Rahmanipur Akram, Sarmadian Roham, Salehi Bahman, Yousefichaijan Parsa, Habibi Danial
Arak University of Medical Sciences.
Departments of Psychiatry.
Ann Med Surg (Lond). 2023 May 19;85(7):3264-3268. doi: 10.1097/MS9.0000000000000859. eCollection 2023 Jul.
Child abuse is a major global concern in terms of healthcare and social welfare. Child abuse is associated with numerous physical and mental health issues, including anxiety and depression. Overactive bladder (OAB) is a bladder storage functional disease defined by urine urgency with or without urge incontinence and is frequently accompanied by frequency and nocturia. This disorder's origin is not entirely understood. Since OAB can be caused by problems of nervous system maturation or behavioural disorders, its correlation with child maltreatment is possible.
This study aimed to compare the occurrence of maltreatment in children with OAB to healthy children referred to Amirkabir hospital, Arak.
This study included 100 children with overactive bladder and 100 healthy children without overactive bladder (ages 5-12 years) as case and control groups, respectively. Children referred to paediatric clinic at Amirkabir hospital in Arak, were selected as participants. Child abuse domains including psychological/emotional, physical, and neglect were diagnosed using a standardized child abuse questionnaire answered by the children. Data were analyzed by SPSS version χ test, -test, and Pearson's χ test.
The Prevalence of child maltreatment was significantly greater in the case group (31 cases) than in the control group (12 cases) (<0.0001). The psychological/emotional domain of child abuse was observed in 19 case group participants and 4 control group participants (=0.001), and the physical domain was observed in 29 case group participants and 11 control group participants (<0.0001). Despite this considerable difference, 10 and 8 children in the case and control groups, respectively, scored positively for the neglect domain (=0.112).
Child abuse is considerably more common in children with OAB than in healthy children, especially in the psycho-emotional and physical domains, and it is possible to prevent and treat this condition by notifying parents. Children with OAB should also be subjected to child abuse screening.
从医疗保健和社会福利角度来看，虐待儿童是一个重大的全球关切问题。虐待儿童与众多身心健康问题相关，包括焦虑和抑郁。膀胱过度活动症（OAB）是一种膀胱储存功能障碍疾病，定义为伴有或不伴有急迫性尿失禁的尿急，并常伴有尿频和夜尿症。这种疾病的病因尚未完全明确。由于OAB可能由神经系统成熟问题或行为障碍引起，因此它与儿童虐待之间可能存在关联。
本研究旨在比较膀胱过度活动症患儿与转诊至阿拉克阿米尔卡比尔医院的健康儿童中虐待行为的发生率。
本研究分别纳入了100名膀胱过度活动症患儿和100名无膀胱过度活动症的健康儿童（年龄5 - 12岁）作为病例组和对照组。选取转诊至阿拉克阿米尔卡比尔医院儿科门诊的儿童作为参与者。通过儿童填写的标准化虐待儿童问卷来诊断包括心理/情感、身体和忽视在内的虐待儿童领域。数据采用SPSS版本的χ检验、t检验和Pearson's χ检验进行分析。
病例组（31例）中虐待儿童的患病率显著高于对照组（12例）（<0.0001）。病例组中有19名参与者和对照组中有4名参与者存在心理/情感虐待领域（=0.001），病例组中有29名参与者和对照组中有11名参与者存在身体虐待领域（<0.0001）。尽管存在这一显著差异，但病例组和对照组分别有10名和8名儿童在忽视领域得分呈阳性（=0.112）。
膀胱过度活动症患儿中虐待儿童现象比健康儿童更为普遍，尤其是在心理 - 情感和身体领域，通过告知家长有可能预防和治疗这种情况。患有膀胱过度活动症的儿童也应接受虐待儿童筛查。
