Abstract General Information

Title

ANALYSIS OF EMOTIONAL AND BEHAVIORAL PROBLEMS AND RELATED FACTORS IN CHILDREN WITH DIURNAL URINARY INCONTINENCE

Introduction and objective

Daytime urinary incontinence (DUI) in children (PDUI) is common in clinical practice.The studies focusing on the incidence and risk factors of PDUI have been reported, but on emotional and behavioral problems related to PDUI are rare. The aims of present study were to explore the status of emotional and behavioral problems and its risk factors inPDUI in Mainland China through a large cross-sectional study to provide a reference for clinical treatment and psychological intervention in these subjects.

Method

This study conducted a DUI survey on 6 primary schools in Henan Province of China from September 2019 to March 2020 using cluster sampling method. The survey included: (1)General data, current DUI situation, and urination-related problems; (2)Strengths and Difficulties Scale(SDQ)：It mainly includes 5 dimensions: emotional symptoms, conduct problems, hyperactivity, peer communication problems, and prosocial behavior, with a total of 25 items. The total score is the sum of 5 factors, and the higher the score is, the more serious the emotional behavior problems exist. Among them, the higher the prosocial behavior factor score indicates the more positive behavior; (3)Pittsburgh Sleep Quality Index(PSQI): A total of 22 items, including 4 subscales: Other manifestations such as snoring, lethargy, behavior, and sleep-related disorders. A score greater than 7 indicates that a sleep disorder may be present. Inclusion criteria: Children aged 5-12 years who experienced at least one involuntary urine leakage per month and lasted more than 3 months. Exclusion criteria: Obvious organic disease, incomplete questionnaire, etc. Children with DUI were in the DUI group, and children without DUI were in the control group.

Results

4500 questionnaires were actually distributed, 4120 were collected, and 3912 were qualified for statistical analysis, with an effective collect rate of 86.93%. The overall prevalence of DUI was 3.6%. The detection rate of abnormal emotion and behavior in the DUI group was 48.2%, which was significantly higher than that in the non-DUI group(12.6%) (P<0.05). The scores of emotional symptoms, conduct problems, hyperactivity peer communication problems and SDQ were significantly higher in the DUI group than in the control group (P<0.05). The results of multivariate analysis showed that gender, academic achievement, DUI times, caregivers, caregivers’ education level, family education style and sleep disorder were influencing factors of emotional and behavioral problems in DUI children (P<0.05). The total score of SDQ was positively correlated with the total score of PSQI (P<0.05).

Conclusion

The prevalence of emotional and behavioral abnormalities in PDUI is high, which is related to children’s gender, school academic record, DUI frequency, education level of caregivers, family education style and sleep disorders. Consequently, adequate attention, early sufficient intervention and treatment are encouraging.