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Behavioral problems in children with primary monosymptomatic nocturnal enuresis
Sherifa Ahmed Hamed1, Mohamed Fawzy1, Enas Ahmed Hamed2
1Department of Neurology and Psychiatry, Assiut University Hospital, Assiut, Egypt.
Comprehensive Psychiatry
|November 13, 2020
Summary
Children with primary monosymptomatic nocturnal enuresis (PMNE) exhibit increased behavioral issues, especially emotional and hyperactivity-inattention symptoms. Early intervention is crucial to address these problems and prevent future psychiatric disorders.
Area of Science:
- Pediatric Psychology
- Child Psychiatry
- Behavioral Science
Background:
- Primary monosymptomatic nocturnal enuresis (PMNE) is a prevalent and distressing condition affecting children and their families.
- Understanding the behavioral characteristics associated with PMNE is essential for effective management.
Purpose of the Study:
- To investigate the frequencies, severities, and specific characteristics of behavioral problems in children diagnosed with PMNE.
- To compare behavioral symptoms between children with PMNE and healthy controls.
Main Methods:
- A cross-sectional study involving 80 children with PMNE and 60 healthy controls.
- Behavioral symptoms were assessed using the Strength and Difficulties Questionnaire (SDQ).
Main Results:
- Children with PMNE showed significantly higher frequencies of emotional, conduct, hyperactivity-inattention symptoms, and peer relationship problems compared to controls.
- Emotional and hyperactivity-inattention symptoms were independently associated with PMNE.
- Over 50% of children with PMNE presented with overlapping behavioral problems.
Conclusions:
- PMNE is linked to a higher risk of behavioral problems, particularly emotional and hyperactivity-inattention symptoms.
- Early interventions, including non-pharmacological and/or drug treatments, are recommended.
- Comorbid behavioral disorders require separate, evidence-based treatment to prevent persistent enuresis and future psychiatric issues.
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