A retrospective observational study of enuresis, daytime voiding symptoms, and response to medical therapy in children with attention deficit hyperactivity disorder and autism spectrum disorder

Gor, Ronak A.; Fuhrer, Jamie; Schober, Justine M.

doi:10.1016/j.jpurol.2010.10.009

Cited by 40 publications

(17 citation statements)

References 23 publications

(17 reference statements)

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“…However, 44% had behavioral disorders such as ADHD and ODD and 42% had anxiety disorders [14]. In the latter two studies, incontinence was not assessed according to ICCS standards [7], and in the study of Gor et al, the high comorbidity rates of other psychological disorders were most probably overlooked or not reported [12].…”

Section: Discussionmentioning

confidence: 99%

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Incontinence in children with autism spectrum disorder

Gontard

Pirrung

Niemczyk

et al. 2015

Journal of Pediatric Urology

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Section: Discussionmentioning

confidence: 99%

“…In a retrospective analysis of 671 children, 20 had ASD: of which, 90% were affected by NE, 55% by DUI, 45% by frequency and 75% by urgency [12]. In half of the children with ASD, incontinence could be cured.…”

Section: Discussionmentioning

confidence: 99%

Incontinence in children with autism spectrum disorder

Gontard

Pirrung

Niemczyk

et al. 2015

Journal of Pediatric Urology

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“…Research on other psychological disorders may be less, but they are of at least equal importance. Recent literature has demonstrated increased prevalence rates with ODD [1,15] and ASD [16,17].…”

Section: Nocturnal Enuresismentioning

confidence: 99%

Incontinence and psychological problems in children: a common central nervous pathway?

Herzeele

Walle

2016

Pediatr Nephrol

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Nocturnal enuresis is caused by a mismatch between the nocturnal bladder capacity and the nocturnal diuresis rate, in the presence of a deficient arousability in the majority of patients, according to the pediatric and urologic literature. Psychiatric and psychologic literature are still concentrating on the potential role of psychological factors and central nervous mechanisms in the pathogenesis, as is reflected in the DMS-5 criteria. However, research has clearly shown several important comorbidities between neuropsychological dysfunctions and nocturnal enuresis. Due to the increased comorbidity of (neuro)psychological problems, sleep problems, circadian rhythms, and enuresis, the question arises as to whether there is a possible common central pathway in the pathogenesis. It is likely that the coexistence of these problems can be attributed to a common central nervous system involvement. The specific role of the central nervous system remains unclear, but several pathways are possible. The high comorbidity between enuresis, sleep, and (neuro)psychological functioning is probably attributable to a common pathogenetic pathway, emphasizing the importance of a multidisciplinary focus in screening and treatment in children with nocturnal enuresis.

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“…61 In a retrospective study, most of 20 children with autism spectrum dis orders (out of a total of 671 patients, 3%) had nocturnal enuresis (90%), DUI (55%) or both, but showed favourable treatment effects: all children improved and 50% were cured, which was defined as a minimum period of dryness of 3 months without medication. 62 Indeed, although systematic research on incontinence in children with autism is lacking, specific training p rogrammes have been developed. 63,64 One programme for children with autism consists of a combination of positive reinforcement (with individualized reinforcers), specific communication procedures, scheduled and immediate prompting after accidents, toilet sittings and fading techniques (behaviour modification).…”

Section: Autism Spectrum Disordersmentioning

confidence: 99%

Urinary incontinence in children with special needs

Gontard

2013

Nat Rev Urol

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Nocturnal enuresis, daytime urinary incontinence, lower urinary tract symptoms and faecal incontinence are more common in children with special needs than in typically developing children. Children with intellectual disability, which can be attributed to a range of causes, are particularly affected. Indeed, the epidemiological and clinical studies conducted to date show clear associations that children with special needs have higher rates of urinary (and faecal) incontinence than children without development, physical or cognitive impairments. For example, low intelligence quotient (IQ)-associated physical disability and conditions such as Fragile X and Rett syndromes increase the risk for incontinence, which can persist into adulthood if left untreated. Although the association of attention deficit hyperactivity disorder and incontinence has been shown in many studies, further research is needed on other specific disorders, such as autism. As many children are not receiving adequate care, specific multimodal treatments based on rigorous assessment of the incontinence, underlying condition and associated comorbid disorders should be actively offered.

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A retrospective observational study of enuresis, daytime voiding symptoms, and response to medical therapy in children with attention deficit hyperactivity disorder and autism spectrum disorder

Cited by 40 publications

References 23 publications

Incontinence in children with autism spectrum disorder

Incontinence in children with autism spectrum disorder

Incontinence and psychological problems in children: a common central nervous pathway?

Urinary incontinence in children with special needs

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