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Enuresis: an analysis of 82 cases
1Dept. of Phychiatry, University College of Medical Sciences, Delhi.
Indian Journal of Medical Sciences
|December 1, 1990
Summary
Bedwetting (enuresis) affects over 20% of children over four. It is more common in boys, younger children, and lower social classes, often linked to stress and behavioral issues. Combined drug and psychological treatment offers the best long-term results.
Area of Science:
- Pediatrics
- Child Psychology
- Clinical Medicine
Background:
- Nocturnal enuresis, or bedwetting, is a common childhood condition.
- Prevalence and associated risk factors require further investigation for effective management.
Purpose of the Study:
- To determine the prevalence of enuresis in children over four years old.
- To identify demographic, social, and psychological factors associated with enuresis.
- To evaluate the effectiveness of different treatment modalities.
Main Methods:
- A study was conducted on 400 children aged four and above.
- Data collected included enuretic status, age, gender, socioeconomic class, stress factors, and habit disorders.
- Treatment outcomes were compared between groups receiving imipramine, psychological therapy, or a combination.
Main Results:
- 20.5% of children were identified as enuretics.
- Enuresis prevalence was significantly higher in boys (p < 0.001), ages 3-5 years, and lower social classes.
- Enuretic children exhibited significantly more stress factors and habit disorders (p < 0.001).
Conclusions:
- Enuresis is prevalent in young children and linked to socioeconomic status, gender, stress, and behavioral issues.
- Combined imipramine and psychological treatment demonstrated superior long-term efficacy compared to monotherapy (p < 0.001).