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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.
Introduction:
Children with bowel and bladder dysfunction (BBD) have high rates of neuropsychiatric disorders (NPDs), however the impact on severity of voiding symptoms is poorly understood. Our objective was to assess prevalence of NPDs and other behavioral health symptoms and the impact on voiding symptoms.
Methods:
We conducted a retrospective review of 304 BBD patients. Severity of voiding symptoms were measured using the dysfunctional voiding symptom score (DVSS). The strengths and difficulties questionnaire (SDQ) measured behavioral health symptoms. Regression models and odds ratios evaluated the relationship between DVSS and SDQ.
Results:
Thirty-three percent had diagnosed NPD, and 31.5% had a positive SDQ. DVSS scores predicted SDQ score (p < .001). Children with voiding dysfunction had increased odds of behavioral health concerns (OR 1.84 [CI 1.03-3.30]).
Discussion:
Behavioral health symptoms are common in children with BBD and increase severity of symptoms. Early screening and referral to behavioral health specialists may decrease time to symptom improvement.
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