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Evaluation of a cure process during alarm treatment for nocturnal enuresis

Kazunari Ikeda1, Aito Koga, Satoru Minami

  • 1Center for the Research and Support of Educational Practice, Tokyo Gakugei University, Japan. kazunari@u-gakugei.ac.jp

Journal of Clinical Psychology
|August 10, 2006
PubMed

Insights

This study shows that children successfully treated for nocturnal enuresis (bedwetting) experienced more dry awakenings. Urine alarm treatment efficacy is supported by how awakening patterns distinguish treatment successes from failures.

Area of Science:

  • Pediatrics
  • Sleep Medicine
  • Behavioral Therapy

Background:

  • Nocturnal enuresis is a common childhood condition.
  • Effective treatments are crucial for improving children's quality of life.

Purpose of the Study:

  • To evaluate a treatment process for nocturnal enuresis using a urine alarm.
  • To analyze daily outcomes and identify predictors of treatment success.

Main Methods:

  • Children were classified as treatment successes (N=38) or nonsuccesses (N=19) based on 3-week continence.
  • Daily results were categorized: dry with sleep (DS), dry with awakening (DA), wet with awakening (WA), and wet with sleep (WS).
  • Trend and discriminant analyses were used to evaluate outcomes.

Main Results:

  • An increase in dry awakenings (DA) was prominent in treatment successes compared to nonsuccesses.
  • Wet awakenings (WA) correctly classified 86% of children into success or nonsuccess groups.
  • Awakening patterns effectively distinguished between treatment outcomes.

Conclusions:

  • The study supports an active avoidance model for urine-alarm treatment efficacy in nocturnal enuresis.
  • Specific awakening patterns are key indicators of successful treatment.
  • Urine alarm therapy shows promise for managing childhood bedwetting.

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