Jennika Finup, Krista Brackman, Walid Farhat, Vinaya Bhatia
{"title":"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","authors":"Jennika Finup, Krista Brackman, Walid Farhat, Vinaya Bhatia","doi":"10.1016/j.pedhc.2025.05.004","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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]).</p><p><strong>Discussion: </strong>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.</p>","PeriodicalId":50094,"journal":{"name":"Journal of Pediatric Health Care","volume":" ","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"The Role of Behavioral Health Comorbidities in Pediatric Bowel and Bladder Dysfunction Severity: A Retrospective Analysis.\",\"authors\":\"Jennika Finup, Krista Brackman, Walid Farhat, Vinaya Bhatia\",\"doi\":\"10.1016/j.pedhc.2025.05.004\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>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.</p><p><strong>Methods: </strong>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.</p><p><strong>Results: </strong>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]).</p><p><strong>Discussion: </strong>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.</p>\",\"PeriodicalId\":50094,\"journal\":{\"name\":\"Journal of Pediatric Health Care\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.5000,\"publicationDate\":\"2025-07-04\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Journal of Pediatric Health Care\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1016/j.pedhc.2025.05.004\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"HEALTH POLICY & SERVICES\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Pediatric Health Care","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1016/j.pedhc.2025.05.004","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH POLICY & SERVICES","Score":null,"Total":0}
The Role of Behavioral Health Comorbidities in Pediatric Bowel and Bladder Dysfunction Severity: A Retrospective Analysis.
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.
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.
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