Risk Factors of Nocturnal Enuresis in Children with Attention Deficit Hyperactivity Disorder.

上海精神医学 Pub Date : 2018-02-25 DOI:10.11919/j.issn.1002-0829.216088

Habibolah Khazaie, Farshid Eghbali, Houshang Amirian, Mahmoud Reza Moradi, Mohammad Rasoul Ghadami

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引用次数: 9

Abstract

Background: Presence of attention deficit hyperactivity disorder (ADHD) has a negative effect on the resolution of incontinence; however, there are few studies which investigated the risk factors of nocturnal enuresis (NE) in patients with ADHD.

Aims: This study was conducted to investigate the prevalence of NE and its risk factors in children with ADHD.

Methods: 331 children, aged 6 to 10 years, diagnosed as having ADHD were enrolled in this study. The diagnosis of ADHD was confirmed by an experienced child and adolescent psychiatrist according to DSM-IV-TR. NE was defined as nighttime wetting with or without daytime incontinence, at least twice a week over a period of 3 months or longer in children 5 years old and older without anatomical abnormalities. Details on demographic data, perinatal history, medical history and developmental history were collected from parents or medical records.

Results: Most of the ADHD patients with inattentional subtype (77.5%) had NE, compared to 31.7% in the hyperactive/Impulsive subtype and 22.5% in the combined subtype (p<0.001, t=42.71). Among children with enuresis, there were significantly higher rates of history of familial enuresis (26% vs. 18 %, p<0.001, t=16.9), cesarean delivery (47% vs. 33%, p=0.019, t=5.84) and history of neonatal sepsis (16% vs. 7%, p=0.018, t=5.62) than non-NE children. Moreover, patients with NE had lower birth weight than non-NE patients (2.93(0.65) vs. 3.09 (0.46), p=0.026, t=2.51). Also, low parental education was associated with increase in the rate of NE.

Conclusion: Children with ADHD have a high prevalence of NE. Male sex, low education level of parents, history of neonatal sepsis, positive family history of NE, low birth weight and caesarian delivery may be risk factors for NE in ADHD children. Most ADHD patients with inattentional subtype had NE.

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注意缺陷多动障碍儿童夜间遗尿的危险因素。

背景:注意缺陷多动障碍(ADHD)的存在对尿失禁的解决有负面影响;然而，关于ADHD患者夜间遗尿(NE)危险因素的研究很少。目的:本研究旨在调查ADHD儿童中NE的患病率及其危险因素。方法:331名6 - 10岁儿童被诊断为ADHD。根据DSM-IV-TR，一位经验丰富的儿童和青少年精神病学家证实了ADHD的诊断。NE定义为夜间尿床伴或不伴日间尿失禁，5岁及以上无解剖异常的儿童，每周至少两次，持续3个月或更长时间。从父母或医疗记录中收集详细的人口统计资料、围产期史、病史和发展史。结果:非注意型ADHD患者中大多数(77.5%)有NE，多动/冲动型为31.7%，合并型为22.5% (pt=42.71)。在遗尿患儿中，家族性遗尿史(26% vs. 18%， pt=16.9)、剖宫产史(47% vs. 33%， p=0.019, t=5.84)和新生儿脓毒症史(16% vs. 7%， p=0.018, t=5.62)的发生率明显高于非ne患儿。此外，新生儿NE患者的出生体重低于非新生儿NE患者(2.93(0.65)比3.09 (0.46)，p=0.026, t=2.51)。此外，父母教育程度低与新生儿猝死率增加有关。结论:ADHD患儿具有较高的NE患病率。男性、父母文化程度低、新生儿败血症史、NE家族史阳性、低出生体重、剖宫产可能是ADHD患儿发生NE的危险因素。大多数不注意型ADHD患者有NE。

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

上海精神医学

自引率

0.00%

发文量

2341

期刊介绍： Shanghai archives of psychiatry (bimonthly) was founded in 1959 and is sponsored by Shanghai Mental Health Center. The journal is aimed at mental health workers across the country, including psychiatrists and nurses, clinical psychologists, social workers, and people who are committed to the cause of mental health. It focuses on reporting clinical research results and practical experience in the field of psychiatry, and introduces the latest knowledge in psychiatry and related fields. The columns include monographs, case reports, clinical case discussions, reviews, mental health and law, and debates and discussions.