B3254 - Exploring causal links between psychological factors and continence problems - 07/03/2019
It is commonly believed that continence problems affect only young children and the elderly, but these problems can affect people of all ages. Despite their high prevalence and adverse effects, research into the causes, prevention and treatment of continence problems is scarce. Clinicians recognise that psychological factors are strongly associated with continence problems but research is needed to examine whether these factors actually cause continence problems.
The proposed research will use cutting edge statistical methods to examine whether there are causal effects of psychological factors on continence problems in childhood, adolescence and adulthood. The psychological factors we will examine include depression, anxiety, emotional and behaviour problems, stressful life events, maternal mental health, parenting, and childhood adversity. We will investigate whether characteristics relating to the child (e.g. toilet anxiety), parents and wider influences (e.g. peers, school) may help to explain the association between psychological factors and continence problems. We will also examine the role of inflammation as a biological process that might underlie the link between psychological factors and continence problems.
If we find evidence that psychological factors cause continence problems, this could help clinicians to develop more effective interventions and treatments. Ultimately, our research could improve the lives of people affected by continence problems and help the NHS make better use of its resources.