Investigating the Association Between Obsessive-Compulsive Disorder and Infrequent Voiding: A Case-Control Study Among Girls

AuthorFatemeh Farhadi Rozbahanien
AuthorParsa Yousefichaijanen
AuthorBahman Salehien
AuthorMohamad Rafieien
AuthorMasoud Rezagholizamenjanyen
OrcidParsa Yousefichaijan [0000-0002-6243-431X]en
OrcidMasoud Rezagholizamenjany [0000-0002-5824-2366]en
Issued Date2026-03-31en
AbstractBackground: Obsessive-compulsive disorder (OCD) is a chronic psychiatric condition characterized by intrusive thoughts and repetitive behaviors. Although primarily studied in relation to cognitive and behavioral patterns, emerging evidence suggests that OCD and related psychological factors may influence urinary habits, among other behavioral and environmental determinants. Objectives: This study aimed to investigate the association between OCD symptoms and infrequent voiding in children, examining whether higher OCD severity is associated with increased likelihood of infrequent voiding. Methods: In this case-control study, 152 girls aged 5 - 17 years were enrolled, including 76 with infrequent voiding and 76 healthy controls. Demographic variables, total FOA scores, subscale scores, and the prevalence of OCD symptoms were compared between groups. Odds ratios (ORs) with 95% confidence intervals (CIs) were calculated to determine the strength of association. Results: No significant difference in age was observed between groups (P = 0.816). Girls with infrequent voiding had significantly higher total FOA scores, with 26.3% exhibiting moderate OCD symptoms compared to only 2.6% in controls (P = 0.001). Subscale analysis revealed elevated mean scores across all OCD dimensions, with the largest differences in doubting and checking (3.2 ± 1.1 vs. 1.8 ± 0.9; P < 0.01) and obsessive thoughts (2.7 ± 0.9 vs. 1.5 ± 0.7; P < 0.01). Odds ratio analysis indicated that cases with infrequent voiding were 2.8 times more likely to have moderate to severe OCD symptoms (OR = 2.8; 95% CI: 1.6 - 4.9; P = 0.001). Conclusions: The study suggests a potential link between OCD severity and urinary habits, highlighting the need for further research on the underlying psychological and physiological mechanisms.en
DOIhttps://doi.org/10.5812/ijpbs-165821en
KeywordChilden
KeywordFemaleen
KeywordInfrequent Voidingen
KeywordObsessive-Compulsive Disorderen
KeywordPsychiatric Assessmenten
KeywordVoiding Dysfunctionen
PublisherBrieflandsen
TitleInvestigating the Association Between Obsessive-Compulsive Disorder and Infrequent Voiding: A Case-Control Study Among Girlsen
TypeResearch Articleen

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