Nocturnal enuresis: Current perspectives

Sorotzkin, Ben

doi:10.1016/0272-7358(84)90005-9

Cited by 25 publications

(6 citation statements)

References 77 publications

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“…Thus, supervision can be reduced to a minimum and the majority of the remaining role is to help to keep parents motivated and to persevere with treatment. The treatment package itself however, still places considerable demands on parents (Sorotzkin, 1984). The qualitative data gained from the Treatment Satisfaction Questionnaire show which components were perceived as the most difficult for parents to cope with.…”

Section: Discussionmentioning

confidence: 99%

“…Fielding (1982) points out that children who wet the bed do not form a homogeneous clinical group. Therefore a variety of treatment approaches is likely to be necessary (Sorotzkin, 1984). Thus it is important to specify who would benefit from this approach.…”

Section: Discussionmentioning

confidence: 99%

“…Enuresis has been treated successfully using behavioural methods, especially by use of the urine alarm, for many years. The results of using this approach have been extensively documented and the literature has been reviewed elsewhere (Doleys, 1977;Sorotzkin, 1984).…”

Section: Introductionmentioning

confidence: 99%

“…This study in a pilot investigation to address the above questions. The manual and video modelling procedures were designed to be used in conjunction with reduced therapist supervision rather than as a complete replacement for it, since the demanding nature of the DBT indicates the need for some assistance and support (Sorotzkin, 1984).…”

Section: Introductionmentioning

confidence: 99%

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Bibliotherapy-based Dry Bed Training: A Pilot Study

Hunt¹,

Adams²

1989

Behav. Cogn. Psychother.

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Dry Bed Training is an effective and rapid method for the elimination of primary nocturnal enuresis. However, like the urine alarm the approach demands very close clinical supervision. This is a Pilot Study to evaluate the effectiveness of a self-help approach (based on Dry Bed Training), administered using a minimum contact self-help manual, and a video in which a young mother and son demonstrated treatment techniques. Ten severe primary nocturnal enuretics, acting as their own controls, were treated using this approach. Results show initial remission in 80% of the cases, with 20% of the subjects dropping out. Of those who completed treatment 25% relapsed. These results were obtained with a significant reduction in staff time. The role of clinical supervision is critically examined. Elements of a cost-benefit analysis are identified in order to highlight the strengths and weaknesses of this approach.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bibliotherapy-based Dry Bed Training: A Pilot Study

Hunt¹,

Adams²

1989

Behav. Cogn. Psychother.

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“…These all avoid excessive nighttime fluids in body which may lead to overmuch urine production during the night. However, for children with MNE, fluid restriction may have a risk of reducing bladder capacity resulting in a decrease in the ratio of bladder capacity to nocturnal urine output, and so nocturnal enuresis increases [13]. Therefore, adequate fluid intake during the day is important, especially during the morning and early afternoon hours [14].…”

Section: Standard Therapymentioning

confidence: 99%

Advances in Treatment of Nocturnal Enuresis in Children

Zhou¹,

Lü²,

Shi³

et al. 2020

Lower Urinary Tract Dysfunction - From Evidence to Clinical Practice

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Nocturnal enuresis is a condition with complex etiology affecting plenty of children and families. Even though multifarious clinical trials and studies have been designed and completed, some inconclusive results on nocturnal enuresis confuse clinicians. This article aims to provide useful information for clinicians by summarizing the existing evidence on nocturnal enuresis and discussing the effectiveness and safety of different treatments. Nocturnal enuresis mainly results from the disorders related to central nervous system, which may cause nocturnal polyuria, nighttime bladder capacity decline, arousal disorder, and various accompanying diseases. We discussed the efficacy and safety of different treatments for monosymptomatic nocturnal enuresis, including standard therapies, simple behavioral interventions, complex behavioral interventions, alarm therapy, desmopressin and other drugs, biofeedback therapy, electrical stimulation, acupuncture, Chinese herbal medicine, massage, and so on. Alarm is still the most effective single therapy with lower relapse rate. Desmopressin has efficacy mainly in children with nocturnal polyuria. Children with detrusor overactivity or decreasing functional bladder capacity can choose anticholinergics. Additionally, tricyclic drugs, biofeedback therapy, electrical stimulation, acupuncture, massage, and so on are therapeutic options for children with nocturnal enuresis.

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