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Attention deficit hyperactivity disorder in children with primary monosymptomatic nocturnal enuresis: A case-control

Parsa Yousefichaijan, Mojtaba Sharafkhah1, Bahman Salehi

  • 1Students Research Committee, School of Medicine, Arak University of Medical Sciences, Arak, Iran.

Saudi Journal of Kidney Diseases and Transplantation : an Official Publication of the Saudi Center for Organ Transplantation, Saudi Arabia
|January 21, 2016
PubMed

Insights

Children with primary monosymptomatic nocturnal enuresis (PMNE) show higher rates of inattentive Attention Deficit Hyperactivity Disorder (ADHD). This suggests a link between ADHD inattentive type and PMNE, warranting psychological support.

Area of Science:

  • Pediatric Neurology
  • Child Psychology

Background:

  • Attention Deficit Hyperactivity Disorder (ADHD) is a common childhood neurological disorder.
  • Primary Monosymptomatic Nocturnal Enuresis (PMNE) affects a significant number of children.
  • The relationship between ADHD and PMNE requires further investigation.

Purpose of the Study:

  • To investigate the prevalence of ADHD in children diagnosed with PMNE.
  • To compare ADHD rates in children with PMNE against a control group of healthy children.
  • To determine if specific ADHD subtypes are more prevalent in children with PMNE.

Main Methods:

  • A case-control study involving 100 children with PMNE and 100 healthy controls (ages 5-16).
  • ADHD diagnosis utilized Conner's Parent Rating Scale-48 and DSM-IV criteria, confirmed by a psychiatrist.
  • Statistical analysis performed using SPSS18 with binomial tests.

Main Results:

  • ADHD inattentive type was significantly more common in children with PMNE (16%) compared to controls (5%) (P=0.01).
  • No significant differences were found for ADHD hyperactive-impulsive type (P=0.08) or ADHD mixed type (P=0.84) between groups.
  • The prevalence of ADHD inattentive type was notably higher in the PMNE group.

Conclusions:

  • ADHD inattentive type shows a significant correlation with PMNE in children.
  • The findings highlight the importance of screening for ADHD inattentive type among children with PMNE.
  • Psychological counseling is recommended for children experiencing PMNE due to the observed link with ADHD.

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