Document Detail

Psychosocial difficulties in children referred to pediatric urology: a closer look.
MedLine Citation:
PMID:  23021666     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To assess rates of psychosocial difficulties in children seen in a pediatric urology clinic to determine whether all patients should be screened for psychosocial problems, and to use standardized measures to determine whether the severity of voiding dysfunction and/or enuresis in children is related to their degree of psychosocial difficulties.
METHODS: A retrospective chart review was conducted to collect the Pediatric Symptom Checklist from all children referred to an outpatient urology clinic over a 6-month period. In addition, scores from the child's Dysfunctional Voiding Scoring System were collected for patients referred for voiding dysfunction and/or enuresis.
RESULTS: Caregivers of 600 children completed the Pediatric Symptom Checklist as part of their child's outpatient clinic paperwork. Overall, 15.2% of the patients met the clinical cut-off for significant psychosocial difficulties. However, children with voiding dysfunction and/or enuresis were at increased risk for these problems, with the severity of their psychosocial difficulties being related to the severity of their urologic condition.
CONCLUSION: It is unnecessary to screen all pediatric urology patients, although those referred for voiding dysfunction and/or enuresis should be screened for psychosocial difficulties. Children at greatest risk for psychosocial problems were those who were male, had a high body mass index, had nocturnal enuresis, had an elevated Dysfunctional Voiding Scoring System score, and/or reported frequent episodes of wetting or soaking their underwear when they wet. Importantly, children appear to be most concerned with "wetness."
Cortney Wolfe-Christensen; Amy L Veenstra; Larisa Kovacevic; Jack S Elder; Yegappan Lakshmanan
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Urology     Volume:  80     ISSN:  1527-9995     ISO Abbreviation:  Urology     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-01     Completed Date:  2012-12-31     Revised Date:  2013-10-02    
Medline Journal Info:
Nlm Unique ID:  0366151     Medline TA:  Urology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  907-12     Citation Subset:  IM    
Copyright Information:
Copyright © 2012 Elsevier Inc. All rights reserved.
Department of Pediatric Urology, Children's Hospital of Michigan, Detroit, MI 48201, USA.
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MeSH Terms
Age Factors
Ambulatory Care
Anxiety / complications
Attention Deficit Disorder with Hyperactivity / complications
Body Mass Index
Child, Preschool
Depression / complications
Genital Diseases, Female / complications*,  diagnosis
Genital Diseases, Male / complications*,  diagnosis
Kidney Diseases / complications*,  diagnosis
Mental Disorders / complications*
Multivariate Analysis
Nocturnal Enuresis / complications,  diagnosis,  psychology
Odds Ratio
Retrospective Studies
Severity of Illness Index
Urination Disorders / complications,  diagnosis,  psychology*
Urogenital Abnormalities / complications*,  diagnosis
Comment In:
Urology. 2012 Oct;80(4):912-3   [PMID:  23021667 ]
J Urol. 2013 Sep;190(3):1044   [PMID:  23931233 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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