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Problem behavior, parental stress and enuresis

Elke De Bruyne1, Eline Van Hoecke, Katrien Van Gompel

  • 1Paediatric Uro/Nephrologic Centre, Ghent University Hospital, Ghent, Belgium. elke.debruyne@uzgent.be

The Journal of Urology
|August 22, 2009
PubMed

Insights

Parents reported more child behavior problems and stress in children with (non)monosymptomatic enuresis. Maternal ratings showed higher externalizing and total problems, while both parents noted increased inattention and oppositional behaviors, correlating with parental stress.

Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Behavioral Pediatrics

Background:

  • Childhood enuresis, including monosymptomatic and non-monosymptomatic forms, is a common condition affecting children.
  • Parental perception of child behavior and parental stress are significant factors in managing childhood conditions.

Purpose of the Study:

  • To determine maternal and paternal ratings of problem behavior in children aged 5-13 with (non)monosymptomatic enuresis.
  • To investigate parental stress levels in parents of children with enuresis.
  • To examine the association between parental behavior ratings and parental stress.

Main Methods:

  • Compared problem behavior using the Child Behavior Checklist and Disruptive Behavior Disorders Rating Scale in 78 children with (non)monosymptomatic enuresis and 110 controls.
  • Assessed parental stress using the Parenting Stress Index.

Main Results:

  • Mothers reported significantly higher externalizing and total behavior problems in enuretic children compared to controls.
  • Both mothers and fathers of enuretic children reported higher scores for inattention, hyperactivity/impulsivity, and oppositional defiant disorder.
  • Parents of enuretic children experienced significantly higher overall stress, particularly stress related to child characteristics, which correlated with reported behavior problems.

Conclusions:

  • Maternal and paternal reports indicate increased problem behaviors in children with (non)monosymptomatic enuresis.
  • Parents of enuretic children experience heightened stress, which is strongly associated with their perception of the child's behavior problems.
Abstract

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