Evidence map›Paper›PMID 42233436›Full record

ReviewNeurourology and urodynamics2026

Psychological and Psychiatric Issues in Enuresis and Urinary Incontinence-A Revised and Updated Document of the International Children's Continence Society (ICCS).

A von Gontard, C Joinson, U Barroso, P Caldwell, Y Ohtomo, A J Nieuwhof-Leppink

Abstract readReview
In one paragraph

Review in Neurourology and urodynamics, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

A von GontardGovernor Kremers Center, Department of Urology, Maastricht University Medical Center, Maastricht, The Netherlands.ORCID https://orcid.org/0000-0002-3579-6200
C JoinsonCentre for Academic Child Health, Population Health Sciences Department, Bristol Medical School, University of Bristol, UK.ORCID https://orcid.org/0000-0002-5651-097X
U BarrosoCenter for Childhood Urinary Disorders (CEDIMI), Bahiana School of Medicine and Federal University, Salvador, Bahia, Brazil.
P CaldwellThe University of Sydney, Children's Hospital at Westmead Clinical School, Sydney, Australia.
Y OhtomoDepartment of Pediatrics, Juntendo University Nerima Hospital, Tokyo, Japan.
A J Nieuwhof-LeppinkDepartment Psychology and Urology, Wilhelmina Children's Hospital, University Medical Center Utrecht, The Netherlands.ORCID https://orcid.org/0000-0002-2841-813X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe aim is to provide an updated and revised overview of psychological and psychiatric aspects of nocturnal enuresis (NE) and daytime urinary incontinence (DUI). Clinical behavioral disorders and subclinical psychological symptoms are reviewed. Aspects of screening, assessment, counseling, and in severe cases, treatment are outlined and recommendations are formulated.

methodsRelevant publications on psychological and psychiatric aspects are reviewed. The recommendations passed several rounds of consensus finding and were circulated among ICCS board members.

resultsIn addition to subclinical effects on self-esteem, quality of life and stress, the rate of comorbid psychiatric disorders is increased compared to continent children. 20%-30% of children with NE and 20%-40% with DUI fulfill the criteria for clinically relevant psychiatric disorders. These concomitant psychological disturbances include externalizing, internalizing and neurodevelopmental disorders. They require assessment and counseling, in severe cases treatment. They have a negative effect on compliance and outcome if not addressed and left untreated. The paper provides an overview of the most important and common disorders encountered in young patients with NE/DUI. RECOMMENDATIONS: Because the comorbidity rate is high, screening for psychological symptoms is recommended for all children with NE or DUI in all settings. In addition to clinical observation, exploration and history taking, standardized, validated broadband behavioral questionnaires are recommended. If problem items in the clinical range are present, a full child psychiatric or psychological assessment is recommended.

Indexed as

Diurnal EnuresisMental DisordersNocturnal EnuresisChildChild BehaviorComorbidityHumansQuality of LifebehaviorCBCLdaytime urinary incontinencenocturnal enuresispsychiatric disorderspsychological impactquality of lifescreening questionnairesSDQstress

Identifiers

PMID42233436
PMCPMC13387943

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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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.