The Role of Behavioral Health Comorbidities in Pediatric Bowel and Bladder Dysfunction Severity: A Retrospective Analysis.

INTRODUCTION

Children with bowel and bladder dysfunction (BBD) have high rates of neuropsychiatric disorders (NPDs), however the impact on severity of voiding symptoms is poorly understood. Our objective was to assess prevalence of NPDs and other behavioral health symptoms and the impact on voiding symptoms.

METHODS

We conducted a retrospective review of 304 BBD patients. Severity of voiding symptoms were measured using the dysfunctional voiding symptom score (DVSS). The strengths and difficulties questionnaire (SDQ) measured behavioral health symptoms. Regression models and odds ratios evaluated the relationship between DVSS and SDQ.

RESULTS

Thirty-three percent had diagnosed NPD, and 31.5% had a positive SDQ. DVSS scores predicted SDQ score (p < .001). Children with voiding dysfunction had increased odds of behavioral health concerns (OR 1.84 [CI 1.03-3.30]).

DISCUSSION: Behavioral health symptoms are common in children with BBD and increase severity of symptoms. Early screening and referral to behavioral health specialists may decrease time to symptom improvement.