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Self-image and performance in children with nocturnal enuresis
M Theunis1, E Van Hoecke, S Paesbrugge
1Department of Paediatrics, Paediatric Uro-Nephrologic Centre, University Hospital, De Pintelaan 185, B-9000, Gent, Belgium.
European Urology
|June 21, 2002
Summary
Children with nocturnal enuresis (bedwetting) experience lower self-esteem and perceived competence. Factors like age, gender, and treatment failures significantly impact their self-image, highlighting the condition's psychological effects.
Area of Science:
- Pediatric Psychology
- Child Development
- Urology
Background:
- Nocturnal enuresis (bedwetting) can negatively impact a child's self-perception and overall well-being.
- Understanding the psychological effects of enuresis is crucial for effective management and support.
Purpose of the Study:
- To investigate the self-image of children aged 8-12 with nocturnal enuresis.
- To explore correlations between self-image and factors such as age, sex, clinical presentation, and treatment history.
Main Methods:
- A study group of 50 children with therapy-resistant nocturnal enuresis was compared to 77 controls.
- The "Self-Perception Profile for Children" questionnaire assessed perceived competence before and after treatment.
- Children were categorized by age, enuresis type (primary/secondary), and treatment failure history.
Main Results:
- Children with nocturnal enuresis showed significantly lower perceived competence in physical appearance and global self-esteem compared to controls.
- Scholastic skills were affected by gender and age, with older children and girls reporting lower competence.
- A higher number of treatment failures correlated with lower self-esteem.
Conclusions:
- Nocturnal enuresis adversely affects children's self-image and performance.
- Girls and older children with enuresis reported lower perceived competence.
- Successful treatment showed a trend toward improving athletic competence and global self-esteem, though not always significantly.