Zhao Philip T, Velez Danielle, Faiena Izak, Creenan Eileen M, Barone Joseph G
Division of Urology, Department of Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
Division of Urology, Department of Surgery, Rutgers-Robert Wood Johnson Medical School, New Brunswick, New Jersey.
J Urol. 2015 May;193(5 Suppl):1743-8. doi: 10.1016/j.juro.2014.08.123. Epub 2014 Oct 7.
National statistics estimate that a quarter of American school children are regularly bullied, making this issue the main parental concern and the leading form of school violence. To our knowledge no study in the literature has examined the association of bullying with lower urinary tract symptoms. We evaluated the relationship between being bullied and lower urinary tract symptoms in the pediatric population.
We accrued 100 patients from a pediatric urology practice in prospective case-control fashion. The degree of lower urinary tract symptoms was determined by the voiding severity score obtained by a single pediatric urologist. Using the Peer Relations Questionnaire and a thermometer scale we surveyed participants for evidence of victimization from bullying and school related anxiety. We then correlated voiding symptom severity with the degree of bullying.
After applying our study exclusion criteria we examined and analyzed data on 38 control children without lower urinary tract symptoms and on 38 children with lower urinary tract symptoms. Mean age was similar in the 2 groups. There were more females in the group with lower urinary tract symptoms (22 vs 13). Mean case voiding severity score was 3.82 (range 2 to 5). As measured by Bullied Index Score the degree of being bullied was significantly higher in the case group (4.76 vs 1.95, p <0.001), as was the anxiety level estimated by the thermometer score (3.68 vs 0.97, p <0.001). We also found that physical forms of bullying accounted for worse voiding severity scores (4.56 vs 3.67, p <0.01).
To our knowledge our study is the first to show that 1) bullying is significantly associated with pediatric lower urinary tract symptoms and 2) physical forms of bullying accompany worsened symptoms.
国家统计数据估计，四分之一的美国学童经常受到欺凌，这一问题成为家长主要关注的问题以及校园暴力的主要形式。据我们所知，文献中尚无研究探讨欺凌与下尿路症状之间的关联。我们评估了儿科人群中受欺凌情况与下尿路症状之间的关系。
我们以前瞻性病例对照的方式，从一家儿科泌尿外科诊所招募了100名患者。下尿路症状的程度由一名儿科泌尿外科医生获得的排尿严重程度评分确定。我们使用同伴关系问卷和温度计量表，对参与者进行调查，以寻找受欺凌和与学校相关焦虑的证据。然后，我们将排尿症状严重程度与欺凌程度进行关联分析。
在应用我们的研究排除标准后，我们检查并分析了38名无下尿路症状的对照儿童以及38名下尿路症状儿童的数据。两组的平均年龄相似。下尿路症状组中的女性更多（22名对13名）。病例组的平均排尿严重程度评分为3.82（范围为2至5）。根据欺凌指数评分，病例组的受欺凌程度明显更高（4.76对1.95，p<0.001），温度计评分估计的焦虑水平也是如此（3.68对0.97，p<0.001）。我们还发现，身体形式的欺凌导致更差的排尿严重程度评分（4.56对3.67，p<0.01）。
据我们所知，我们的研究首次表明：1）欺凌与儿科下尿路症状显著相关；2）身体形式的欺凌伴随着更严重的症状。
