Importance of neuropsychiatric evaluation in children with primary monosymptomatic enuresis

Gulisano, Mariangela; Domini, Carla; Capelli, Mara; Pellico, Alessandra; Rizzo, Renata

doi:10.1016/j.jpurol.2016.10.019

Cited by 20 publications

(13 citation statements)

References 26 publications

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“…Epidemiological studies have reported that children with enuresis are two to four times as likely to have behavioral problems as children without enuresis. 18,19 Our results are consistent with the previous studies, in that 14.9% of the children with enuresis had psychiatric disorders, and they were 2.968-fold more likely to have psychiatric disorders than those without enuresis. The rates of associated psychiatric disorders except ADHD in the present study were all much lower than the rate reported in a previous study.…”

Section: Discussionsupporting

confidence: 92%

<p>Associations Between Psychiatric Disorders and Enuresis in Taiwanese Children: A National Population-Based Study</p>

Tsai

Chang

Chen

et al. 2020

CLEP

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Background: Psychiatric disorders such as attention-deficit/hyperactivity disorder may negatively impact drug compliance and the prognosis of enuresis. However, existing studies regarding associations between lifetime psychiatric disorders and childhood enuresis are primarily from Western countries, and studies from Taiwan are lacking. Methods: We conducted a population-based retrospective cohort analysis using the Taiwan Longitudinal Health Insurance Database 2010. A total of 1,146 children with enuresis (ICD-9-CM code: 307.6) and 4,584 randomly selected sex-and age-matched controls were identified between January 1, 1997 and December 31, 2011. Logistic regression was used to estimate the odds ratios (ORs) and 95% confidence intervals (CIs) for the development of psychiatric disorders in the children with enuresis. Results: Enuresis was more common in the younger children, and the rate was significantly higher in boys (58.7%) than in girls (41.3%). A total of 171 patients (14.9%) in the enuresis group had at least one psychiatric diagnosis vs 259 (5.7%) in the control group (p<0.001). Multivariate analysis showed that the presence of enuresis increased the odds of developing major depressive/dysthymic disorder (OR=2.841, 95% CI: 1.619, 4.987), attention-deficit /hyperactivity disorder (OR=3.156, 95% CI: 2.446, 4.073), autism spectrum disorder (OR=2.468, 95% CI: 1.264, 4.822), anxiety disorders (OR=3.113, 95% CI: 2.063, 4.699), intelligence disability (OR=3.989, 95% CI: 2.476, 6.426), disruptive behavior disorders (OR=3.749, 95% CI: 1.756, 8.004), and tic disorder (OR=2.660, 95% CI: 1.642, 4.308). Conclusion: Children with enuresis are likely to have psychiatric disorders, and physicians should consider this during their evaluation.

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Section: Discussionsupporting

confidence: 92%

<p>Associations Between Psychiatric Disorders and Enuresis in Taiwanese Children: A National Population-Based Study</p>

Tsai

Chang

Chen

et al. 2020

CLEP

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“…Second, enuresis is often associated with poor school performance and decreased quality of life, self-esteem, and psychosocial development. 19,20 A study showed significant improvement in self-esteem with higher self-concept scores after 6 months of treatment with desmopressin or alarm therapy. 21 Finally, enuresis can persist to adulthood if not treated properly.…”

Section: Why Do We Need To Treat Enuresis?mentioning

confidence: 99%

Common urological problems in children: primary nocturnal enuresis

Chan

Wong

2019

Hong Kong Med J

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Enuresis is a common complaint in children, with a prevalence of around 15% at age 6 years. Evidence suggests that enuresis could affect neuropsychiatric development. The condition may represent an entire spectrum of underlying urological conditions. It is important to understand the difference between monosymptomatic and non-monosymptomatic enuresis. Primary monosymptomatic enuresis can be managed efficaciously with care in different settings, like primary care, specialist nursing, or paediatric specialists, while non-monosymptomatic enuresis requires more complex evaluation and treatment.

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“…16 If there are additional comorbid factors of developmental, attention or learning difficulties, family problems, parental distress, and possible punishment of the child, a referral to a psychologist could be advised and followed-up. 21,22 It should be explained that in the event of behavioral or psychiatric problems, the success rate will be lower and the relapse rate higher so that the child and their family have realistic expectations of the treatment. 2 Adolescents and young adults with NE have a higher incidence of anxiety, depression, chronic fatigue, and lower self-esteem.…”

Section: Diagnostic Evaluationmentioning

confidence: 99%

Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

Bogaert

Stein

Undre

et al. 2019

Neurourology and Urodynamics

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Background and Aims: The objective of this update of the EAU-ESPU guidelines recommendations for nocturnal enuresis was to review the recent published literature of studies, reviews, guidelines regarding the etiology, diagnosis and treatment options of nocturnal enuresis and transform the information into a practical recommendation strategy for the general practitioner, pediatrician, pediatric urologist and urologist. Material and Methods: Since 2012 a monthly literature search using Scopus® was performed and the relevant literature was reviewed and prospectively registered on the European Urology bedwetting enuresis resource center (http:// bedwetting.europeanurology.com/). In addition, guideline papers and statements of the European Society for Paediatric Urology (ESPU), the European Association of Urology (EAU), the National Institute for Health and Care Excellence (NICE) and the International Children Continence Society (ICCS) were used to update the knowledge and evidence resulting in this practical recommendation strategy.Recommendations have been discussed and agreed within the working group of the EAU-ESPU guidelines committee members. Results:The recommendations focus to place the child and his family in a control position. Pragmatic analysis is made of the bedwetting problem by collecting voiding and drinking habits during the day, measuring nighttime urine production and identification of possible risk factors such as high-volume evening drinking, nighttime overactive bladder, behavioral or psychological problems or sleep disordered breathing. A questionnaire will help to identify those risk factors. Conclusion: Motivation of the child is important for success. Continuous involvement of the child and the family in the treatment will improve treatment compliance, success and patient satisfaction.bedwetting, guidelines, monosymptomatic enuresis, practical recommendations Abbreviations: EAU, the European Association of Urology; ESPU, European Society for Paediatric Urology; UTI, urinary tract infections.

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Importance of neuropsychiatric evaluation in children with primary monosymptomatic enuresis

Cited by 20 publications

References 26 publications

<p>Associations Between Psychiatric Disorders and Enuresis in Taiwanese Children: A National Population-Based Study</p>

<p>Associations Between Psychiatric Disorders and Enuresis in Taiwanese Children: A National Population-Based Study</p>

Common urological problems in children: primary nocturnal enuresis

Practical recommendations of the EAU‐ESPU guidelines committee for monosymptomatic enuresis—Bedwetting

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