The Role of Behavioral Health Comorbidities in Pediatric Bowel and Bladder Dysfunction Severity: A Retrospective

Insights

Children with bowel and bladder dysfunction (BBD) show high rates of neuropsychiatric disorders (NPDs). Addressing behavioral health concerns early can improve voiding symptom severity in these pediatric patients.

Area of Science:

  • Pediatric Urology
  • Child Psychology
  • Behavioral Health

Background:

  • Children with bowel and bladder dysfunction (BBD) frequently experience neuropsychiatric disorders (NPDs).
  • The specific impact of NPDs on the severity of voiding symptoms in pediatric BBD patients remains unclear.

Purpose of the Study:

  • To determine the prevalence of NPDs and behavioral health symptoms in children with BBD.
  • To evaluate the relationship between behavioral health symptoms and the severity of voiding dysfunction.

Main Methods:

  • A retrospective review of 304 pediatric patients diagnosed with BBD was conducted.
  • Voiding symptom severity was assessed using the dysfunctional voiding symptom score (DVSS).
  • Behavioral health symptoms were measured using the Strengths and Difficulties Questionnaire (SDQ), with statistical analyses including regression models and odds ratios.

Main Results:

  • 33% of patients had a diagnosed NPD, and 31.5% scored positively on the SDQ.
  • DVSS scores were significant predictors of SDQ scores (p < .001).
  • Children with BBD exhibited increased odds of behavioral health concerns (OR 1.84 [CI 1.03-3.30]).

Conclusions:

  • Behavioral health symptoms are prevalent in pediatric BBD cases and are associated with increased symptom severity.
  • Early screening for and referral to behavioral health specialists may expedite symptom improvement in children with BBD.
Abstract

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