in primary school-age children: a prospective cohort study.
Emotional/behaviour problems and exposure to stressful life events are thought to contribute to new onset of urinary incontinence (UI) amongst children who have attained bladder control. However, very few prospective studies have examined these associations. We assessed whether mental health problem...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 33; no. 3; pp. 871 - 880 |
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| Autores principales: | , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2024
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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=175635564&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 175635564 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Mar2024 vid: 33 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 175635564 163280664 175635564 175635564 10.1007/s00787-023-02211-x 175635564 ppf: 871 ppct: 9 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Mental health problems, stressful life events and new-onset urinary incontinence in primary school-age children: a prospective cohort study. aug: au: Warne, Naomi Heron, Jon von Gontard, Alexander Joinson, Carol affil: https://ror.org/0524sp257 Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK sug: subj: Mental Disorders Diagnosed in Childhood Complications Life Change Events In Infancy and Childhood Students, Elementary Psychosocial Factors Urinary Incontinence Risk Factors Risk Assessment Human United Kingdom Prospective Studies Multiple Logistic Regression Child Mental Disorders Diagnosed in Childhood Symptoms Separation Anxiety Complications Odds Ratio Confidence Intervals Descriptive Statistics Child Behavior Disorders Affective Disorders Male Female Sex Factors Funding Source Child: 6-12 years Male Female ab: Emotional/behaviour problems and exposure to stressful life events are thought to contribute to new onset of urinary incontinence (UI) amongst children who have attained bladder control. However, very few prospective studies have examined these associations. We assessed whether mental health problems and stressful life events were associated with subsequent new onset in UI using multivariable logistic regression in a prospective UK cohort (n = 6408). Mothers provided information on their child's symptoms of common mental disorders (Development and Wellbeing Assessment, 7 years), stressful life events (7–8 years) and wetting (day and night, 9 years). There was strong evidence that separation anxiety symptoms were associated with new-onset UI in the fully adjusted model (OR (95% CI) = 2.08 (1.39, 3.13), p < 0.001). Social anxiety, attention-deficit hyperactivity disorder and oppositional defiant disorder symptoms were associated with new-onset UI, but these associations attenuated following adjustment for child developmental level and earlier emotional/behaviour problems. There was weak evidence for a sex interaction with stressful life events (p = 0.065), such that females experiencing more stressful life events were at higher risk of new-onset UI (fully adjusted model OR (95% CI) = 1.66 (1.05, 2.61), p = 0.029), but there was no association in males (fully adjusted model OR (95% CI) = 0.87 (0.52, 1.47), p = 0.608). These results suggest that separation anxiety and stressful life events in girls may lead to an increase in UI. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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