Related Experiment Video
Updated: Jul 24, 2025
Detrusor Underactivity Model in Rats by Conus Medullaris Transection
Published on: August 28, 2020
Comparison of child abuse history in patients with and without overactive bladder: a case-control study
Akram Rahmanipur1, Roham Sarmadian1, Bahman Salehi2
1Arak University of Medical Sciences.
Insights
Child abuse, particularly psychological and physical maltreatment, is significantly more common in children with overactive bladder (OAB) than in healthy children. Screening for child abuse is recommended for children diagnosed with OAB.
Area of Science:
- Pediatrics
- Child Psychology
- Urology
Background:
- Child abuse poses significant global health and social welfare challenges.
- Child abuse is linked to various physical and mental health issues, including anxiety and depression.
- Overactive bladder (OAB) is a common bladder storage disorder in children with unclear origins, potentially linked to developmental or behavioral issues.
Purpose of the Study:
- To investigate the prevalence of child maltreatment in children diagnosed with overactive bladder (OAB).
- To compare the incidence of child maltreatment in OAB cases versus a healthy control group.
- To identify specific domains of child abuse associated with OAB in children.
Main Methods:
- A case-control study involving 100 children with OAB and 100 healthy children (ages 5-12).
- Participants were recruited from Amirkabir Hospital in Arak.
- Child abuse was assessed using a standardized questionnaire covering psychological/emotional abuse, physical abuse, and neglect.
Main Results:
- Child maltreatment was significantly more prevalent in the OAB group (31%) compared to the control group (12%) (P<0.0001).
- Psychological/emotional abuse (P=0.001) and physical abuse (P<0.0001) were significantly higher in children with OAB.
- No significant difference was found in the prevalence of neglect between the groups (P=0.112).
Conclusions:
- Child abuse, especially psychological and physical, is considerably more common in children with OAB.
- Early detection and intervention are crucial, suggesting parental notification and child abuse screening for OAB patients.
- Further research may explore the causal relationship and effective interventions for maltreated children with OAB.
Abstract:
Child abuse is a major global concern in terms of healthcare and social welfare. Child abuse is associated with numerous physical and mental health issues, including anxiety and depression. Overactive bladder (OAB) is a bladder storage functional disease defined by urine urgency with or without urge incontinence and is frequently accompanied by frequency and nocturia. This disorder's origin is not entirely understood. Since OAB can be caused by problems of nervous system maturation or behavioural disorders, its correlation with child maltreatment is possible.
Objective:
This study aimed to compare the occurrence of maltreatment in children with OAB to healthy children referred to Amirkabir hospital, Arak.
Method:
This study included 100 children with overactive bladder and 100 healthy children without overactive bladder (ages 5-12 years) as case and control groups, respectively. Children referred to paediatric clinic at Amirkabir hospital in Arak, were selected as participants. Child abuse domains including psychological/emotional, physical, and neglect were diagnosed using a standardized child abuse questionnaire answered by the children. Data were analyzed by SPSS version χ2 test, t-test, and Pearson's χ2 test.
Results:
The Prevalence of child maltreatment was significantly greater in the case group (31 cases) than in the control group (12 cases) (P<0.0001). The psychological/emotional domain of child abuse was observed in 19 case group participants and 4 control group participants (P=0.001), and the physical domain was observed in 29 case group participants and 11 control group participants (P<0.0001). Despite this considerable difference, 10 and 8 children in the case and control groups, respectively, scored positively for the neglect domain (P=0.112).
Conclusion:
Child abuse is considerably more common in children with OAB than in healthy children, especially in the psycho-emotional and physical domains, and it is possible to prevent and treat this condition by notifying parents. Children with OAB should also be subjected to child abuse screening.
Related Concept Videos
01:21Nursing Assessment of the Genitourinary System I: Health History
01:19Urodynamic Studies: Uroflowmetry
01:23Urinary Bladder
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
01:26Nursing Assessment of the Genitourinary System II: Inspection and Palpation
01:22Imaging Studies VI: Voiding Cystourethrography and Cystography
01:26The Micturition Reflex
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating...