学龄期儿童神经性尿频与心理状况关系的临床研究

目的：探讨焦虑、抑郁心理与学龄期儿童神经性尿频发生的关系。方法：选取136例9~12岁神经性尿频患儿为病例组，136例9~12岁健康儿童为对照组。以儿童焦虑性情绪障碍筛查表（SCARED）评价患儿焦虑心理，以儿童抑郁障碍自评量表（DSRSC）评价患儿抑郁心理，比较两组焦虑和抑郁的发生率以及两组SCARED和DSRSC评分，并运用logistic 多元回归分析探讨焦虑和抑郁心理与神经性尿频发生的关系。结果：病例组焦虑和抑郁的发生率均高于对照组，差异有统计学意义（P23分者(即存在焦虑)神经性尿频发病风险为SCARED≤23者的1.224倍；DSRSC筛查≥15分者(即存在抑郁)神经性尿频发病风险为DSRSC<15者的1.148倍。结论：焦虑和抑郁心理参与了学龄期儿童神经性尿频的发病。

Relationship between neurogenic urination and psychological status in school children

Objective To study whether anxiety and depression are associated with the development of neurogenic urination in children.Methods A total of 136 9 to 12-year-old children with neurogenic urination(case group) and 136 age-matched healthy children(control group) were enrolled.The Screen for Children Anxiety Related Emotion Disorders(SCARED) and Depression Self-rating Scale for Children(DSRSC) were used to evaluate the psychological status.The incidences of anxiety and depression as well as the SCARED and DSRSC scores were compared between two groups.Logistic regression analysis model was used to evaluate the relationship between psychological status and the development of neurogenic urination.Results The case group was found to have a higher incidence of anxiety and depression compared with the control group(P<0.01).The SCARED score in the case group(28.1±8.6) increased significantly compared with 14.4±4.9 in the control group(P<0.01).The DSRSC score in the case group was also significantly higher than in the control group(13.5±4.8 vs 9.1±3.2;P<0.01).The logistic regression analysis showed that the children with anxiety(SCARED-score>23) had a 1.224-fold increased risk for the development of neurogenic urination compared with the children with the SCARED-score≤23 and that the children with depression(DSRSC-score≥15) had a 1.148-fold increased risk for the development of this disorder.Conclusions Anxiety and depression participate in the development of neurogenic urination in school children.