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Enuresis is a repeated inability to control urination. [2] Use of the term is usually limited to describing people old enough to be expected to exercise such control. [3] Involuntary urination is also known as urinary incontinence. [4] The term "enuresis" comes from the Ancient Greek: ἐνούρησις, romanized: enoúrēsis.
Psychiatists may instead use a definition from the DSM-IV, defining nocturnal enuresis as repeated urination into bed or clothes, occurring twice per week or more for at least three consecutive months in a child of at least 5 years of age and not due to either a drug side effect or a medical condition.
In voluntary urination, the bladder's normally relaxed detrusor muscle contracts to squeeze urine from the bladder. One study, of 109 children diagnosed with giggle incontinence at Schneider Children's Hospital in New York, concluded that the cause of giggle incontinence is involuntary contraction of the detrusor muscle induced by laughter. [5]
An overactive bladder can result from hormonal issues, too, such as genitourinary syndrome of menopause, Kim said, which is a collection of symptoms caused by decreased estrogen levels.
Bladder symptoms affect women of all ages. However, bladder problems are most prevalent among older women. [79] Women over the age of 60 years are twice as likely as men to experience incontinence; one in three women over the age of 60 years are estimated to have bladder control problems. [73]
The Pediatric Symptom Checklist (PSC) is a 35-item parent-report questionnaire designed to identify children with difficulties in psychosocial functioning. Its primary purpose is to alert pediatricians at an early point about which children would benefit from further assessment. [1]
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The Child Behavior Checklist (CBCL) is a widely used caregiver report form identifying problem behavior in children. [ 1 ] [ 2 ] It is widely used in both research and clinical practice with youths. It has been translated into more than 90 languages, [ 3 ] and normative data are available integrating information from multiple societies.