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Does psychological stress affect LUT function in children? ICI-RS 2011

Alexander von Gontard1

  • 1Department of Child and Adolescent Psychiatry, Saarland University Hospital, Homburg/Saar, Germany. alexander.von.gontard@uks.eu

Neurourology and Urodynamics
|March 15, 2012
PubMed

Insights

Psychological distress is common in children with lower urinary tract symptoms (LUTS), including nocturnal enuresis (NE) and daytime urinary incontinence (DUI). Understanding these complex links is crucial for effective treatment.

Area of Science:

  • Pediatric urology
  • Child psychology
  • Behavioral science

Background:

  • Lower urinary tract symptoms (LUTS) in children, including nocturnal enuresis (NE) and daytime urinary incontinence (DUI), are frequently associated with psychological distress.
  • A significant percentage of children with NE (20-40%) and DUI (30-40%) exhibit clinical psychiatric disorders.
  • The interplay between psychological factors and LUTS is complex, influenced by both genetic and environmental interactions.

Purpose of the Study:

  • To provide an overview of the associations between psychological factors and LUTS in children.
  • To discuss potential causal relationships between these conditions.

Main Methods:

  • Review of relevant scientific literature.
  • Emphasis on studies with population-based and representative results.

Main Results:

  • Four primary associations between psychological symptoms/disorders and LUTS/NE/DUI were identified:
  • 1. Psychological issues as a consequence of LUTS/NE/DUI.
  • 2. Psychological issues induced by LUTS/NE/DUI.
  • 3. Shared etiological factors causing both conditions.
  • 4. Co-occurrence without a direct causal link.

Conclusions:

  • A descriptive approach is recommended due to the complexity of the associations.
  • Identification of specific LUTS/NE/DUI subtypes and co-occurring psychological symptoms is essential.
  • Screening for psychological symptoms using parental behavioral questionnaires is advised.
  • Counseling and appropriate treatment should be provided when indicated.
Abstract

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