The Relationship Between Child Anxiety Related Disorders and Primary Nocturnal Enuresis

Bahman Salehi1, Parsa Yousefichaijan1, Mohammad Rafeei2

  • 1Department of Psychiatry, Arak University of Medical Sciences, Arak, IR Iran.

Insights

Generalized anxiety disorder is significantly linked to primary nocturnal enuresis in children over five. Early investigation and treatment for anxiety disorders are recommended for enuresis management.

Area of Science:

  • Pediatric Psychology
  • Child Psychiatry
  • Urology

Background:

  • Nocturnal enuresis (bedwetting) affects children over five, potentially causing infections and incontinence.
  • This condition involves loss of bladder control for six months, unrelated to medical issues or substance use.

Purpose of the Study:

  • To investigate generalized anxiety disorder as a potential cause of primary nocturnal enuresis.
  • To explore the relationship between various anxiety disorders and primary nocturnal enuresis.

Main Methods:

  • A case-control study involving 180 children with primary nocturnal enuresis and 180 healthy controls (ages 7-17).
  • Diagnosis confirmed using DSM-IV-TR criteria.
  • Data analyzed using SPSS software.

Main Results:

  • Significant differences observed between groups in generalized anxiety disorder, panic disorder, school phobia, social anxiety, and separation anxiety.
  • Maternal anxiety history and family history of enuresis also showed significant differences (P = 0.005).

Conclusions:

  • A clear link exists between anxiety disorder subgroups, including generalized anxiety disorder, and primary nocturnal enuresis.
  • Higher prevalence of anxiety disorders in children with enuresis suggests a need for screening and treatment.
Abstract

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