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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.
Objective:
To examine the impact of a range of early childhood factors on the risk for daytime wetting and soiling.
Methods:
This is a longitudinal study based on a UK population of over 10,000 children from age 4 to 9 years. Parents completed questionnaires on child development (at 18 months); child temperament (24 months); maternal depression/anxiety (21 months), and parenting behaviors (24 months). The analysis examined whether these risk factors distinguish between children with normal development of daytime bladder and bowel control and those with delayed acquisition of daytime continence; persistent daytime wetting/soiling, and relapse in wetting/soiling.
Results:
Delayed development, difficult temperament, and maternal depression/anxiety were associated with an increase in the odds of experiencing problems with bladder and bowel control.
Conclusions:
The current findings provide evidence that risk factors in early childhood are associated with a subsequent increase in the odds of children experiencing daytime wetting and soiling at school age.
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