Early childhood risk factors associated with daytime wetting and soiling in school-age children

Carol Joinson1, Jon Heron, Alexander von Gontard

  • 1Department of Community Based Medicine, University of Bristol, Bristol, UK. carol.joinson@bristol.ac.uk

Insights

Early childhood factors like developmental delays, difficult temperament, and maternal mental health issues increase the risk of daytime wetting and soiling in children. These issues can persist into school age, impacting continence development.

Area of Science:

  • Developmental Psychology
  • Pediatric Health
  • Maternal Mental Health

Background:

  • Daytime wetting and soiling are common childhood issues impacting quality of life.
  • Understanding early risk factors is crucial for timely intervention and support.

Purpose of the Study:

  • To investigate the association between early childhood factors and the risk of daytime wetting and soiling.
  • To identify specific developmental, temperamental, and maternal factors influencing continence development.

Main Methods:

  • Longitudinal study of over 10,000 UK children (ages 4-9).
  • Data collected via parental questionnaires on child development, temperament, maternal mental health, and parenting behaviors.
  • Analysis focused on risk factors for delayed continence, persistent issues, and relapse.

Main Results:

  • Delayed child development, difficult temperament, and maternal depression/anxiety were significantly associated with increased odds of bladder and bowel control problems.
  • These early childhood factors predict a higher likelihood of experiencing daytime wetting and soiling.

Conclusions:

  • Early childhood adversities are linked to an increased risk of daytime wetting and soiling in school-aged children.
  • Interventions targeting these risk factors may help improve continence outcomes.
Abstract

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