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[Child psychiatry aspects of enuresis nocturna]

A von Gontard1

  • 1Klinik für Kinder- und Jugendpsychiatrie und -psychotherapie, Universität Köln, Deutschland. Alexander.vongontard@medizin-uni.koeln.de

Wiener Medizinische Wochenschrift (1946)
|March 30, 1999
PubMed

Insights

Nocturnal enuresis, or bedwetting, can cause emotional distress but is not primarily psychogenic. Symptom-focused alarm therapy can improve self-esteem in children with enuresis.

Area of Science:

  • Pediatric psychology
  • Child psychiatry
  • Behavioral science

Background:

  • Nocturnal enuresis is linked to emotional suffering.
  • Psychogenic origins for enuresis lack empirical support.
  • Behavioral disorders are more prevalent in children with enuresis.

Observation:

  • Most children experiencing enuresis are not psychiatrically disturbed.
  • Day wetting and secondary nocturnal enuresis show higher rates of behavioral disorders.
  • Symptom-oriented therapies, like alarm systems, can be effective.

Findings:

  • Alarm therapy can enhance self-concept and self-worth in children with enuresis.
  • Play-therapies are beneficial only when co-existing emotional disorders are present.
  • A case study highlights the need for hermeneutic approaches alongside empirical methods to understand subjective experiences in enuretic children.

Implications:

  • Effective management of nocturnal enuresis requires a nuanced approach.
  • Therapeutic strategies should address both behavioral symptoms and emotional well-being.
  • Understanding the child's subjective experience is crucial for comprehensive treatment.

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