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Behavioural problems in children and parenting stress associated with primary nocturnal enuresis in Hong Kong
S S Y Chang1, C F N Ng, S N Wong
1Kwai Chung Hospital, Hong Kong.
Insights
Primary nocturnal enuresis (PNE) in Chinese children is linked to more behavioral issues and increased parenting stress. Addressing the psychosocial well-being of children with PNE and their parents is crucial for effective management.
Area of Science:
- Pediatrics
- Child Psychology
- Behavioral Science
Background:
- Primary nocturnal enuresis (PNE) affects a significant number of children.
- Understanding the psychosocial impact of PNE on children and families is essential.
Purpose of the Study:
- To investigate behavioral problems in children with PNE.
- To assess parenting stress in families with enuretic children.
- To examine these factors within the local Chinese community.
Main Methods:
- Recruited 89 children with PNE and 131 controls from Hong Kong healthcare centers.
- Parents completed the Child Behaviour Checklist (CBCL) and Parenting Stress Index (PSI).
- Children were assessed using the Global Assessment of Functioning (GAF) scale.
Main Results:
- Children with PNE exhibited worse scores on CBCL Problem and Competence scales.
- PNE group showed more attention problems and aggression, with lower social competence and school performance.
- Parents of children with PNE reported significantly higher levels of parenting stress.
Conclusions:
- PNE is associated with increased behavioral problems and parenting stress in the Chinese population.
- Psychosocial functioning of both children and parents requires attention in PNE management.
- Early intervention focusing on psychosocial aspects may improve outcomes for enuretic children.
Unlabelled:
The aim of this study was to investigate the behavioural problems and parenting stress of enuretic children in the local Chinese community. The study recruited 89 children with primary nocturnal enuresis (PNE) from the paediatric clinics of 9 regional hospitals in Hong Kong, and 131 age- and gender-matched control children without PNE from the Student Health Centres. After adequate instruction, the parents completed the Child Behaviour Checklist (CBCL) and Parenting Stress Index (PSI). A trained interviewer interviewed the parents and children and rated the children on the Global Assessment of Functioning (GAF). The PNE group had worse overall scores in both the Problem and Competence scales of CBCL; in particular, they had more attention problems and aggressive behaviours, and lower social competence and school performance than the control group. Their parents demonstrated more parenting stress as shown by higher PSI scores.
Conclusion:
In the local Chinese population, PNE was associated with more childhood behavioural problems and greater parenting stress. Attention to the psychosocial functioning of the child and parents may be important in the management of enuresis.
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