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Behavioural problems in children with enuresis
Seval Birdal1, Burak Doğangün2
1Bakırköy Psychiatric Hospital, İstanbul, Turkey.
Insights
Children with enuresis (bedwetting) show higher rates of behavioral problems compared to their peers. This includes externalizing, internalizing, and total problem scores, suggesting a significant link between enuresis and childhood behavioral issues.
Area of Science:
- Child and Adolescent Psychiatry
- Pediatric Behavioral Health
Background:
- Enuresis is a common chronic childhood disorder affecting over 5% of children.
- Behavioral problems are frequently associated with enuresis, but the extent and nature require further investigation.
Purpose of the Study:
- To investigate the frequency and types of behavioral problems in children diagnosed with enuresis.
- To compare behavioral problem profiles of enuretic children with a healthy peer group.
Main Methods:
- A comparative study involving 30 children aged 7-11 with enuresis and 30 age-matched controls.
- The Child Behaviour Checklist (CBCL) was administered to assess behavioral problems in both groups.
Main Results:
- Children with enuresis exhibited significantly higher scores in externalizing, internalizing, and total behavioral problems compared to controls.
- Exceptions included Sluggish Cognitive Tempo, Anxiety Disorders, and Obsessive Compulsive Disorder sub-tests.
- Higher internalizing problem scores in enuretic children were noted compared to international studies, potentially linked to cultural factors.
Conclusions:
- Children with enuresis demonstrate a higher prevalence of behavioral problems than their healthy peers.
- Findings align with existing literature, highlighting the need for integrated management of enuresis and behavioral concerns.
- Cultural factors may influence the manifestation of internalizing problems in enuretic children, warranting further research in larger cohorts.
Aim:
Enuresis is defined as involuntary or intentional repeated voiding of urine into clothes or bed at least twice a week for a period of three consecutive months in children older than five years old. It is one of the most frequent chronic childhood disorders. The aim of this study was to investigate the frequency of behavioural problems in children with enuresis.
Material And Methods:
The research compared 30 children aged between 7 and 11 years who had consulted to Bakırköy Prof. Dr. Mazhar Osman Mental Health and Neurological Diseases Training and Research Hospital, Child and Adolescent Psychiatry Clinics and diagnosed with enuresis with their 30 peers who were randomly selected from a state elementary school. The Child Behaviour Checklist was applied to both groups.
Results:
The subdimension scores of both groups were compared, it was observed that children with enuresis had higher scores compared to their peers in all sub-tests except for the Sluggish Cognitive Tempo, Anxiety Disorders, and Obsessive Compulsive Disorder sub-tests. Enuretic children had higher scores in externalizing (p<0.001), internalizing (p=0.001) and total problem (p<0.001) scales.
Conclusion:
The results of this study indicate that children with enuresis exhibit behavioral problems with a higher rate compared to their healthy peers. The results are in line with the literature. Moreover, compered to the results of the studies conducted in different countries, significantly higher scores in internalizing problems were obtained. It was thought is possible that this might be related with cultural factors. However, these findings need to be verified with data from larger scale studies.
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