Prevalentie van broek- en/of bedplassen bij kinderen met aandachtsproblemen

Aim of the study was to assess the prevalence of daytime and/or night-time incontinence in children with a clinical score on Attention Problems. Of the population sample of 4970 children, 4480 participated (response 90.1%). Parents of 4171 children (2069 boys and 2102 girls) aged between 4 and 15 years filled out the Dutch version of the Child Behaviour Checklist (CBCL). Mean age was 9.3 years. For daytime and night-time incontinence, we used the items ‘daytime wetting’ and ‘bedwetting’ respectively of the CBCL. For Attention Problems we used the Attention Problems syndrome scale of the CBCL.

The prevalence of daytime incontinence in this population-based study was 2.3%, of night-time incontinence 9.3% and of the combination of day- and night-time incontinence 1.2% (statistically significant higher in boys and in younger children). For children with a clinical score on the Attention Problems scale, parents reported daytime incontinence in 4.5% (2.4% of the boys and 8.0% of the girls), night-time incontinence in 12.1% (12.2% in boys and 12.0% in girls) and the combination of day- and night-time incontinence in 3.0% (0% of the boys and 8.0% of the girls). For children with a normal score, parents reported daytime incontinence in 2.2%, night-time incontinence in 9.2% and the combination of day- and night-time incontinence in 1.2%. The differences between children with a clinical score are not significant with the exception of girls with the combination of day- and night-time incontinence.

There is no relation between day- or night-time incontinence separately and Attention Problems. These findings need to be confirmed in large studies with a clinical assessment of Attention-Deficit Hyperactivity Disorder.