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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
PubMed

Insights

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.
Abstract

Keywords:
BehaviorChildrenPrimary monosymptomatic nocturnal enuresis (PMNE)Strength and Difficulties Questionnaire (SDQ)

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