مقالات پذیرفته شده در سومین کنگره بین المللی زیست پزشکی
To Study the Co-occurrence of Enuresis and psychiatric disorders among children referring to the outpatient clinic at the Taleghani Hospital
To Study the Co-occurrence of Enuresis and psychiatric disorders among children referring to the outpatient clinic at the Taleghani Hospital
rostam rezaeian,1,*kosar babaei,2Hanieh Beyrampour-Basmenj,3Jalal Mohammadi Khoshraj,4
1. Infectious and Tropical Diseases Research Center, Tabriz University of Medical Sciences, Tabriz, Iran 2. Tonekabon Azad University, Mazandaran, Iran 3. Department of Medical Biotechnology, Faculty of Advanced Medical Sciences, Tabriz University of Medical Sciences, Tabriz, Iran 4. Higher education Institute of Rab-Rashid, Tabriz, Iran
Introduction: Enuresis is the most commonly diagnosed disorder of urology in pediatrics, this disorder has different definitions in different cultures, and generally refers to nightly urinary incontinency after age 5, at least twice a week occurs for 3 consecutive months. A variety of causes have been suggested for this disorder, and various therapies have been considered, but the combination of some behavioral and psychiatric disorders with enuresis has led to a number of studies on this issue. Enuresis is affected by the environment. Based on the theory, any factor that affects one of the family members, other members will also be affected. Then, the family's mental health will affect the child’s health. Therefore, the aim of this study was to compare the association of psychiatric disorders in children with enuresis and control group that referred to the Taleghani hospital.
Methods: This is a case-control study that was performed on 200 children with 5 to 12 years. Children were divided into two groups. A group of 100 children with enuresis that were referred to the Taleghani Clinic. They received a DSM4 diagnosis of enuresis based on the criteria of (DSM4). They have not received treatment for enuresis until now, and the second group (control group) was One hundred children without enuresis in the age range of 5 to 12 years old (these samples were selected from children referred to the clinic of Taleghani Hospital). Children in both case and control groups were not physically or mentally ill, did not use diuretics. KSADS questionnaires were filled for two groups.
Results: According to the results of this study, a psychiatric disorder was observed in 70% of children with enuresis and the incidence of nocturnal urine in children with a family history of enuresis was higher. The most common anxiety disorder among children with ADHD is 38% (38%) of patients, followed by anxiety disorder (37%), coping disorder (9%), depression disorder (8% %), PTSD (8%) and behavioral disorders (7%), and the high incidence of ADHD, anxiety disorder and PTSD in the enuresis group is significant. In our study, there was a correlation between positive anxiety disorder and type of anxiety in this way, in 75.7% of cases it was the primary type and in 24.3% of the secondary type. (P = 0.004), and on the other hand, there was a correlation between coping disorder and type of anvorrhagic disorder, in which 66.7% were primary and 33.3% were secondary. (P = 0.039), which was more frequent in the first cases, and in contrast, there was a correlation between PTSD and antiviral type, but with 25% of the cases being of the primary type and 75% of the secondary ones.
Conclusion: The above findings indicate that the prevalence of associated psychiatric disorders in these children is high, especially hyperactivity and anxiety disorders, so in children with enuresis, we can see many disorders that can be effective in the treatment and quality of life of the child and the family.