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Clinical behavioral problems in day- and night-wetting children
A von Gontard1, K Mauer-Mucke, J Plück
1Department of Child and Adolescent Psychiatry, University of Cologne, Robert-Koch Strasse 10, D-50931 Cologne, Germany.
Pediatric Nephrology (Berlin, Germany)
|September 29, 1999
Summary
This study found that wetting children often exhibit behavioral problems and psychiatric diagnoses, with specific subtypes showing distinct patterns. Differentiating by syndrome, not just wetting type, is crucial for better understanding.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Clinical Pediatrics
Background:
- Wetting disorders in children are common and can be associated with behavioral and psychiatric issues.
- Previous research suggests a link between enuresis subtypes and psychological comorbidities.
- Understanding these associations is vital for accurate diagnosis and effective treatment planning.
Purpose of the Study:
- To analyze the association between specific types of day and night wetting in children.
- To examine clinical behavioral symptoms using the Child Behavior Checklist (CBCL).
- To investigate the prevalence of ICD-10 child psychiatric diagnoses in wetting children.
Main Methods:
- Prospective clinical study involving 167 consecutive children with wetting issues.
- Utilized parental questionnaires (Child Behavior Checklist; CBCL) for behavioral symptom assessment.
- Analyzed associations with ICD-10 child psychiatric diagnoses.
Main Results:
- 40.1% of wetting children had at least one ICD-10 diagnosis; CBCL total problems scale was 28.2%, three times higher than the general population.
- Day-wetting children showed higher rates of psychiatric diagnoses (52.6%) and emotional disorders (19.5%) compared to nocturnal enuretics.
- Secondary nocturnal enuretics had significantly higher CBCL scores and psychiatric diagnoses than primary enuretics; primary monosymptomatic enuresis had the lowest rates.
Conclusions:
- A significant proportion of wetting children exhibit clinically relevant behavioral problems and specific psychiatric comorbidities.
- The study highlights distinct patterns of behavioral issues and diagnoses across different wetting subtypes.
- A more detailed syndromic classification is recommended over simple day/night or primary/secondary distinctions for better clinical differentiation.