Anxiety disorders, depression and incontinence in preschool children-A population-based study.
anxiety disorders
depression
enuresis
incontinence
preschool children
Journal
Neurourology and urodynamics
ISSN: 1520-6777
Titre abrégé: Neurourol Urodyn
Pays: United States
ID NLM: 8303326
Informations de publication
Date de publication:
11 2022
11 2022
Historique:
revised:
01
08
2022
received:
28
04
2022
accepted:
03
08
2022
pubmed:
19
8
2022
medline:
2
11
2022
entrez:
18
8
2022
Statut:
ppublish
Résumé
The aim was to examine associations of specific anxiety disorders, depressive symptoms, and incontinence in a representative, population-based sample of preschool children. All preschool children of a defined geographical area examined before school-entry were included. Parents completed a questionnaire including the Preschool Feelings Checklist (PFC), eight questions referring to nocturnal enuresis (NE), daytime urinary incontinence (DUI), fecal incontinence (FI) and constipation, and 30 items regarding Diagnostic and Statistical Manual of Mental Disorders-Fifth Edition (DSM-5) diagnostic criteria of separation anxiety disorder (SAD), social phobia (SOC), specific phobia (PHOB), and generalized anxiety disorder (GAD). Data of 1206 children (mean age = 5.7 years; 53.5% boys) are presented. 34.6% of incontinent children had an anxiety disorder based on DSM-5 criteria and 13.3% had clinically relevant depressive symptoms (measured by the PFC). Rates of incontinence overall were 14.1% (11.9% NE, 3.1% DUI, and 1.8% FI) and 6.3% for constipation. Rates of SOC and PHOB were increased in NE (20.8% and 25.4%), DUI (39.3% and 34.5%) and FI (35.3% and 50.0%) compared to continent children (13.5% and 17.2%). Children with constipation had higher rates of SOC, PHOB, and GAD than those without. Compared to continent children (9.7%), depressive symptoms were more frequent in children with NE (26.8%), DUI (50.0%), and FI (61.9%). Anxiety disorders and depressive symptoms are common in children with incontinence. The most specific DSM-5 disorders associated with incontinence are SOC and PHOB, which can be incapacitating and may require treatment. Due to the high rates of anxiety disorders, it is important to screen all children with incontinence, for example, with specific questionnaires.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1800-1808Informations de copyright
© 2022 The Authors. Neurourology and Urodynamics published by Wiley Periodicals LLC.
Références
Ravens-Sieberer U, Wille N, Erhart M, et al. Prevalence of mental health problems among children and adolescents in Germany: results of the BELLA study within the National Health Interview and Examination Survey. Eur Child Adolesc Psychiatry. 2008;17(1):22-33.
Egger HL, Angold A. Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology. J Child Psychol Psychiatry. 2006;47(3-4):313-337.
Wichstrøm L, Berg-Nielsen TS, Angold A, Egger HL, Solheim E, Sveen TH. Prevalence of psychiatric disorders in preschoolers. J Child Psychol Psychiatry. 2012;53(6):695-705.
Paulus FW, Backes A, Sander CS, Weber M, von Gontard A. Anxiety disorders and behavioral inhibition in preschool children: a population-based study. Child Psychiatry Hum Dev. 2015;46(1):150-157.
Bufferd SJ, Dougherty LR, Carlson GA, Klein DN. Parent-reported mental health in preschoolers: findings using a diagnostic interview. Compr Psychiatry. 2011;52(4):359-369.
Lavigne JV, Lebailly SA, Hopkins J, Gouze KR, Binns HJ. The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. J Clin Child Adolesc Psychol. 2009;38(3):315-328.
American Psychiatric Association (APA). Diagnostic and Statistical Manual of Mental Disorders: Fifth Edition (DSM-5). American Psychiatric Association; 2013.
Zero To Three. Diagnostic Classification of Mental Health and Developmental Disorders of Infancy and Early Childhood: Revised Edition (DC: 0-5). Zero To Three Press; 2016.
Wichstrøm L, Belsky J, Jozefiak T, Sourander A, Berg-Nielsen TS. Predicting service use for mental health problems among young children. Pediatrics. 2014;133(6):1054-1060.
Luby JL, Heffelfinger AK, Mrakotsky C, Hessler MJ, Brown KM, Hildebrand T. Preschool major depressive disorder: preliminary validation for developmentally modified DSM-IV criteria. J Am Acad Child Adolesc Psychiatry. 2002;41(8):928-937.
Fuhrmann P, Equit M, Schmidt K, von Gontard A. Prevalence of depressive symptoms and associated developmental disorders in preschool children: a population-based study. Eur Child Adolesc Psychiatry. 2014;23(4):219-224.
Luby JL, Heffelfinger A, Koenig-McNaught AL, Brown K, Spitznagel E. The preschool feelings checklist: a brief and sensitive screening measure for depression in young children. J Am Acad Child Adolesc Psychiatry. 2004;43(6):708-717.
Hyams JS, Di Lorenzo C, Saps M, Shulman RJ, Staiano A, van Tilburg M. Childhood functional gastrointestinal disorders: child/adolescent. Gastroenterology. 2016;150(6):1456-1468.
Austin PF, Bauer SB, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn. 2016;35(4):471-481.
Niemczyk J, Equit M, Braun-Bither K, Klein A-M, von Gontard A. Prevalence of incontinence, attention deficit/hyperactivity disorder and oppositional defiant disorder in preschool children. Eur Child Adolesc Psychiatry. 2015;24(7):837-843.
Equit M, Klein A-M, Braun-Bither K, Gräber S, von Gontard A. Elimination disorders and anxious-depressed symptoms in preschool children: a population-based study. Eur Child Adolesc Psychiatry. 2014;23(6):417-423.
Benninga MA, Nurko S, Faure C, Hyman PE, Roberts ISJ, Schechter NL. Childhood functional gastrointestinal disorders: neonate/toddler. Gastroenterology. 2016;150(6):1443-1455.
Koppen I, Vriesman MH, Saps M, et al. Prevalence of functional defecation disorders in children: a systematic review and meta-analysis. J Pediatr. 2018;198:121-130.
Joinson C, Heron J, Emond A, Butler R. Psychological problems in children with bedwetting and combined (day and night) wetting: a UK population-based study. J Pediatr Psychol. 2006;32(5):605-616.
Joinson C, Heron J, von Gontard A. Psychological problems in children with daytime wetting. Pediatrics. 2006;118(5):1985-1993.
Joinson C, Heron J, Butler U, von Gontard A, Avon Longitudinal Study of Parents and Children Study Team. Psychological differences between children with and without soiling problems. Pediatrics. 2006;117(5):1575-1584.
Döpfner M, Görtz-Dorten A. Diagnostik-System für psychische Störungen nach ICD-10 und DSM-5 für Kinder-und Jugendliche (DISYPS-III). 2017;Hogrefe.
Hussong J, Rosenthal A, Wagner C, Mattheus H, von Gontard A. Bladder and bowel control in a population-based sample: associations to quality of life and behavioral problems of 4-6-year-old children participating in the German Health Interview and Examination Survey (KiGGS). J Pediatr Urol. 2020;16(2):194.e1-194.e9.
von Gontard A, Schaumburg H, Hollmann E, Eiberg H, Rittig S. The genetics of enuresis: a review. J Urol. 2001;166(6):2438-2443.
Malowitz S, Green M, Karpinski A, Rosenberg A, Hyman PE. Age of onset of functional constipation. J Pediatr Gastroenterol Nutr. 2016;62(4):600-602.
Luby JL. Handbook of Preschool Mental Health: Development, Disorders, and Treatment. Guilford Press; 2009.
Greiner W, Batram M, Witte L. Kinder-und Jugendreport 2019. In: Storm A, ed. Beiträge zur Gesundheitsökonomie und Versorgungsforschung (Band 31). Medhochzwei; 2019.
von Klitzing K, White LO, Otto Y, Fuchs S, Egger HL, Klein AM. Depressive comorbidity in preschool anxiety disorder. J Child Psychol Psychiatry. 2014;55(10):1107-1116.
Sambach H, Equit M, El Khatib D, Schreiner-Zink S, von Gontard A. Treatment-resistant urinary incontinence and nocturnal enuresis. Group bladder training. Monatsschrift Kinderheilkunde. 2011;159(6):565-571.
Hussong J, Mattheus H, Wachs S, Equit M, von Gontard A. Evaluation of a bladder and bowel training program for therapy-resistant children with incontinence. J Pediatr Urol. 2021;S1477-5131(21):00073-00075.
Hägglöf B, Andren O, Bergström E, Marklund L, Wendelius M. Self-esteem before and after treatment in children with nocturnal enuresis and urinary incontinence. Scand J Urol Nephrol Suppl. 1997;183:79-82.
Heron J, Grzeda M, Tappin D, von Gontard A, Joinson C. Early childhood risk factors for constipation and soiling at school age: an observational cohort study. BMJ Paediatrics Open. 2018;2(1):e000230.
Wagner C, Niemczyk J, von Gontard A. Toilet phobia and toilet refusal in children. Klin Padiatr. 2017;229(01):27-31.
Blum NJ, Taubman B, Nemeth N. Why is toilet training occurring at older ages? A study of factors associated with later training. J Pediatr. 2004;145(1):107-111.
Fowler CJ, Griffiths DJ. A decade of functional brain imaging applied to bladder control. Neurourol Urodyn. 2010;29(1):49-55.
Lei D, Ma J, Shen X, et al. Changes in the brain microstructure of children with primary monosymptomatic nocturnal enuresis: a diffusion tensor imaging study. PLOS One. 2012;7(2):e31023.
Franco I. Neuropsychiatric disorders and voiding problems in children. Curr Urol Rep. 2011;12(2):158-165.
Stein MB, Stein DJ. Social anxiety disorder. The Lancet. 2008;371(9618):1115-1125.
Seeley WW, Menon V, Schatzberg AF, et al. Dissociable intrinsic connectivity networks for salience processing and executive control. J Neurosci. 2007;27(9):2349-2356.
Waters AM, Schilpzand E, Bell C, Walker LS, Baber K. Functional gastrointestinal symptoms in children with anxiety disorders. J Abnorm Child Psychol. 2013;41(1):151-163.
Joinson C, Grzeda MT, von Gontard A, Heron J. Psychosocial risks for constipation and soiling in primary school children. Eur Child Adolesc Psychiatry. 2019;28(2):203-210.
Cox DJ, Sutphen J, Borowitz S, Kovatchev B, Ling W. Contribution of behavior therapy and biofeedback to laxative therapy in the treatment of pediatric encopresis. Ann Behav Med. 1998;20(2):70-76.
Philips EM, Peeters B, Teeuw AH, et al. Stressful life events in children with functional defecation disorders. J Pediatr Gastroenterol Nutr. 2015;61(4):384-392.
Joinson C, Heron J, von Gontard A, Butler U, Golding J, Emond A. Early childhood risk factors associated with daytime wetting and soiling in school-age children. J Pediatr Psychol. 2008;33(7):739-750.
Bosquet M, Egeland B. The development and maintenance of anxiety symptoms from infancy through adolescence in a longitudinal sample. Dev Psychopathol. 2006;18(2):517-550.