Assessment of domestic violence against children and adolescents with enuresis

Sapi, M; Vasconcelos, Juliana S. P.; Silva, Fernando G; Damião, Ronaldo; Silva, Eloísio A. da

doi:10.2223/jped.1935

Cited by 35 publications

(36 citation statements)

References 15 publications

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“…It is often a source of shame and embarrassment for the affected child, and children who have experienced treatment failure have a lower self-esteem. In our study, 12.4% of families applied at least one punishment method to their children, which is less than what other authors have reported [14,15,16]. …”

Section: Discussioncontrasting

confidence: 88%

Enuresis and Punishment: The Adverse Effects on Child Development and on Treatment

Ferrara¹,

Giuseppe²,

Fabrizio³

et al. 2016

Urol Int

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Objective: To investigate the role of punishment in enuretic children and how the punishments can influence therapy response. Methods: We enrolled 218 enuretic children. The children and their families were asked to participate in the study at the end of the clinical evaluation. Results: The analysis of the questionnaires shows that at least one punishment because of nocturnal enuresis (NE) had been applied to 27 out of 218 (12.4%) children. Punishment methods were reprimanding in 19 out of 27 (70.4%), depriving of sleep in 11 out of 27 (40.7%), mildly beating in 3 out of 27 (11.1%), leaving the child wet in 1 out of 27 (3.7%) and other methods in 2 out of 27 (7.4%). In the group of punished children, a full or partial response in terms of a decreased number of wet nights was achieved in 40.7 vs. 59.2% in children who had not been punished. Conclusions: Parents should be sensitized on the adverse effects of punishment on child development. It is important in childcare to explain the definitions of the disorder and find the best treatment (behavioural and/or medicinal) depending on the single patient, his/her family and compliance of both. Successful management of NE has benefits to both the child and the family.

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Section: Discussioncontrasting

confidence: 88%

Enuresis and Punishment: The Adverse Effects on Child Development and on Treatment

Ferrara¹,

Giuseppe²,

Fabrizio³

et al. 2016

Urol Int

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“…In a study of Butler et al, they stated that parents of enuretic children can be extremely guarding and even some of them could be angry and prefer punishment for coping with enuresis (10). In the study of Sapi et al, they stated that all of enuretic children were exposed to domestic violence and detected physical punishment in 48.5% (11). In our study, 30% of families who applied punishment methods exhibited behaviors that could lead to severe psychological and physical traumas like beating the enuretic child.…”

Section: Discussionmentioning

confidence: 99%

Methods and Rates of Punishment Implemented by Families to Enuretic Children in Turkey

et al. 2013

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Purpose: Nocturnal enuresis is a serious health problem affecting a significant portion of the population. In this study, we investigated the frequency of punishment methods in nocturnal enuresis (NE) in Turkey and its relationship with other parameters. Materials and Methods: A total of 501 children (301 boys and 200 girls) who were admitted to our outpatient clinic due to nocturnal enuresis were included in the study. Mean age was 9.39 years (range 5-18). Prepared questionnaire form inquiring educational status of the family, frequency and implementation and duration of punishment methods was applied to patients and families. Results: At least one punishment method was applied to 291 (58.1%) of children with NE. Punishment methods of parents were detected as condemnation (257 patients, 51.3%), depriving desires of the child (120 patients, 23.9%), humiliating the child in the presence of other children (113 patients, 22.6%), reprimanding-threatening with punishment (203 patients, 40.5%). This application was found to continue for longer than 1 year in 52% of punished children. Families graduated of high school and above were found to use punishment methods significantly more than others. Conclusion: According to the results of our study, a quite high proportion of enuretic children were detected to be exposed to punishment methods. Even, some parents consider that these methods are a part of nocturnal enuresis treatment. We, the doctors, should endeavor more for raising awareness of the community in order to diminish this worrisome behavior.

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“…It may also cause disturbances of child's and families' sleep architecture that may have an impact on daytime functioning and health [10][11][12][13][14][15]. Beside these, nocturnal enuresis may be a reason for familial problems related to personal intolerance and may cause economical costs related with frequent laundering of bed sheets and clothing [16][17][18]. These data indicates that, NE is an important social disease which may have hazardous effects on pati- Figure 1.…”

Section: Discussionmentioning

confidence: 99%

Can Frequency of Nocturnal Enuresis in Bladder Diary Predict the Efficacy of Urotherapy?

Yazıcı¹

2015

Ann Clin Anal Med

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ÖzetAmaç: Nokturnal enürez, çocukluk döneminde en sık görülen üriner sistem hastalıklarından biridir. Üroterapi(davranış tedavisi), nokturnal enürez tedavisinde ilk uygulanan yöntemdir. Bu çalışmada, 3 günlük işeme günlüğündeki nokturnal enürez sıklığının, üroterapi başarısını öngörmede ki yerini araştır-mayı amaçladık. Gereç ve Yöntem: Monosemptomatik noktunal enürezi olan, 5-18 yaş arası hastalar prospektif olarak çalışmaya dahil edildi. Her hastaya 3 günlük işeme çizelgesi verilerek 1 hafta sonra değerlendirmeye çağrıldı. Bir hafta sonraki kontrolde, üroterapi stratejileri hem aileye hem de çocukla-ra anlatıldı. Üç aylık takip sonrası hastalar tekrar değerlendirilerek, ürotera-pi başarı oranı 3 günlük işeme çizelgesindeki nokturnal enürez sıklığı ile karşılaştırıldı. Bulgular: Toplam 66 hasta değerlendirmeye alındı. Çalışma grubunda, haftada 3 geceden fazla nokturnal enürezi olan 26(%39.4) hasta varken, 40(%60.6) hasta her gece idrar kaçırmaktaydı. Üç aylık üroterapi sonrası 50(%75.7) hastada klinik nokturnal enürez sıklığında % 50'den fazla azalma tespit edilirken, 16(%24.3) hastada klinik iyileşme gözlenmedi. İşeme günlü-ğü sırasında nokturnal enürez gözlenmeyen hastaların 21'i(%91.3) üroterapi-den fayda gördü. İşeme günlüğünde 1 gün enürezi olan hastaların hepsi üro-terapiden fayda görürken, 2 gün enürezi olan hastaların %53.3'ü, 3 gün enü-rezi olan hastaların ise %22.2'si üroterapiden fayda görebildi. Tartışma: İşe-me günlüğündeki nokturnal enürez sıklığı ile üroterapi başarısı arasında direk ilişki olduğu tespit edildi. Klinisyenler, dikkatli ve özenle yapılmış işeme gün-lüğü yardımıyla, üroterapi başarısını öngörebilirler. Anahtar KelimelerGece İdrar Kaçırma; İşeme; Davranış Tedavisi Abstract Aim: Nocturnal enuresis is one of the most common urinary system disorders of childhood. Urotherapy(behavioral therapy) is the primary method for treatment of nocturnal enuresis. In this study, we aimed to evaluate the efficacy of nocturnal enuresis frequency during 3 days bladder diary for estimating the success of urotherapy. Material and Method: Patients with monosymptomatic nocturnal enuresis in an age group of 5 to 18 years were prospectively included to study. They were given a 3 days bladder diary and reevaluated 1 week later and urotherapy strategies were told to both patients and parents. They were evaluated after 3 months later and success rate of urotherapy was compared with the nocturnal enuresis frequency in 3 days bladder diary. Results: A total of 66 patients were evaluated. There were 26(39.4%) patients with nocturnal enuresis in >3 nights/week and 40(60.6%) patients with nocturnal enuresis in every night. At the end of the third month of urotherapy, 50(75.7%) patients had >%50 decrease in clinical nocturnal enuresis frequency, whereas 16(24.3%) had no clinical improvement. Among the patients who did not have enuresis during bladder diary, 21(91.3%) had improvement with urotherapy. All of the patients with 1 day nocturnal enuresis in bladder diary had improved by conservative strategies, whereas 53....

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Assessment of domestic violence against children and adolescents with enuresis

Cited by 35 publications

References 15 publications

Enuresis and Punishment: The Adverse Effects on Child Development and on Treatment

Enuresis and Punishment: The Adverse Effects on Child Development and on Treatment

Methods and Rates of Punishment Implemented by Families to Enuretic Children in Turkey

Can Frequency of Nocturnal Enuresis in Bladder Diary Predict the Efficacy of Urotherapy?

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