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Prevalence and behavioural correlates of enuresis in young children
Ayten Erdogan1, Hanife Akkurt, Nazan K Boettjer
1Department of Child and Adolescent Psychiatry, Zonguldak Karaelmas University, Faculty of Medicine, Zonguldak, Turkey. aytenerd@yahoo.com
Insights
This study found that children with enuresis (bedwetting) showed more social and total behavioral problems, but not clinically significant ones. Further research is needed to understand the link between psychopathology and enuresis.
Area of Science:
- Pediatrics
- Child Psychology
- Epidemiology
Background:
- Previous research suggests a link between childhood enuresis and behavioral issues, but findings are inconsistent.
- This study addresses the controversial relationship between behavioral problems and enuresis in a population-based sample.
Purpose of the Study:
- To investigate the prevalence of enuresis in preparatory school children.
- To examine the behavioral correlates of enuresis in this population.
Main Methods:
- A cross-sectional survey was conducted with 356 parents and their children aged 5-7 years in Istanbul, Turkey.
- Parents completed the Child Behaviour Checklist and socio-demographic forms.
- Children with enuresis (n=53) were compared to non-symptomatic children (n=303) on behavioral measures.
Main Results:
- The prevalence of enuresis was 14.9%, with a higher incidence in boys.
- Children with enuresis exhibited higher mean scores for total and social behavioral problems compared to controls (P=0.019, P=0.048).
- No significant differences were found in the percentage of children exceeding clinical thresholds for behavioral problems between the groups.
Conclusions:
- While children with enuresis show increased mean behavioral problem scores, clinically significant behavioral issues were not differentiated from controls.
- The study highlights the need for longitudinal research to clarify the causal relationship between psychopathology and enuresis.
Objectives:
Previous studies based on clinical samples report that enuresis in children is associated with behavioural problems and reduced self-esteem, but the relationship between behavioural problems and enuresis remains controversial. This population-based study investigated the prevalence and behavioural correlates of enuresis in a group of preparatory school children.
Methods:
This cross-sectional survey involved 356 parents and their children aged 5-7 years, all residents of Istanbul, Turkey. Parents completed the Child Behaviour Checklist and socio-demographic data form (response rate: 90%). Fifty-three children with enuresis were compared with 303 non-symptomatic children. Differences in the mean scores and the percentages of children falling beyond pre-selected clinical thresholds were compared between the groups.
Results:
The prevalence of enuresis was 14.9%, and enuresis was more frequent among boys. Children with enuresis were reported by their parents to have greater social problems and higher total problem scores than control children (P = 0.019, P = 0.048, respectively). However, there were no differences in the percentages of children falling beyond pre-selected clinical thresholds between the groups.
Conclusions:
Children with enuresis had higher mean scores for total and social behavioural problems than controls; however, clinically relevant behavioural problems did not show differences between the groups. Given the inconsistent research findings across studies, longitudinal research and outcome studies could help determine whether there is a causal relationship between psychopathology and enuresis.
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