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Relationship between elimination disorders and internalizing-externalizing problems in children: A systematic review
Claudia Aymerich1,2,3, Borja Pedruzo1, Malein Pacho1
1Psychiatry Department Basurto University Hospital Bilbao Spain.
JCPP Advances
|September 18, 2023
Summary
Children with elimination disorders like enuresis and encopresis often experience higher internalizing and externalizing psychological problems and lower self-concept compared to their peers. Early screening and intervention are recommended.
Area of Science:
- Child Psychology
- Developmental Psychology
- Clinical Psychology
Background:
- Elimination disorders are common in childhood.
- These disorders are frequently linked to psychological issues.
- This study investigates the psychological impact of elimination disorders in children.
Purpose of the Study:
- To determine the extent of internalizing and externalizing problems in children with elimination disorders.
- To compare psychological symptoms in children with and without elimination disorders.
- To assess self-concept differences in affected children.
Main Methods:
- A systematic review and meta-analysis of relevant studies was conducted.
- Studies published up to May 1st, 2022, were included.
- Data from 36 articles on enuresis and encopresis were analyzed.
Main Results:
- Children with elimination disorders showed lower self-concept.
- Increased symptoms of thought problems, attention deficits, aggression, and social difficulties were observed.
- Significant publication bias was detected in several domains.
Conclusions:
- Children with elimination disorders may exhibit significant internalizing and externalizing problems.
- Impaired self-concept is also associated with these disorders.
- Screening for psychological issues in children with enuresis or encopresis is advisable.
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