Predictors and Outcomes of Childhood Primary Enuresis.
Predictors and Outcomes of Childhood Primary Enuresis.
复制标题
DOI：
10.1016/j.jaac.2016.12.007
复制
发表时间：
2017-03
影响因子：
13.3
通讯作者：
Klein DN
中科院分区：
文献类型：
--
作者：
Kessel EM;Allmann AE;Goldstein BL;Finsaas M;Dougherty LR;Bufferd SJ;Carlson GA;Klein DN
虽然遗尿症在幼儿期相对常见，但探索其前因和影响的研究令人惊讶地有限，也许是因为这种情况通常在儿童中期缓解。我们在一项大型（N = 559）多方法、多信息者前瞻性研究中对原发性遗尿症的患病率、预测因素、预后因素和结局进行了研究，该研究以社区为基础，对3岁至9岁的儿童进行了随访。我们发现，我们的样本中有12.7%符合终生遗尿症的标准，这表明遗尿症是一种常见的儿童疾病。男性终生诊断的可能性是女性的两倍多。9岁时发生原发性遗尿症的3岁显著预测因素包括儿童焦虑和低积极情感，母亲焦虑史和低权威性父母。此外，3岁时较差的整体功能和更多的抑郁和焦虑症状预示着更大的可能性持续到9岁。到9岁时，77%被诊断为原发性遗尿症的儿童已缓解并控制。然而，与没有遗尿症病史的儿童相比，9岁时有缓解的儿童表现出更高的ADHD发病率和更大的ADHD和抑郁症状。本研究的结果强调了原发性遗尿症的临床意义，并表明它与精神病理学有很强的前因和前瞻性联系。研究结果还强调了养育子女在遗尿症发展中的可能作用。
Although enuresis is relatively common in early childhood, research exploring its antecedents and implications is surprisingly limited, perhaps because the condition typically remits in middle childhood. We examined the prevalence, predictors, prognostic factors, and outcomes of primary enuresis in a large (N = 559) multi-method, multi-informant prospective study with a community-based sample of children followed from age 3 to age 9. We found that 12.7% of our sample met criteria for lifetime enuresis, suggesting that it is a commonly occurring childhood disorder. Males were over twice as likely to have a lifetime diagnosis than females. Significant age 3 predictors of developing primary enuresis at age 9 included child anxiety and low positive affectivity, maternal history of anxiety, and low authoritative parenting. In addition, poorer global functioning and more depressive and anxiety symptoms at age 3 predicted a greater likelihood of persistence through age 9. By age 9, 77% of children who had received a diagnosis of primary enuresis were in remission and continent. However, children who had remitted exhibited a higher rate of ADHD and greater ADHD and depressive symptoms at age 9 compared to children with no lifetime history of enuresis. Results of the present study underscore the clinical significance of primary enuresis and demonstrate that it shows both strong antecedent and prospective associations with psychopathology. The findings also highlight the possible role of parenting in the development of enuresis.
登录
查看更多内容
影响因子：
4.8
作者：
Birmaher B;Ehmann M;Axelson DA;Goldstein BI;Monk K;Kalas C;Kupfer D;Gill MK;Leibenluft E;Bridge J;Guyer A;Egger HL;Brent DA
通讯作者：
Brent DA
DOI：
10.1016/j.jaac.2015.07.009
发表时间：
2015-10-01
影响因子：
13.3
作者：
Kok, Rianne;Thijssen, Sandra;Tiemeier, Henning
通讯作者：
Tiemeier, Henning
影响因子：
3.8
作者：
Baeyens, D;Roeyers, H;Vande Walle, J
通讯作者：
Vande Walle, J
影响因子：
3.8
作者：
Equit, Monika;Becker, Anna;von Gontard, Alexander
通讯作者：
von Gontard, Alexander
影响因子：
--
作者：
Butler, RJ;Holland, P
通讯作者：
Holland, P