Association between stress and lower urinary tract symptoms in children and adolescents

ABSTRACT Introduction: Lower urinary tract dysfunction (LUTD) is a common clinical condition. Emotional and behavioral issues are increasing among children and adolescents, with stress indicating difficulties in personal and social functioning. This study evaluated whether urinary tract symptoms (LUTS) is associated with stress. Materials and Methods: A cross-sectional, analytical study with 6-14-year-old patients with LUTS and no anatomical/neurogenic urinary tract abnormalities was conducted using the Dysfunctional Voiding Scoring System, a psychological assessment and the Child Stress Scale. The overall stress score was analyzed in relation to the psychological assessment data. Answers to the seven specific DVSS urinary questions were compared with those for the four Child Stress Scale domains. Univariate and multivariate analyses were performed. The chi-square test and Pearson's correlation were used to determine associations. Significance was defined as p【摘要】引言：下尿路功能障碍（lower urinary tract dysfunction, LUTD）是一类常见的临床病症。当前儿童与青少年的情绪及行为问题发生率逐年攀升，应激状态提示其个人与社会功能存在障碍。本研究旨在探讨尿路症状（urinary tract symptoms, LUTS）与应激是否存在相关性。 材料与方法：本研究为横断面分析性研究，纳入6至14岁患有LUTS且无解剖学或神经源性尿路异常的患儿，采用排尿功能障碍评分系统（Dysfunctional Voiding Scoring System, DVSS）、心理学评估手段及儿童应激量表（Child Stress Scale）开展相关研究。分析总应激评分与心理学评估数据的关联；将7项特定的DVSS尿路相关问题的作答结果，与儿童应激量表的4个维度的作答结果进行对比；开展单因素与多因素分析；采用卡方检验与皮尔逊相关分析确定变量间的关联关系；以p值作为显著性判定标准。