Abstract

ABSTRACTA rapid measure of anxiety, such as distress in novel toileting situations, may identify at-risk children in community practice. Parents of children 8- to 12-years-old completed demographics surveys, a retrospective toilet fear (TF) survey, the Spence Anxiety Scale, and the Pediatric Symptom Checklist-17. 17 percent of children reportedly had persistent fear of toilets, associated with higher anxiety and attention problems scores. The presence of TF may be a meaningful indicator when evaluating a child’s risk for anxiety. Because toileting difficulties are primarily reported to physicians, primary case-based, prevention-oriented treatments for these children may capitalize upon this early manifestation of anxiety.

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