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Clinical behavioral problems in day- and night-wetting children.
Pediatr Nephrol. 1999 Oct; 13(8):662-7.PN

Abstract

In this prospective, clinical study of 167 consecutive wetting children, the associations between specific forms of day and night wetting and clinical behavioral symptoms according to a parental questionnaire (Child Behavior Checklist; CBCL), as well as ICD-10 child psychiatric diagnoses are analyzed. For the entire group, the proportion of children with at least one ICD-10 diagnosis was 40.1% and for the CBCL total problems scale 28.2% - three times higher than in the general population. Expansive disorders (21%) were twice as common as emotional disorders (12%). A significantly higher (P<0. 05) proportion of day-wetting children had at least one diagnosis (52.6%) and emotional disorders (19.5%) compared with nocturnal enuretics (33.6% and 8.2%, respectively). Secondary nocturnal enuretics had significantly higher CBCL total problem scores (39.3% vs. 20.0%, P<0.05) as well as psychiatric ICD-10 diagnoses (75% vs. 19.5%, P<0.001) than primary enuretics. Children with primary monosymptomatic enuresis had the lowest rate of CBCL total behavioral symptoms (14.5%) and diagnoses (10%). Of the day-wetting children, those with voiding postponement had more expansive disorders (39.3% vs. 13.6%, P<0.05) and externalizing symptoms (37% vs. 19.%, NS) than those with urge incontinence. In summary, a third of wetting children showed clinically relevant behavioral problems with specific psychiatric comorbidity for the subtypes. A more-detailed differentiation into syndromes rather than into day/night and primary/secondary forms is needed.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry, University of Cologne, Robert-Koch Strasse 10, D-50931 Cologne, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

10502123

Citation

von Gontard, A, et al. "Clinical Behavioral Problems in Day- and Night-wetting Children." Pediatric Nephrology (Berlin, Germany), vol. 13, no. 8, 1999, pp. 662-7.
von Gontard A, Mauer-Mucke K, Plück J, et al. Clinical behavioral problems in day- and night-wetting children. Pediatr Nephrol. 1999;13(8):662-7.
von Gontard, A., Mauer-Mucke, K., Plück, J., Berner, W., & Lehmkuhl, G. (1999). Clinical behavioral problems in day- and night-wetting children. Pediatric Nephrology (Berlin, Germany), 13(8), 662-7.
von Gontard A, et al. Clinical Behavioral Problems in Day- and Night-wetting Children. Pediatr Nephrol. 1999;13(8):662-7. PubMed PMID: 10502123.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical behavioral problems in day- and night-wetting children. AU - von Gontard,A, AU - Mauer-Mucke,K, AU - Plück,J, AU - Berner,W, AU - Lehmkuhl,G, PY - 1999/9/29/pubmed PY - 1999/9/29/medline PY - 1999/9/29/entrez SP - 662 EP - 7 JF - Pediatric nephrology (Berlin, Germany) JO - Pediatr Nephrol VL - 13 IS - 8 N2 - In this prospective, clinical study of 167 consecutive wetting children, the associations between specific forms of day and night wetting and clinical behavioral symptoms according to a parental questionnaire (Child Behavior Checklist; CBCL), as well as ICD-10 child psychiatric diagnoses are analyzed. For the entire group, the proportion of children with at least one ICD-10 diagnosis was 40.1% and for the CBCL total problems scale 28.2% - three times higher than in the general population. Expansive disorders (21%) were twice as common as emotional disorders (12%). A significantly higher (P<0. 05) proportion of day-wetting children had at least one diagnosis (52.6%) and emotional disorders (19.5%) compared with nocturnal enuretics (33.6% and 8.2%, respectively). Secondary nocturnal enuretics had significantly higher CBCL total problem scores (39.3% vs. 20.0%, P<0.05) as well as psychiatric ICD-10 diagnoses (75% vs. 19.5%, P<0.001) than primary enuretics. Children with primary monosymptomatic enuresis had the lowest rate of CBCL total behavioral symptoms (14.5%) and diagnoses (10%). Of the day-wetting children, those with voiding postponement had more expansive disorders (39.3% vs. 13.6%, P<0.05) and externalizing symptoms (37% vs. 19.%, NS) than those with urge incontinence. In summary, a third of wetting children showed clinically relevant behavioral problems with specific psychiatric comorbidity for the subtypes. A more-detailed differentiation into syndromes rather than into day/night and primary/secondary forms is needed. SN - 0931-041X UR - https://www.unboundmedicine.com/medline/citation/10502123/Clinical_behavioral_problems_in_day__and_night_wetting_children_ L2 - https://dx.doi.org/10.1007/s004670050677 DB - PRIME DP - Unbound Medicine ER -