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Published on: October 2, 2019
Enuresis nocturna and sleep quality
Salih Gozmen1, Sukran Keskin, Ipek Akil
1Department of Pediatric Nephrology, Celal Bayar University, Manisa, Turkey.
Insights
Children with nocturnal enuresis (bedwetting) experience poor sleep quality. Treatment with desmopressin acetate (DDAVP) improved sleep, reducing anxiety associated with bedwetting.
Area of Science:
- Pediatrics
- Sleep Medicine
- Urology
Background:
- Nocturnal enuresis is a common childhood issue with various proposed causes.
- Sleep quality in children with enuresis requires further investigation.
Purpose of the Study:
- To compare sleep quality between children with primary nocturnal enuresis and healthy controls.
- To evaluate the impact of desmopressin acetate (DDAVP) on sleep quality in enuretic children.
Main Methods:
- Utilized the Pittsburgh Sleep Quality Index (PSQI) for subjective sleep assessment.
- Included 19 children with primary nocturnal enuresis and 32 healthy controls.
- Assessed sleep quality before and after one month of DDAVP treatment.
Main Results:
- Enuretic children exhibited poorer sleep quality compared to controls.
- DDAVP treatment led to improved sleep quality scores in the patient group.
- Significant improvements were noted in 'subjective sleep quality' and 'sleep disturbances' after treatment.
Conclusions:
- Nocturnal enuresis negatively impacts children's sleep quality, often due to fear and anxiety.
- Desmopressin acetate (DDAVP) effectively improves sleep quality in enuretic children.
- Timely medical or behavioral interventions are recommended for enuretic children seeking to be dry during sleep.
Abstract:
Enuresis nocturna is a common problem. Numerous etiologic factors have been investigated, and various theories have been proposed. The objectives of our study were to establish the differences in the sleep quality of nocturnal enuretic patients from that of healthy voluntary subjects, and the changes after treatment with desmopressin acetate (DDAVP), among primary school children. The study comprised 19 children with primary nocturnal enuresis and 32 healthy children in the control group. Subjective assessment of sleep was determined with the Pittsburgh Sleep Quality Index (PSQI) questionnaire. PSQI scores for each patient and control subject were determined before the study was started and after a month time interval. The sleep quality of the nocturnal enuretic children was poor. We found lower scores after a month's treatment with DDAVP, and significant differences in two dimensions in the patient group: 'subjective sleep quality' and 'sleep disturbances'. When we asked the patients' group what caused the sleep disturbance, they replied 'the fear or the anxiety of bedwetting during sleep'. This anxiety or fear seemed to be a factor that probably affected their sleep quality. So, active treatment (medical or behavioral) should be started as soon as the child is ready to receive it or when the enuretic child wants to be dry when asleep.
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