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Insecure attachment and its relationship with negative self perception in children with nocturnal enuresis

Basar Ayribas1, Tuncay Toprak2, Recep Burak Degirmentepe3

  • 1Department of Child and Adolescent Psychiatry, LWL Klinikum, Marsberg, Germany.

Journal of Pediatric Urology
|October 28, 2022
PubMed

Insights

Children with nocturnal enuresis (NE) often experience insecure attachment and lower self-perception. Addressing these psychological factors may be key for effective NE interventions.

Area of Science:

  • Psychology
  • Pediatrics
  • Child Psychiatry

Background:

  • Nocturnal enuresis (NE) is a multifactorial condition with psychological factors playing a significant role in its etiology.
  • Children with NE frequently exhibit self-esteem issues and insecure attachment styles, though the link between these is understudied.

Purpose of the Study:

  • To investigate the self-perception and attachment profiles of children with NE.
  • To examine the relationship between these psychological factors and sociodemographic variables.

Main Methods:

  • A comparative study involving 41 children with NE and 40 healthy controls.
  • Attachment was assessed using Kern's Security Scale.
  • Self-perception was measured using the Self-Perception Profile for Children.

Main Results:

  • Enuretic children demonstrated significantly higher rates of insecure attachment and negative self-perception compared to controls.
  • Differences were also noted in sibling number and birth rank between the groups.

Conclusions:

  • Enuretic children warrant evaluation for psychological difficulties, including insecure attachment and low self-esteem.
  • Interventions targeting these psychological aspects are recommended for NE management.
  • The interplay between negative self-perception and insecure attachment is a crucial area for understanding NE etiology and treatment.
Abstract

Keywords:
AttachmentNocturnal enuresisSelf-esteemSelf-perception

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