Psychiatric comorbidities of children with elimination disorders

Coban Ö., Onder A., Adanir A.

ARCHIVES DE PEDIATRIE, cilt.28, sa.1, ss.59-63, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 28 Sayı: 1
  • Basım Tarihi: 2021
  • Doi Numarası: 10.1016/j.arcped.2020.10.002
  • Dergi Adı: ARCHIVES DE PEDIATRIE
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, Academic Search Premier, PASCAL, BIOSIS, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.59-63
  • Anahtar Kelimeler: Elimination disorders, Encopresis, Enuresis, Attention deficit hyperactivity disorder, OPPOSITIONAL DEFIANT DISORDER, ATTENTION-DEFICIT, PSYCHOLOGICAL DIFFERENCES, URINARY-INCONTINENCE, NOCTURNAL ENURESIS, ENCOPRESIS, PREVALENCE, ADHD
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Enuresis and encopresis can be stressful for children and parents. We investigated the comorbid psychiatric disorders and the emotional and behavioral symptoms associated with elimination disorders. A total of 97 children and adolescents (aged 4-17 years) with an elimination disorder participated in this study. The elimination disorder group consisted of three subgroups: 50 subjects with enuresis nocturna, 26 with encopresis, and 21 subjects with enuresis + encopresis. The control group with no elimination disorder comprised 50 healthy subjects. All children were interviewed by a child and adolescent psychiatrist. Comorbid psychiatric disorders were assessed using the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (K-SADS-PL). Parents completed the Strengths and Difficulties Questionnaire. The most common diagnosis was attention-deficit/hyperactivity disorder, followed by oppositional defiant disorder. The highest rate of psychiatric comorbidity was observed in the enuresis + encopresis subgroup, followed by the enuresis nocturna and encopresis subgroups. All the subgroups had higher total difficulties scores than the control group. Screening for psychiatric disorders should be performed for all children with incontinence. (C) 2020 French Society of Pediatrics. Published by Elsevier Masson SAS. All rights reserved.