Emotional and behavioral problems and their associated factorsin children and adolescents with enuresis
ZHAO Ying1, MAO Qiu-fang2, HU Hui-jie3, ZHANG Ke4, TIAN Guang-run4, LYU Lei5, LUO Yan-yan1, DOU Qi-feng4, WEN Jian-guo4,5
1. School of Nursing, Xinxiang Medical University, Xinxiang, Henan 453000, China; 2. The Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan 453000, China; 3. School of Nursing, Sanquan College of Xinxiang Medical University, Xinxiang, Henan 453514, China; 4. The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan 453100, China; 5. Henan International Joint Laboratory of Pediatric Urodynamic, Pediatric Urodynamic Center, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan 450052, China
Abstract：Objective To investigate the current status of emotional and behavioral problems and their influencing factors in children and adolescents with enuresis in Henan Province. Methods A stratified random cluster sampling method was used to select five primary and secondary schools in a county in Henan Province from October 2019 to March 2020. A general information questionnaire, Strengths and Difficulties Questionnaire, and Pediatric Sleep Questionnaire were employed to conduct the survey. Univariate and multifactor analyses were performed to determine the factors affecting mood and behavior of children with enuresis. Results A total of 4,500 questionnaires were actually distributed, 4,120 questionnaires were retrieved, with 3,912 valid ones and the effective recovery rate of 94.95%. The survey Results displayed that 7.82% of children suffered from enuresis. The total scores of emotional symptoms, hyperactivity and difficulties were significantly higher in the enuresis group than in thenormal group (all P<0.001), but no significant difference was found in the scores of conduct problems, peer interaction and social behavior between the two groups (all P>0.05). The Results of Pearson correlation analysis revealed that the total score of difficulties was positively correlated with snoring, nocturnal breathing disorders, somnolence, attention deficit, and total score of sleep in children and adolescents with enuresis. Multiple linear regression Results showed that sleep-disordered breathing,caregivers’ low literacy, constipation, and poor academic performance were the factors influencing emotional and behavioral problems in children with enuresis. Conclusion The detection rate of emotional and behavioral problems is high in children with enuresis. The influencing factors include sleep-disordered breathing, caregivers’ low literacy, children’s poor academic performance and constipation, which need to be more concerned.
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