Factors associated with response to simple behavioral intervention in primary enuresis nocturna

Author:

Aral Armagan1,Usta Mirac Baris2,Erguner Aral Ayse3

Affiliation:

1. Staff physician in the Department of Child and Adolescent Psychiatry, Mental Health Hospital, Samsun, Turkey.

2. Department of Child and Adolescent Psychiatry, Medical Faculty, University of Ondokuz Mayis, Samsun, Turkey.

3. Psychiatry resident in the Department of Mental Health and Diseases, Medical Faculty, University of Ondokuz Mayis, Samsun, Turkey.

Abstract

This 8-week longitudinal study examined predictors of response to simple behavioral intervention in primary enuresis nocturna (PEN). A total of 154 children, aged 8–18 years, diagnosed with PEN were evaluated. The results indicated that lack of constipation, milder enuresis severity, and higher bladder capacity are the primary predictors of good treatment response, and lower family dysfunction is the most robust familial predictor. Lack of constipation is the main predictor with unique variance in multiple regression. Specialists should be aware of conditions that hinder the success of simple behavioral intervention before implementing costly treatments. In treatment-refractory cases, it is important to examine each child for constipation. Family-centered approaches can be helpful if used in parallel with behavioral treatments.

Publisher

Guilford Publications

Subject

Psychiatry and Mental health,Clinical Psychology,Pshychiatric Mental Health

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