Nocturnal enuresis and psychosocial problems in pediatric sickle cell disease and sibling controls

To evaluate current and lifetime prevalence rates of nocturnal enuresis and psychosocial problems among children with sickle cell disease (SCD) in comparison with sibling controls, a structured interview and the Pediatric Symptom Checklist were administered to primary caretakers regarding 126 of the...

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Published inJournal of developmental and behavioral pediatrics Vol. 26; no. 6; p. 404
Main Authors Jordan, Sara Sytsma, Hilker, Kellie A, Stoppelbein, Laura, Elkin, T David, Applegate, Heather, Iyer, Rathi
Format Journal Article
LanguageEnglish
Published United States 01.12.2005
Subjects
Adolescent
Anemia, Sickle Cell - complications
Anemia, Sickle Cell - psychology
Attention Deficit and Disruptive Behavior Disorders - epidemiology
Case-Control Studies
Child
Child, Preschool
Chronic Disease - epidemiology
Chronic Disease - psychology
Enuresis - epidemiology
Enuresis - psychology
Female
Humans
Male
Mental Disorders - epidemiology
Multivariate Analysis
Prevalence
Siblings
United States - epidemiology
United States
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Summary:To evaluate current and lifetime prevalence rates of nocturnal enuresis and psychosocial problems among children with sickle cell disease (SCD) in comparison with sibling controls, a structured interview and the Pediatric Symptom Checklist were administered to primary caretakers regarding 126 of their children aged 5 to 17 with SCD and 47 sibling controls. Lifetime rates of enuresis among children with SCD were comparable to similar studies, and exceeded population prevalence and sibling control rates. In addition, enuretic children had higher levels of total psychosocial problems on the Pediatric Symptom Checklist regardless of group status, although patterns of subscale differences varied by group and enuresis history after controlling for child age. These findings replicate and extend previous findings and provide further evidence to support a need for monitoring of hydration levels and screening for psychosocial problems among children with SCD and enuresis, as well as evaluation of the psychometric properties of psychosocial screening measures and identification of efficacious treatments for enuresis in children with SCD.
ISSN:0196-206X
DOI:10.1097/00004703-200512000-00003