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Neurodevelopmental and psychiatric disorders in pediatric bladder and bowel dysfunction
Rebecca Wang1, Meta Van den Heuvel2, Mandy Rickard3
1Department of Pediatrics, Hospital for Sick Children, University of Toronto, Ontario, Canada; Faculty of Art & Science, University of Toronto, Ontario, Canada.
Journal of Pediatric Urology
|May 5, 2021
Summary
Many children with bladder and bowel dysfunction (BBD) have undiagnosed neurodevelopmental and psychiatric (NDP) disorders. Early screening using tools like the SDQ can identify these children for further assessment and support.
Area of Science:
- Pediatric Urology
- Developmental Pediatrics
- Behavioral Science
Background:
- Bladder and bowel dysfunction (BBD) is a common pediatric condition involving lower urinary tract symptoms and constipation.
- The link between BBD and neurodevelopmental and psychiatric (NDP) disorders is not fully understood.
Purpose of the Study:
- Identify pre-existing NDP disorders in children diagnosed with BBD.
- Screen for new behavioral issues and assess the relationship between BBD symptoms and behavioral difficulties.
Main Methods:
- A cross-sectional study involving 61 children (ages 4-17) referred for BBD.
- Participants completed questionnaires including the Dysfunctional Voiding Score System (DVSS) and Strength and Difficulties questionnaire (SDQ).
- Exclusion criteria included known spinal dysraphism; data analyzed using Pearson correlation.
Main Results:
- 23% of children with BBD had a pre-existing NDP disorder, most commonly learning disability (43%) and ADHD (29%).
- Children with BBD exhibited more severe symptoms based on DVSS scores.
- The SDQ identified 12 children without prior NDP diagnoses who scored in the clinical range for behavioral difficulties, particularly hyperactivity.
Conclusions:
- A significant number of children with BBD have comorbid NDP disorders and more severe symptoms.
- The SDQ is a valuable screening tool for identifying behavioral issues in children with BBD.
- Early identification can guide referrals for formal developmental pediatrics assessments.
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