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Psychiatric symptoms in children with overactive bladder and underactive bladder

Gülsüm Yitik Tonkaz1, Gökhan Tonkaz2, Hilmi Furkan Arslan3

  • 1Departamento de Psiquiatría Infantil y Adolescente, Facultad de Medicina, Universidad de Giresun, Giresun, Turkey.

Anales De Pediatria
|July 13, 2026
PubMed

Insights

Children with overactive bladder (OAB) show more externalizing psychiatric symptoms compared to those with underactive bladder (UAB) or healthy controls. This highlights the need for psychiatric screening in pediatric bladder dysfunction.

Area of Science:

  • Pediatric Urology
  • Child Psychiatry
  • Developmental Psychology

Background:

  • Bladder dysfunction, including overactive bladder (OAB) and underactive bladder (UAB), is common in children.
  • The relationship between bladder dysfunction and psychiatric manifestations requires further investigation.

Purpose of the Study:

  • To evaluate psychiatric symptoms, specifically externalizing and internalizing behaviors, anxiety, and depression, in children diagnosed with OAB and UAB.
  • To compare these symptoms between children with OAB, UAB, and healthy controls.

Main Methods:

  • A cross-sectional study involving 53 children with OAB, 23 with UAB, and 30 controls.
  • Psychiatric symptoms assessed using the Revised Child Anxiety and Depression Scale-Child Version (RCADS-C) for children and the Strengths and Difficulties Questionnaire (SDQ) for parents.

Main Results:

  • Children with OAB exhibited significantly higher scores for conduct problems, hyperactivity, and externalizing problems compared to UAB and control groups.
  • No significant differences were observed in emotional symptoms, peer problems, prosocial behavior, internalizing problems, anxiety, or depression scores among the groups.

Conclusions:

  • Externalizing psychiatric symptoms are more prevalent in children with OAB, suggesting a potential link to delayed cortical maturation.
  • Routine screening for psychiatric symptoms in children with bladder dysfunction is recommended to enhance treatment and care.
Abstract

Keywords:
Alteraciones conductualesAnsiedadAnxietyBehavioral problemsDepresiónDepressionOveractive bladderPediatric population (children)Población pediátricaPsychiatric symptomsSíntomas psicopatológicosUnderactive bladderVejiga hiperactivaVejiga hipoactiva

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