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A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence

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A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence. / Joinson, Carol; Grzeda, Mariusz Tadeusz; von Gontard, Alexander; Heron, Jon.

In: European Child and Adolescent Psychiatry, 06.07.2018.

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Joinson, Carol ; Grzeda, Mariusz Tadeusz ; von Gontard, Alexander ; Heron, Jon. / A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence. In: European Child and Adolescent Psychiatry. 2018.

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@article{a04eb2da84cb49a0b8f5b03ac458a337,
title = "A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence",
abstract = "The objective of the study was to examine the association between biopsychosocial factors and developmental trajectories of childhood urinary incontinence (UI). We used developmental trajectories (latent classes) of childhood UI from 4–9 years including bedwetting alone, daytime wetting alone, delayed (daytime and nighttime) bladder control, and persistent (day and night) wetting (n = 8751, 4507 boys, 4244 girls). We examined whether biopsychosocial factors (developmental level, gestational age, birth weight, parental UI, temperament, behaviour/emotional problems, stressful events, maternal depression, age at initiation of toilet training, constipation) are associated with the trajectories using multinomial logistic regression (reference category = normative development of bladder control). Maternal history of bedwetting was associated with almost a fourfold increase in odds of persistent wetting [odds ratio and 95{\%} confidence interval: 3.60 (1.75–7.40)]. In general, difficult temperament and behaviour/emotional problems were most strongly associated with combined (day and night) wetting, e.g. children with behavioural difficulties had increased odds of delayed (daytime and nighttime) bladder control [1.80 (1.59–2.03)]. Maternal postnatal depression was associated with persistent (day and night) wetting [2.09 (1.48–2.95)] and daytime wetting alone [2.38 (1.46–3.88)]. Developmental delay, stressful events, and later initiation of toilet training were not associated with bedwetting alone, but were associated with the other UI trajectories. Constipation was only associated with delayed bladder control. We find evidence that different trajectories of childhood UI are differentially associated with biopsychosocial factors. Increased understanding of factors associated with different trajectories of childhood UI could help clinicians to identify children at risk of persistent incontinence.",
keywords = "ALSPAC, Bedwetting, Child urinary incontinence, Daytime wetting, Developmental trajectory, Prospective cohort",
author = "Carol Joinson and Grzeda, {Mariusz Tadeusz} and {von Gontard}, Alexander and Jon Heron",
year = "2018",
month = "7",
day = "6",
doi = "10.1007/s00787-018-1193-1",
language = "English",
journal = "European Child and Adolescent Psychiatry",
issn = "1018-8827",
publisher = "Springer Verlag",

}

RIS - suitable for import to EndNote

TY - JOUR

T1 - A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence

AU - Joinson, Carol

AU - Grzeda, Mariusz Tadeusz

AU - von Gontard, Alexander

AU - Heron, Jon

PY - 2018/7/6

Y1 - 2018/7/6

N2 - The objective of the study was to examine the association between biopsychosocial factors and developmental trajectories of childhood urinary incontinence (UI). We used developmental trajectories (latent classes) of childhood UI from 4–9 years including bedwetting alone, daytime wetting alone, delayed (daytime and nighttime) bladder control, and persistent (day and night) wetting (n = 8751, 4507 boys, 4244 girls). We examined whether biopsychosocial factors (developmental level, gestational age, birth weight, parental UI, temperament, behaviour/emotional problems, stressful events, maternal depression, age at initiation of toilet training, constipation) are associated with the trajectories using multinomial logistic regression (reference category = normative development of bladder control). Maternal history of bedwetting was associated with almost a fourfold increase in odds of persistent wetting [odds ratio and 95% confidence interval: 3.60 (1.75–7.40)]. In general, difficult temperament and behaviour/emotional problems were most strongly associated with combined (day and night) wetting, e.g. children with behavioural difficulties had increased odds of delayed (daytime and nighttime) bladder control [1.80 (1.59–2.03)]. Maternal postnatal depression was associated with persistent (day and night) wetting [2.09 (1.48–2.95)] and daytime wetting alone [2.38 (1.46–3.88)]. Developmental delay, stressful events, and later initiation of toilet training were not associated with bedwetting alone, but were associated with the other UI trajectories. Constipation was only associated with delayed bladder control. We find evidence that different trajectories of childhood UI are differentially associated with biopsychosocial factors. Increased understanding of factors associated with different trajectories of childhood UI could help clinicians to identify children at risk of persistent incontinence.

AB - The objective of the study was to examine the association between biopsychosocial factors and developmental trajectories of childhood urinary incontinence (UI). We used developmental trajectories (latent classes) of childhood UI from 4–9 years including bedwetting alone, daytime wetting alone, delayed (daytime and nighttime) bladder control, and persistent (day and night) wetting (n = 8751, 4507 boys, 4244 girls). We examined whether biopsychosocial factors (developmental level, gestational age, birth weight, parental UI, temperament, behaviour/emotional problems, stressful events, maternal depression, age at initiation of toilet training, constipation) are associated with the trajectories using multinomial logistic regression (reference category = normative development of bladder control). Maternal history of bedwetting was associated with almost a fourfold increase in odds of persistent wetting [odds ratio and 95% confidence interval: 3.60 (1.75–7.40)]. In general, difficult temperament and behaviour/emotional problems were most strongly associated with combined (day and night) wetting, e.g. children with behavioural difficulties had increased odds of delayed (daytime and nighttime) bladder control [1.80 (1.59–2.03)]. Maternal postnatal depression was associated with persistent (day and night) wetting [2.09 (1.48–2.95)] and daytime wetting alone [2.38 (1.46–3.88)]. Developmental delay, stressful events, and later initiation of toilet training were not associated with bedwetting alone, but were associated with the other UI trajectories. Constipation was only associated with delayed bladder control. We find evidence that different trajectories of childhood UI are differentially associated with biopsychosocial factors. Increased understanding of factors associated with different trajectories of childhood UI could help clinicians to identify children at risk of persistent incontinence.

KW - ALSPAC

KW - Bedwetting

KW - Child urinary incontinence

KW - Daytime wetting

KW - Developmental trajectory

KW - Prospective cohort

UR - http://www.scopus.com/inward/record.url?scp=85049561741&partnerID=8YFLogxK

U2 - 10.1007/s00787-018-1193-1

DO - 10.1007/s00787-018-1193-1

M3 - Article

JO - European Child and Adolescent Psychiatry

JF - European Child and Adolescent Psychiatry

SN - 1018-8827

ER -