Predictors and Outcomes of Childhood Primary Enuresis

Kessel, Ellen M.; Allmann, Anna E.; Goldstein, Brandon L.; Finsaas, Megan C.; Dougherty, Lea R.; Bufferd, Sara J.; Carlson, Gabrielle A.; Klein, Daniel N.

doi:10.1016/j.jaac.2016.12.007

Cited by 28 publications

(17 citation statements)

References 40 publications

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“…There was also evidence for an association between antenatal depression (at 18 weeks) and persistent wetting. Earlier studies have reported a link between maternal psychopathology and bedwetting, but they did not distinguish between bedwetting with or without daytime wetting [10, 33]. One study examined only parental lifetime psychopathology and did not separately examine maternal psychopathology or the timing of the disorder (antenatal or postnatal) [10].…”

Section: Discussionmentioning

confidence: 99%

“…The aetiology of UI is believed to be multifactorial, involving a complex interrelationship of biological, genetic and psychosocial factors. Factors associated with childhood UI include family history [2–5], developmental and obstetric factors [2–7], behaviour/emotional problems [8–10], stress [11, 12], maternal psychopathology [10], toilet training [13–16] and constipation [17–19]. Prospective cohort studies focus either on bedwetting [2, 20–22] or daytime wetting [23].…”

Section: Introductionmentioning

confidence: 99%

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A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence

Joinson¹,

Grzeda²,

Gontard

et al. 2018

Eur Child Adolesc Psychiatry

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The objective of the study was to examine the association between biopsychosocial factors and developmental trajectories of childhood urinary incontinence (UI). We used developmental trajectories (latent classes) of childhood UI from 4-9 years including bedwetting alone, daytime wetting alone, delayed (daytime and nighttime) bladder control, and persistent (day and night) wetting (n = 8751, 4507 boys, 4244 girls). We examined whether biopsychosocial factors (developmental level, gestational age, birth weight, parental UI, temperament, behaviour/emotional problems, stressful events, maternal depression, age at initiation of toilet training, constipation) are associated with the trajectories using multinomial logistic regression (reference category = normative development of bladder control). Maternal history of bedwetting was associated with almost a fourfold increase in odds of persistent wetting [odds ratio and 95% confidence interval: 3.60 (1.75-7.40)]. In general, difficult temperament and behaviour/emotional problems were most strongly associated with combined (day and night) wetting, e.g. children with behavioural difficulties had increased odds of delayed (daytime and nighttime) bladder control [1.80 (1.59-2.03)]. Maternal postnatal depression was associated with persistent (day and night) wetting [2.09 (1.48-2.95)] and daytime wetting alone [2.38 (1.46-3.88)]. Developmental delay, stressful events, and later initiation of toilet training were not associated with bedwetting alone, but were associated with the other UI trajectories. Constipation was only associated with delayed bladder control. We find evidence that different trajectories of childhood UI are differentially associated with biopsychosocial factors. Increased understanding of factors associated with different trajectories of childhood UI could help clinicians to identify children at risk of persistent incontinence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence

Joinson¹,

Grzeda²,

Gontard

et al. 2018

Eur Child Adolesc Psychiatry

View full text Add to dashboard Cite

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“…The explorative factor analyses of the Intensity Scale also supported the idea of removing these two items from the instrument, since they had low communalities with other items and thus were removed from the analyses. Moreover, in a recent prospective study among a community sample of 3–9‐year old children, enuresis was not associated with oppositional defiant disorder (although it was associated with ADHD), instead internalizing psychopathology had a prominent role in preceding, and succeeding the development of enuresis (Kessel, Allman, Goldstain et al ., ). In light of the current evidence, evidence for association of enuresis with conduct problems is weak, and parents of children who wet the bed benefit from understanding that enuresis is a commonly occurring childhood disorder with multifactorial etiology and a tendency to remit once the child gets older.…”

Section: Discussionmentioning

confidence: 97%

Eyberg Child Behavior Inventory (ECBI): Normative data, psychometric properties, and associations with socioeconomic status in Finnish children

Sorsa

Fontell

Laajasalo

et al. 2019

Scandinavian J Psychology

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Assessment of behavioral disorders is one of the most commonly encountered tasks in child psychiatry. The Eyberg Child Behavior Inventory (ECBI) is a widespread measurement tool used for assessing conduct problems, though the psychometric properties of the tool have varied in different samples. In this study, the ECBI was evaluated in a Finnish population based sample of children aged 4 to 12 years (n = 1,715). Factor structure and internal consistency of the ECBI and associates of behavioral problems in Finnish children were evaluated. The results showed that a unidimensional one-factor solution for the ECBI intensity scale was the best fit for the data. The ECBI mean scores were considerably higher in our sample compared to other Nordic countries. Boys scored higher than girls on both ECBI scales, and the mean scores decreased with child's age. Socioeconomic status (SES) was weakly connected to the ECBI scores. Our results highlight the need for country specific reference norms in order to improve the clinical utility of evidence-based measures for assessing conduct problems. Statistical analysesSPSS versions 22 and 25 were used for the statistical analyses. Distributions of the ECBI scales as well as individual intensity scale items were first investigated with histograms, descriptive statistics, and Kolmogorov-Smirnov-tests of normality. Reliability of the ECBI Intensity and Problem Scales was examined with Cronbach's alpha coefficients and

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“…9 In Kessel's research, he also stated that authoritarian parenting at 3 years of age can be a predictor of enuresis in the future. 10…”

Section: Discuss and Conclusionmentioning

confidence: 99%

Adhd With Non-Organic Enuresis and Borderline Intelligent Quotient

Putri

Yosef²

2021

JPPBR

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Symptoms of Attention Deficit Hyperacitivity Disorder (ADHD) can be associated with nocturnal enuresis. Nocturnal enuresis cases are common occur in children with Mental Retardation. There are several hypotheses underlying this comorbidity, such as genetic, neurophysiological, environmental and psychosocial factors. We report the case of a 7 year old boy with symptoms such as inability to concentrate, active movement, talk a lot, unable to wait his turn, unable to delay desires, easy fighting and behaving and speaking harshly. Patients still wet the bed at night at least 3-4 times a week The Abbreviated Conners Score rating scale assessed by the mother at the start of treatment was 21. The IQ test score was 71 and the Strength and Difficulty Questionnaire (SDQ) score was 35. The patient's symptoms were reduced after 4-month therapy with 2x5mg of methylphenidate administration, psychoeducation of parents to implement toilet training and behavior therapy for patients, apply reward and punishment with the principle of token economy. In the development process of children and adolescents, parenting is an important factor. Many studies shows that parenting can impact the resilience and vulnerability of a child to behavioral disorders. In children with ADHD with borderline IQ and enuresis, parenting with a high parental control component can cause psychological symptoms to worsen without being balanced with the attitude of parents who are responsive to the psychological needs of the child.

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Predictors and Outcomes of Childhood Primary Enuresis

Cited by 28 publications

References 40 publications

A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence

A prospective cohort study of biopsychosocial factors associated with childhood urinary incontinence

Eyberg Child Behavior Inventory (ECBI): Normative data, psychometric properties, and associations with socioeconomic status in Finnish children

Adhd With Non-Organic Enuresis and Borderline Intelligent Quotient

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