Related Experiment Video
Updated: Jun 28, 2026
Measuring Neural Mechanisms Underlying Sleep-Dependent Memory Consolidation During Naps in Early Childhood
Published on: October 2, 2019
Adherence in children with nocturnal enuresis
Dieter Baeyens1, Anneleen Lierman, Herbert Roeyers
1Research Group Developmental Disoders, Faculty of Psychology and Educational Sciences, Ghent University, Ghent University Hospital, Ghent, Belgium. baeyensdieter@hotmail.com
Insights
Children with nocturnal enuresis showed about 70% adherence to treatment guidelines. Greater adherence, especially to fluid intake, improved outcomes, with self-perception being a key predictor.
Area of Science:
- Pediatrics
- Child Psychology
- Behavioral Medicine
Background:
- Nocturnal enuresis treatment requires long-term patient adherence to medical guidelines.
- Understanding adherence predictors is crucial for optimizing therapeutic success in children.
Purpose of the Study:
- To evaluate adherence to enuresis treatment guidelines and its impact on success.
- To identify socio-demographic, medical, familial, and psychological predictors of adherence.
Main Methods:
- Assessed adherence to drinking/voiding schedules, toilet posture, and medication in 41 children (6-12 years) with nocturnal enuresis.
- Measured adherence at 1, 3, and 5 months post-treatment initiation.
Main Results:
- Mean adherence was approximately 70% based on child and parent reports.
- Higher adherence, particularly to fluid intake, correlated with better therapeutic outcomes after 6 months.
- Positive self-perception and low treatment-related stress predicted better adherence.
Conclusions:
- Adherence to enuresis treatment is moderate but significantly impacts success.
- Interventions focusing on improving self-perception and reducing treatment stress may enhance adherence.
- Targeting fluid intake schedules is particularly important for improving enuresis treatment outcomes.
Objective:
The treatment of enuresis requires adherence to several guidelines often over a long period of time. The aims of this study were 1) to investigate adherence to the medical treatment regime for enuresis and its influence on therapeutic success, and 2) to gain insight into the socio-demographic, medical, familial and psychological predictors of adherence.
Materials And Methods:
For 41 children (6-12 years) with nocturnal enuresis, adherence to four common guidelines (drinking and voiding schedule, toilet posture and medication intake) was measured at 1, 3 and 5 months after treatment.
Results And Conclusions:
Mean adherence to the medical regime is about 70% according to both child and parent reports at the 24-h recall interview. Greater adherence, particularly to the drinking schedule, was associated with greater therapeutic success after 6 months. The best predictor of good adherence was a positive perception of one's physical appearance and to a lesser extent low levels of stress related to the treatment of the disorder.
Related Concept Videos
01:17Urinary Tract Infection IV: Nursing Management
01:22Diabetes Insipidus II: Pathophysiology
01:26The Micturition Reflex
The process begins with bladder filling, where the bladder wall stretches as urine accumulates. This stretching activates the urine storage reflex, mediated by the sacral spinal segments and the pontine storage center. Efferent sympathetic impulses stimulate the detrusor muscle to relax and the internal urethral sphincter to contract, facilitating urine...
01:21Nursing Assessment of the Genitourinary System I: Health History
01:18Nightmares and Night Terrors
Nightmares often...
01:26Pharmacokinetics in Pediatric Patients: Drug Excretion