Nocturnal Enuresis: Associations Between Gender, Impact, Maternal Intolerance and Behavior Problems

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Rafaela Almeida Ferrari
Felipe Alckmin Carvalho
Edwiges Ferreira de Mattos Silvares
Rodrigo Fernando Pereira

Abstract

The aim of the study was to identify correlations between the following variables: gender, behavior problems and impact suffered by children/adolescents and the intolerance of their mothers to enuresis. Assessment was made through: impact scale, responded by the child/adolescent, child behavior checklist and tolerance scale, both answered by the mothers. Participated 31 children and adolescents with enuresis aged between 6 and 15 years (M = 8.84 and SD = 2.08) and their mothers. Statistically significant correlations between intolerance and impact were identified, and also between age and impact. The mean rate of behavior problems reached a clinical level, presenting mostly internalizing problems. No associations between behavior problems and impact or intolerance, or gender differences for all variables analyzed were found. In this sample, the more intolerant mothers have most impacted children, and their mothers’ intolerance level seems to increase as the child or adolescent get older.

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Human Development

References

Achenbach, T. M., & Rescorla, L. A. (2001). Manual for the Aseba School-Age Forms & Profiles. Burlington: University of Vermont, Research Center for Children, Youth & Families.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorder (DSM-5). Washington, DC: American Psychiatric Association.

Arantes, M. C. (2007). Problemas de comportamento e resultados do tratamento com alarme para enurese primária. Dissertação de mestrado, Universidade de São Paulo, São Paulo, SP, Brasil.

Butler, R. J. (1994). Nocturnal enuresis: the child’s experience. Oxford: ButterworthHeinemann.

Butler, R. J., Golding, J., & Northstone, K. (2005). Nocturnal enuresis at 7.5 years old: prevalence and analysis of clinical signs. British Journal of Urology International, 96(3), 404-410.

Butler, R. J., & Holland, P. (2000). The three systems: a conceptual way of understanding nocturnal enuresis. Scandinavian Journal of Urology and Nephrology, 34(4), 270-277.

Butler, R. J., & McKenna, S. (2002). Overcoming parental intolerance in childhood nocturnal enuresis: a survey of professional opinion. British Journal of Urology International, 89(3), 295-297.

Daibs, Y. S., Pereira, R. F., Silvares, E. F. M., & Emerich, D. R. (2010). Enurese: impacto em crianças e adolescentes e a tolerância dos pais. Interação em Psicologia, 14(2), 175-183.

De Salvo, C. G., Toni, P. M., & Silvares, E. F. M. (2008). Análise fatorial e unidimensionalidade da escala de impacto à enurese. Psico, 39(2), 240-245.

Emerich, D. R., Sousa, C. R. B. D., & Silvares, E. F. M. (2011). Estratégias de enfrentamento parental e perfil clínico e sociodemográfico de crianças e adolescentes com enurese. Revista Brasileira de Crescimento e Desenvolvimento Humano, 21(2), 240-250.

Ferrari, R. A. (2014). Acompanhamento à distância do tratamento com alarme para enurese: efeitos dos problemas de comportamento. Dissertação de mestrado, Universidade de São Paulo, São Paulo, SP, Brasil.

Hashem, M., Morteza, A., Mohammad, K., & Ahmad-Ali, N. (2013). Prevalence of nocturnal enuresis in school aged children: the role of personal and parents related socio-economic and educational factors. Iranian Journal of Pediatrics, 23(1), 59-64.

Hirasing, R. A., Van Leerdam, F. J. M., Bolk-Bennink, L. F., & Koot, H. M.(2002). Effect of dry bed training on behavioural problems in enuretic children. Acta Pediatrica, 91(8), 960-964.

Hjalmas, K., Arnold, T., Bower, W., Caione, P., Chiozza, L. M., Von Gontard, A., & Yeung, C. K. (2004). Nocturnal enuresis: an international evidence based management strategy. The Journal of Urology, 171(6), 2545-2561.

Houts, A. C. (2003). Behavioral treatment for enuresis. In A. E. Kazdin & J. R Weisz (Eds.). Evidence based psychotherapies for children and adolescents (pp. 389-406). New York: Guilford Press.

Joinson, C., Heron, J., Emond, A., & Butler, R. (2007). Psychological problems in children with bedwetting and combined (day and night) wetting: a UK population-based study. Journal of Pediatric Psychology, 32(5), 605-616.

Morgan, R. T., & Young, G. C. (1975). Parental attitudes and the conditioning treatment of childhood enuresis. Behavior Research and Therapy, 13(2), 197-199.

Nevéus, T., Gontard, A., Hoebeke, P., Hjälmås, K., Bauer, S., Bower, W., Jørgensen, T. M., Rittig, S., Walle, J. V., Yeung, C., & Djurhuus, J. C. (2006). The standardization of terminology of lower urinary tract function in children and adolescents: report from the Standardisation Committee of the International Children’s Continence Society. The Journal of Urology, 176(1), 314-324.

Pereira, R. F. (2010). Variáveis moderadoras do resultado da intervenção com alarme para a enurese noturna. Tese de doutorado, Universidade de São Paulo, São Paulo, SP, Brasil.

Rocha, M. M., Rescorla, L. A., Emerich D. R., Silvares, E. F. M., Borsa, J. C., Araújo, L. G. S., Bertolla, M. H. S. M., Oliveira, M. S., Perez, N. C. S., Freitas, P. M., & Assis, S. G. (2013). Behavioural/emotional problems in Brazilian children: findings from parents’ reports on the child behavior checklist. Epidemiology and Psychiatric Sciences, 22(4), 329-338, 1-10.

Santos, E. D. O. L., & Silvares, E. F. M. (2006). Crianças enuréticas e crianças encaminhadas para clínicas-escola: um estudo comparativo da percepção de seus pais. Psicologia: Reflexão e Crítica, 19(2), 277-282.

Schober, J., Lipman, R., Haltigan, J., & Kuhn, P. (2004). The impact of monosymptomatic nocturnal enuresis on attachment parameters. Scandinavian Journal of Urology and Nephrology, 38, 47-52.

Silvares, E. F. M. (2012). Enurese em crianças e adolescentes: a importância do tratamento. In E. F. M. Silvares & R. Pereira (Eds.). Enurese noturna: diagnóstico e intervenção (pp. 15-27). Porto Alegre: Artmed.

Theunis, M., Van Hoecke, E., Paesbrugge, S., Hoebeke, P., & Walle, J. (2002). Selfimage and performance in children with nocturnal enuresis. European Urology, 41, 660-667.