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Behavior profiles in children with functional urinary incontinence before and after incontinence treatment.
Pediatrics. 2008 May; 121(5):e1196-200.Ped

Abstract

OBJECTIVE

The purpose of this work was to analyze prospectively the prevalence of behavioral disorders in children with urinary incontinence because of nonneuropathic bladder-sphincter dysfunction before and after treatment for incontinence.

METHODS

A total of 202 children with nonneuropathic bladder-sphincter dysfunction were enrolled in the European Bladder Dysfunction Study, in branches for urge syndrome (branch 1) and dysfunctional voiding (branch 2); 188 filled out Achenbach's Child Behavior Checklist before treatment and 111 after treatment. Child Behavior Checklist scales for total behavior problems were used along with subscales for externalizing problems and internalizing problems.

RESULTS

After European Bladder Dysfunction Study treatment, the total behavior problem score dropped from 19% to 11%, the same prevalence as in the normative population; in branch 1 the score dropped from 14% to 13%, and in branch 2 it dropped from 23% to 8%. The prevalence of externalizing problems dropped too, from 12% to 8%: in branch 1 it was unchanged at 10%, and in branch 2 it dropped from 14% to 7%. The decrease in prevalence of internalizing problems after treatment, from 16% to 14%, was not significant.

CONCLUSION

More behavioral problems were found in dysfunctional voiding than in urge syndrome, but none of the abnormal scores related to the outcome of European Bladder Dysfunction Study treatment for incontinence. With such treatment, both the total behavior problem score and the score for externalizing problems returned to normal, but the score for internalizing problems did not change. The drops in prevalence are statistically significant only in dysfunctional voiding.

Authors+Show Affiliations

Department of Pediatric Nephrology, University Hospital Antwerp, Wilrijkstraat 10, B-2650 Edegem, Belgium. anbael@attglobal.netNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Multicenter Study
Randomized Controlled Trial

Language

eng

PubMed ID

18450862

Citation

Bael, An, et al. "Behavior Profiles in Children With Functional Urinary Incontinence Before and After Incontinence Treatment." Pediatrics, vol. 121, no. 5, 2008, pp. e1196-200.
Bael A, Winkler P, Lax H, et al. Behavior profiles in children with functional urinary incontinence before and after incontinence treatment. Pediatrics. 2008;121(5):e1196-200.
Bael, A., Winkler, P., Lax, H., Hirche, H., Gäbel, E., Vijverberg, M., van Zon, R., Van Hoecke, E., & van Gool, J. D. (2008). Behavior profiles in children with functional urinary incontinence before and after incontinence treatment. Pediatrics, 121(5), e1196-200. https://doi.org/10.1542/peds.2007-1652
Bael A, et al. Behavior Profiles in Children With Functional Urinary Incontinence Before and After Incontinence Treatment. Pediatrics. 2008;121(5):e1196-200. PubMed PMID: 18450862.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Behavior profiles in children with functional urinary incontinence before and after incontinence treatment. AU - Bael,An, AU - Winkler,Pauline, AU - Lax,Hildegard, AU - Hirche,Herbert, AU - Gäbel,Elisabeth, AU - Vijverberg,Marianne, AU - van Zon,Roelie, AU - Van Hoecke,Eline, AU - van Gool,Jan D, PY - 2008/5/3/pubmed PY - 2008/6/5/medline PY - 2008/5/3/entrez SP - e1196 EP - 200 JF - Pediatrics JO - Pediatrics VL - 121 IS - 5 N2 - OBJECTIVE: The purpose of this work was to analyze prospectively the prevalence of behavioral disorders in children with urinary incontinence because of nonneuropathic bladder-sphincter dysfunction before and after treatment for incontinence. METHODS: A total of 202 children with nonneuropathic bladder-sphincter dysfunction were enrolled in the European Bladder Dysfunction Study, in branches for urge syndrome (branch 1) and dysfunctional voiding (branch 2); 188 filled out Achenbach's Child Behavior Checklist before treatment and 111 after treatment. Child Behavior Checklist scales for total behavior problems were used along with subscales for externalizing problems and internalizing problems. RESULTS: After European Bladder Dysfunction Study treatment, the total behavior problem score dropped from 19% to 11%, the same prevalence as in the normative population; in branch 1 the score dropped from 14% to 13%, and in branch 2 it dropped from 23% to 8%. The prevalence of externalizing problems dropped too, from 12% to 8%: in branch 1 it was unchanged at 10%, and in branch 2 it dropped from 14% to 7%. The decrease in prevalence of internalizing problems after treatment, from 16% to 14%, was not significant. CONCLUSION: More behavioral problems were found in dysfunctional voiding than in urge syndrome, but none of the abnormal scores related to the outcome of European Bladder Dysfunction Study treatment for incontinence. With such treatment, both the total behavior problem score and the score for externalizing problems returned to normal, but the score for internalizing problems did not change. The drops in prevalence are statistically significant only in dysfunctional voiding. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/18450862/Behavior_profiles_in_children_with_functional_urinary_incontinence_before_and_after_incontinence_treatment_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=18450862 DB - PRIME DP - Unbound Medicine ER -