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Stressful Events in Early Childhood and Developmental Trajectories of Bedwetting at School Age.

ABSTRACT: OBJECTIVE : To examine whether early stressful events are associated with developmental trajectories of bedwetting.? METHODS?: This is a prospective cohort study comprising 8,761 participants from the Avon Longitudinal Study of Parents and Children. Stressful events were measured using a maternal questionnaire completed at 3 time points before their child was 4 years old. The association between stressful events and trajectories of bedwetting from 4 to 9 years was examined using multinomial regression.? RESULTS?: The association with stressful events was strongest for the frequent persistent bedwetting trajectory (wetting at least twice a week up to age 9). A 1 standard deviation increase in the stressful events score was associated with a 29% (13-47%) increase in the odds of experiencing frequent persistent bedwetting compared with normal attainment of nighttime bladder control.? CONCLUSIONS?: Clinicians and parents should be aware that continence is a developmental outcome that is associated with high levels of stress in the family.

SUBMITTER: Joinson C

PROVIDER: S-EPMC5020142 | biostudies-literature | 2016 Oct

REPOSITORIES: biostudies-literature

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Stressful Events in Early Childhood and Developmental Trajectories of Bedwetting at School Age.

Joinson Carol C Sullivan Sarah S von Gontard Alexander A Heron Jon J

Journal of pediatric psychology 20160411 9

OBJECTIVE : To examine whether early stressful events are associated with developmental trajectories of bedwetting. METHODS : This is a prospective cohort study comprising 8,761 participants from the Avon Longitudinal Study of Parents and Children. Stressful events were measured using a maternal questionnaire completed at 3 time points before their child was 4 years old. The association between stressful events and trajectories of bedwetting from 4 to 9 years was examined using multinomial regr ...[more]

PMID: 27072719

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Project description:ImportanceThis study used multitrajectory modeling to identify distinct trajectories of physical aggression from ages 1.5 to 13 years for boys and girls.ObjectivesTo trace the development of boys' and girls' physical aggression problems from infancy to adolescence using mother ratings, teacher ratings, and self-ratings and to identify early family predictors of children on the high physical aggression trajectories.Design, setting, and participantsThis cohort study used data from the Quebec Longitudinal Study of Child Development (QLSCD), a study of a representative, population-based sample of 2223 infants born in 1997 and 1998 in the Canadian province of Quebec. The dates of analysis were January 2017 to January 2018.Main outcomes and measuresTrained research assistants conducted 7 interviews (at child ages 1.5, 2.5, 3.5, 4.5, 5, 6, and 8 years) with the person most knowledgeable about the child (mothers in 99.6% [2214 of 2223] of cases). Teachers assessed the child's behavior at ages 6, 7, 8, 10, 12, and 13 years. Self-reports of behavior problems were obtained from the child at ages 10, 12, and 13 years.ResultsThe sample included 2223 participants, 51.2% of whom were boys and 91.2% of whom were of white race/ethnicity. The mean response rate for mother ratings of physical aggression during the first 8 years of life was 80.9% (range, 65.1%-91.7%). For teacher ratings of physical aggression from ages 6 to 13 years, the mean response rate was 45.7% (range, 35.4%-56.9%), while the mean response rate of physical aggression assessment from self-ratings between ages 10 and 13 years was 57.9% (range, 55.2%-60.5%). Attrition was higher among families with low socioeconomic status and single-parent families, as well as among young mothers and mothers who were not fluent in French or English. A statistical analysis to examine the consequences of attrition was included. For boys and girls, the frequency of physical aggressions increased from age 1.5 years (2039 [91.7%]) to age 3.5 years (1941 [87.3%]) and then substantially decreased until age 13 years (1228 [55.2%]). Three distinct developmental trajectories of physical aggression were observed for girls and 5 for boys. Most family characteristics measured at 5 months after the child's birth were associated with a high physical aggression trajectory for boys and girls.Conclusions and relevanceFamily characteristics at 5 months after the child's birth could be used to target preschool interventions aimed at preventing the development of boys' and girls' chronic physical aggression problems.

Dataset Information

Stressful Events in Early Childhood and Developmental Trajectories of Bedwetting at School Age.

Publications

Stressful Events in Early Childhood and Developmental Trajectories of Bedwetting at School Age.

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