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Related Experiment Video

Updated: Oct 7, 2025

Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
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Incontinence and sleep disturbances in young children: A population-based study.

Alexander von Gontard1,2, Hannah Mattheus3, Jana Friese-Jaworsky3

  • 1Department of Urology, Governor Kremers Centre, Maastricht University Medical Centre, Maastricht, The Netherlands.

Neurourology and Urodynamics
|January 6, 2022
PubMed
Summary

Young children with incontinence do not experience more sleep issues. However, psychological problems significantly impact sleep, particularly in those with daytime urinary incontinence and fecal incontinence, necessitating integrated treatment approaches.

Keywords:
daytime urinary incontinencefecal incontinencenocturnal enuresispreschool childrenpsychological problemssleep disorders

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Area of Science:

  • Pediatric Health
  • Sleep Medicine
  • Child Psychology

Background:

  • Sleep and behavioral issues are prevalent in young children.
  • Incontinence, including nocturnal enuresis (NE), daytime urinary incontinence (DUI), and fecal incontinence (FI), affects a significant portion of the pediatric population.
  • The interplay between sleep, psychological well-being, and incontinence in children requires further investigation.

Purpose of the Study:

  • To examine the association between sleep and psychological parameters in young children with various forms of incontinence.
  • To determine if children with incontinence exhibit a higher prevalence of sleep problems compared to continent children.

Main Methods:

  • A representative sample of 638 children (mean age 5.9 years) undergoing school entry examinations were assessed.
  • Validated questionnaires, including the Strengths and Difficulties Questionnaire and the Children's Sleep Habits Questionnaire, were utilized.
  • Incontinence and constipation were diagnosed using established clinical standards (ICCS).

Main Results:

  • 17.1% of children presented with at least one type of incontinence.
  • While children with incontinence did not show a higher rate of sleep problems overall, specific associations were observed: NE was linked to fewer night wakings, and constipation to fewer parasomnias.
  • Psychological problems were common (6.7%) and significantly associated with sleep issues, especially in children with DUI and FI.

Conclusions:

  • Psychological problems significantly impact sleep in young children.
  • Incontinence in young children is not directly associated with a higher incidence of sleep problems.
  • Addressing both sleep and psychological issues is crucial for managing incontinence in pediatric populations.