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

IF 2.5 4区医学 Q2 HEALTH POLICY & SERVICES

Journal of Pediatric Health Care Pub Date : 2025-07-04 DOI:10.1016/j.pedhc.2025.05.004

Jennika Finup, Krista Brackman, Walid Farhat, Vinaya Bhatia

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引用次数: 0

Abstract

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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行为健康合并症在儿童肠道和膀胱功能障碍严重程度中的作用：回顾性分析

导读：患有肠道和膀胱功能障碍（BBD）的儿童有很高的神经精神障碍（npd）发生率，然而对排尿症状严重程度的影响知之甚少。我们的目的是评估npd和其他行为健康症状的患病率以及对排尿症状的影响。方法：我们对304例BBD患者进行了回顾性分析。使用功能障碍排尿症状评分（DVSS）测量排尿症状的严重程度。优势和困难问卷（SDQ）测量行为健康症状。回归模型和比值比评估了DVSS和SDQ之间的关系。结果：33%的人被诊断为NPD， 31.5%的人有SDQ阳性。DVSS评分预测SDQ评分（p < 0.001）。有排尿功能障碍的儿童出现行为健康问题的几率增加（OR 1.84 [CI 1.03-3.30]）。讨论：行为健康症状在BBD儿童中很常见，并且症状的严重程度增加。早期筛查和转诊给行为健康专家可能会减少症状改善的时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Health Care NURSING-PEDIATRICS

CiteScore

3.40

自引率

10.70%

发文量

140

审稿时长

24 days

期刊介绍： The Journal of Pediatric Health Care, the official journal of the National Association of Pediatric Nurse Practitioners, provides scholarly clinical information and research regarding primary, acute and specialty health care for children of newborn age through young adulthood within a family-centered context. The Journal disseminates multidisciplinary perspectives on evidence-based practice and emerging policy, advocacy and educational issues that are of importance to all healthcare professionals caring for children and their families.