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Self-esteem in 6- to 16-year-olds with monosymptomatic nocturnal enuresis

Yoganathan Kanaheswari1, Veronica Poulsaeman, Vijayalakshmi Chandran

  • 1Department of Paediatrics, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, Malaysia. kanahes@ppukm.ukm.my

Journal of Paediatrics and Child Health
|September 25, 2012
PubMed

Insights

Malaysian children aged 10 and above with nocturnal enuresis (NE) experience lower self-esteem (SE). This impacts girls, adolescents, and those with frequent wetting, suggesting earlier treatment is needed.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Urology

Background:

  • Childhood nocturnal enuresis (NE) is linked to behavioral issues and reduced self-esteem (SE) in Western children.
  • The impact of NE on SE in Asian populations, specifically Malaysian children, remains understudied.

Purpose of the Study:

  • To investigate the relationship between SE and monosymptomatic NE in Malaysian children aged 6 to 16 years.
  • To determine if NE affects SE in Malaysian children and identify specific demographic factors influencing this relationship.

Main Methods:

  • Recruitment of children with NE (wetting frequency ≥4/14 nights) and age-, gender-, and race-matched controls.
  • Assessment of SE using the 'I Think I Am' questionnaire across five domains: body image, talents/skills, psychological well-being, family relationships, and relationships with others.

Main Results:

  • No significant SE difference between enuretic and control children aged 6-9 years.
  • Children aged 10-16 with NE showed significantly lower SE scores in 'body image,' 'relationship with others,' and overall SE compared to controls (P < 0.05).
  • The negative impact on SE was more pronounced in girls, adolescents, and those with more frequent wetting (≥10/14 nights).

Conclusions:

  • Malaysian children aged 10+ with monosymptomatic NE exhibit significantly lower SE than their peers.
  • This SE deficit is particularly evident in girls, adolescents, and children experiencing frequent nocturnal wetting.
  • The findings challenge the 'wait and see' approach, advocating for earlier intervention for NE before the age of 10.
Abstract

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