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Medline ® Abstract for Reference 14

of 'Evaluation and diagnosis of bladder dysfunction in children'

14
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Psychosocial difficulties in children referred to pediatric urology: a closer look.
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Wolfe-Christensen C, Veenstra AL, Kovacevic L, Elder JS, Lakshmanan Y
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Urology. 2012 Oct;80(4):907-12.
 
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."
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Department of Pediatric Urology, Children's Hospital of Michigan, Detroit, MI 48201, USA. cbwolfe@dmc.org
PMID