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Quality of life and self-esteem for children with urinary urge incontinence and voiding postponement.
J Urol. 2009 Aug; 182(2):692-8.JU

Abstract

PURPOSE

Urge incontinence and voiding postponement are common subtypes of daytime wetting in children. We analyzed health related quality of life for children with urge incontinence and voiding postponement, and healthy controls at 2 centers.

MATERIALS AND METHODS

We examined a total of 49 consecutive children 5 to 13 years old who presented with urge incontinence (22) or voiding postponement (27), and 32 controls matched for age and sex. Health related and overall quality of life were measured with generic questionnaires, and self-esteem was measured with the Piers-Harris questionnaire.

RESULTS

Health related quality of life was significantly reduced in parent rating but not in child rating in the incontinent vs control group (total mean parent score 73 vs 78, child 76 vs 76). Children with voiding postponement have the lowest health related quality of life. Overall quality of life was significantly reduced in children with incontinence, while self-esteem did not differ. Children with externalizing disorders generally have the lowest health related and overall quality of life.

CONCLUSIONS

Health related and overall quality of life are useful constructs, and are reduced in children with daytime incontinence by parental rating. In comparison, children rate their quality of life as being higher. Quality of life is lowest with externalizing behavioral disorders, as in children with voiding postponement. Due to comorbid behavioral disturbances, children with voiding postponement often need additional assessment, counseling and treatment.

Authors+Show Affiliations

Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg/Saar, Germany.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

19539323

Citation

Natale, N, et al. "Quality of Life and Self-esteem for Children With Urinary Urge Incontinence and Voiding Postponement." The Journal of Urology, vol. 182, no. 2, 2009, pp. 692-8.
Natale N, Kuhn S, Siemer S, et al. Quality of life and self-esteem for children with urinary urge incontinence and voiding postponement. J Urol. 2009;182(2):692-8.
Natale, N., Kuhn, S., Siemer, S., Stöckle, M., & von Gontard, A. (2009). Quality of life and self-esteem for children with urinary urge incontinence and voiding postponement. The Journal of Urology, 182(2), 692-8. https://doi.org/10.1016/j.juro.2009.04.033
Natale N, et al. Quality of Life and Self-esteem for Children With Urinary Urge Incontinence and Voiding Postponement. J Urol. 2009;182(2):692-8. PubMed PMID: 19539323.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Quality of life and self-esteem for children with urinary urge incontinence and voiding postponement. AU - Natale,N, AU - Kuhn,S, AU - Siemer,S, AU - Stöckle,M, AU - von Gontard,A, Y1 - 2009/06/17/ PY - 2008/12/10/received PY - 2009/6/23/entrez PY - 2009/6/23/pubmed PY - 2009/8/7/medline SP - 692 EP - 8 JF - The Journal of urology JO - J Urol VL - 182 IS - 2 N2 - PURPOSE: Urge incontinence and voiding postponement are common subtypes of daytime wetting in children. We analyzed health related quality of life for children with urge incontinence and voiding postponement, and healthy controls at 2 centers. MATERIALS AND METHODS: We examined a total of 49 consecutive children 5 to 13 years old who presented with urge incontinence (22) or voiding postponement (27), and 32 controls matched for age and sex. Health related and overall quality of life were measured with generic questionnaires, and self-esteem was measured with the Piers-Harris questionnaire. RESULTS: Health related quality of life was significantly reduced in parent rating but not in child rating in the incontinent vs control group (total mean parent score 73 vs 78, child 76 vs 76). Children with voiding postponement have the lowest health related quality of life. Overall quality of life was significantly reduced in children with incontinence, while self-esteem did not differ. Children with externalizing disorders generally have the lowest health related and overall quality of life. CONCLUSIONS: Health related and overall quality of life are useful constructs, and are reduced in children with daytime incontinence by parental rating. In comparison, children rate their quality of life as being higher. Quality of life is lowest with externalizing behavioral disorders, as in children with voiding postponement. Due to comorbid behavioral disturbances, children with voiding postponement often need additional assessment, counseling and treatment. SN - 1527-3792 UR - https://www.unboundmedicine.com/medline/citation/19539323/Quality_of_life_and_self_esteem_for_children_with_urinary_urge_incontinence_and_voiding_postponement_ L2 - https://www.jurology.com/doi/10.1016/j.juro.2009.04.033?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -