Connection Between Tantrums and Voiding Dysfunction in Children: A Case-Control Study

Background: Voiding dysfunction in children involves various urinary symptoms and is often distressing. Tantrums, emotional outbursts typically seen in early childhood, may have an underlying relationship with urinary disorders. Existing research lacks evidence linking these two conditions. Therefore, we conducted the present study. Objectives: We aimed to investigate the potential link between tantrums and voiding dysfunction in children over 4 years old and to analyze the effects of individual tantrum symptoms on voiding dysfunction. Methods: This case-control study was conducted on 96 children visiting Amir Kabir Hospital in Arak, Iran. The case group (n = 48) consisted of children with voiding dysfunction, and the control group (n = 48) included healthy children. The existence of tantrums was determined using the Parents' Experience of Temper Tantrums in Children questionnaire. Results: Tantrums were significantly more common in the case group than in the control group (P = 0.004). Only the presence of screaming (P = 0.016) and throwing things (P = 0.022) showed significant associations with voiding dysfunction. Conclusions: This study revealed a significant connection between voiding dysfunction and tantrums in children. Specific tantrum symptoms, such as screaming and throwing things, were found to be associated with voiding dysfunction. The findings emphasize a need for an integrated approach in pediatric care to address both urinary and behavioral aspects.