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Published on: February 11, 2017
Attitudes of enuretic children towards their illness
T Wolańczyk1, I Banasikowska, P Złotkowski
1Department of Child Psychiatry, Medical University of Warsaw, Marszałkowska 24, PL-00-576 Warszawa, Poland. twolancz@amwaw.edu.pl
Insights
Children with enuresis (bedwetting) reported more negative attitudes toward their illness compared to those with asthma or heart disease. Adolescent girls showed the most negative feelings about enuresis.
Area of Science:
- Pediatric Psychology
- Child Health
- Chronic Illness Management
Background:
- Enuresis, or bedwetting, is a common childhood condition impacting children's emotional well-being.
- Understanding children's attitudes toward chronic illnesses is crucial for effective management and support.
- Previous research has not fully explored the specific attitudes of enuretic children compared to peers with other chronic conditions.
Purpose of the Study:
- To determine the attitudes of children diagnosed with enuresis toward their condition.
- To investigate the correlation between enuretic children's attitudes and clinical/demographic factors.
- To compare the attitudes of enuretic children with those of children suffering from asthma and chronic heart disease.
Main Methods:
- Utilized the Polish version of the Child Attitude Toward Illness Scale (CATIS) for attitude assessment.
- Conducted structured interviews with parents to gather demographic and medical data.
- Included 50 children with enuresis (aged 8-18) and reference groups of children with asthma (n=60) and chronic heart disease (n=40).
Main Results:
- Enuretic children exhibited significantly more negative attitudes toward their illness than children with asthma or chronic heart disease.
- No significant correlation was found between attitude scores and enuresis type, age, family history, frequency, or treatment failures.
- Girls reported significantly lower (more negative) attitude scores than boys, particularly in the older age group (14-18 years).
Conclusions:
- Enuretic children possess more negative attitudes regarding their illness compared to children with other chronic conditions.
- Attitudes toward enuresis are primarily influenced by gender, with adolescent girls displaying the most negative outlook.
- Clinical and demographic factors, apart from gender, did not significantly correlate with children's attitudes toward enuresis.
Unlabelled:
The aim of this study was to establish the attitudes of enuretic children towards their illness and to assess the correlation between children's attitudes and biological and medical variables describing the clinical picture and course of enuresis. Fifty children were included (31M, 19F), aged 8-18 y (mean 12.74 y), all with the diagnosis of enuresis. The reference groups consisted of 60 children with asthma and 40 children with chronic heart disease, aged 8-12 y. The Polish version of the Child Attitude Toward Illness Scale (CATIS) was administered to all the children and structured interviews concerning demographic and medical data were conducted with the parents. There were no significant differences in median CATIS scores between the subgroups divided according to age, type of enuresis and family history of enuresis. There was no significant correlation between the CATIS score and frequency of enuresis and number of therapeutic failures. The girls had significantly lower median CATIS scores than the boys (p = 0.03). The difference in median CATIS scores between genders was significant only for the older group aged 14-18 y. The older girls had the lowest CATIS scores. Enuretic children were found to have statistically significantly more negative attitudes towards their illness than children with asthma (p = 0.006) and children with chronic heart disease (p = 0.067).
Conclusion:
Enuretic children had more negative feelings about their illness than children with other chronic conditions. This negative attitude was not related to demographic or clinical data except for gender. The adolescent girls demonstrated the most negative attitude towards enuresis.
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