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However, very few prospective studies have examined these associations. We assessed whether mental health problems and stressful life events were associated with subsequent new onset in UI using multivariable logistic regression in a prospective UK cohort (<jats:italic>n<\/jats:italic>\u2009=\u20096408). Mothers provided information on their child\u2019s symptoms of common mental disorders (Development and Wellbeing Assessment, 7\u00a0years), stressful life events (7\u20138\u00a0years) and wetting (day and night, 9\u00a0years). There was strong evidence that separation anxiety symptoms were associated with new-onset UI in the fully adjusted model (OR (95% CI)\u2009=\u20092.08 (1.39, 3.13), <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Social anxiety, attention-deficit hyperactivity disorder and oppositional defiant disorder symptoms were associated with new-onset UI, but these associations attenuated following adjustment for child developmental level and earlier emotional\/behaviour problems. There was weak evidence for a sex interaction with stressful life events (<jats:italic>p<\/jats:italic>\u2009=\u20090.065), such that females experiencing more stressful life events were at higher risk of new-onset UI (fully adjusted model OR (95% CI)\u2009=\u20091.66 (1.05, 2.61), <jats:italic>p<\/jats:italic>\u2009=\u20090.029), but there was no association in males (fully adjusted model OR (95% CI)\u2009=\u20090.87 (0.52, 1.47), <jats:italic>p<\/jats:italic>\u2009=\u20090.608). These results suggest that separation anxiety and stressful life events in girls may lead to an increase in UI.<\/jats:p>","DOI":"10.1007\/s00787-023-02211-x","type":"journal-article","created":{"date-parts":[[2023,4,24]],"date-time":"2023-04-24T16:02:47Z","timestamp":1682352167000},"page":"871-879","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":17,"title":["Mental health problems, stressful life events and new-onset urinary incontinence in primary school-age children: a prospective cohort study"],"prefix":"10.1007","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6160-8982","authenticated-orcid":false,"given":"Naomi","family":"Warne","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6199-5644","authenticated-orcid":false,"given":"Jon","family":"Heron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3579-6200","authenticated-orcid":false,"given":"Alexander","family":"von Gontard","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5651-097X","authenticated-orcid":false,"given":"Carol","family":"Joinson","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2023,4,24]]},"reference":[{"key":"2211_CR1","doi-asserted-by":"publisher","first-page":"1985","DOI":"10.1542\/peds.2006-0894","volume":"118","author":"C Joinson","year":"2006","unstructured":"Joinson C, Heron J, Von Gontard A (2006) Psychological problems in children with daytime wetting. 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