ArticleEuropean urology2023
Continence Problems and Mental Health in Adolescents from a UK Cohort.
Article in European urology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
8 citing papers in PubMed, 17 citations in OpenAlex.
- Prospective Metabolomic Cohort of 123,037 Men Reveals Lipid Mediators Linking Air Pollution to Benign Prostatic Hyperplasia.Environment & health (Washington, D.C.) · 2026Article
- Psychological and Psychiatric Issues in Enuresis and Urinary Incontinence-A Revised and Updated Document of the International Children's Continence Society (ICCS).Neurourology and urodynamics · 2026Review
- Psychological and Psychiatric Issues in Functional Constipation, Fecal Incontinence and Bladder and Bowel Dysfunction-A Revised and Updated Document of the International Children's Continence Society (ICCS).Neurourology and urodynamics · 2026Review
- Emotional problems and urinary incontinence in children from a UK cohort.Journal of affective disorders · 2025Article
- Adverse childhood experiences and lower urinary tract symptoms in adolescence: the mediating effect of inflammation.International journal of epidemiology · 2025Article
- The association between obstructive sleep apnea and nocturnal enuresis in children: current advances and research trends.World journal of urology · 2025Review
- Bladder Health Knowledge, Attitudes, and Beliefs among US Adolescent Women.Journal of pediatric and adolescent gynecology · 2025Article
- Prevalence, risk factors, psychological effects of children and adolescents with lower urinary tract symptoms: a large population-based study.Frontiers in pediatrics · 2024Article
Corrections and comments
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Authors and funding
5 authors at 2 institutions in 3 countries.
Funding
Abstract
backgroundAdolescents with continence problems experience unique threats to their psychological well-being, but long-term mental health sequelae are unknown.
objectiveTo examine prospective relationships between incontinence/lower urinary tract symptoms (LUTS) and mental health problems in young people. DESIGN, SETTING, AND
participantsA prospective cohort study of young people (n = 7332: 3639 males and 3693 females) from a population-based sample was conducted. OUTCOME MEASUREMENTS AND STATISTICAL ANALYSIS: We estimated the association between incontinence/LUTS and mental health outcomes using multivariable regression models adjusted for sex, socioeconomic position, developmental level, intelligence quotient, stressful life events, maternal psychopathology, body mass index, and emotional/behavioural problems. RESULTS AND LIMITATIONS: Daytime wetting and voiding postponement showed the greatest number of associations with mental health problems. All incontinence subtypes/LUTS were associated with increased odds of generalised anxiety disorder (eg, odds ratio for daytime wetting = 3.01, 95% confidence interval [1.78, 5.09], p < 0.001) and/or higher anxiety scores. There was also evidence of associations with common mental disorder (eg, voiding postponement: 1.88 [1.46, 2.41], p < 0.001), depression (eg, urgency: 1.94 [1.19, 3.14], p = 0.008), depressive symptoms (eg, daytime wetting: 1.70 [1.13, 2.56], p = 0.01), self-harm thoughts (eg, voiding postponement: 1.52 [1.16, 1.99], p = 0.003), and disordered eating (eg, nocturia 1.72 [1.27, 2.34], p = 0.001). We are unable to generalise our results to minority ethnic groups, less affluent populations, and non-UK samples.
conclusionsYoung people with incontinence/LUTS are at an increased risk of mental health problems. Further research is needed to establish the direction of causality. PATIENT SUMMARY: We looked at the association between continence problems and mental health outcomes in young people from a large population-based cohort. Young people with continence problems at the age of 14 yr were more likely to suffer from a range of mental health problems at the age of 18 yr, including common mental disorder, depression, anxiety, self-harm thoughts, and disordered eating. Paediatric continence clinics should address the mental health needs of young people and provide clear and effective care pathways to child and adolescent mental health services.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.