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Behavior and bladder disturbance of enuretic children: a rational classification of a common disorder
Insights
This study found that traditional classifications for childhood enuresis (bedwetting) lack practical value. However, enuretic children with psychiatric disorders often have lower bladder volumes and developmental delays.
Area of Science:
- Pediatric Urology
- Child Psychiatry
- Developmental Pediatrics
Background:
- Childhood enuresis is a common condition with various proposed classifications.
- Understanding the underlying factors influencing enuresis is crucial for effective management.
Purpose of the Study:
- To evaluate the clinical utility of common enuresis classifications.
- To investigate the relationship between psychiatric status, neurological state, bladder function, and environmental factors in enuretic children.
Main Methods:
- A cohort of 126 children diagnosed with enuresis was assessed.
- Data collected included psychiatric and neurological evaluations, functional bladder volume measurements, and environmental circumstances.
- Children were analyzed based on social disadvantage, family history of enuresis, and onset type.
Main Results:
- Few significant differences were observed between groups based on social disadvantage, family history, or onset type.
- No classification effectively predicted treatment response.
- Children with comorbid psychiatric disorders exhibited significantly lower functional bladder volumes and more developmental delays.
Conclusions:
- Traditional classifications of enuresis (e.g., primary/secondary, familial/non-familial) offer limited practical value.
- The co-occurrence of psychiatric disorders and low functional bladder volume in enuretic children suggests a potential link to constitutional abnormalities rather than distinct subgroups.
Abstract:
A group of 126 enuretic children were evaluated as to their psychiatric and neurological states, functional bladder volume and environmental circumstances. Few differences were found when the children were grouped according to presence or absence of social disadvantage, the presence of a family history of enuresis, or the nature of onset of enuresis. No classification differentially predicted response to treatment. However, children with an associated psychiatric disorder had significantly lower bladder volumes and had more developmental delays. It is concluded that the classifications of primary or secondary enuresis, or familial or non-familial, etc., are of little practical value. When psychiatric disorder is found, it is probably related to other constitutional abnormalities. Rather than there being two separate groups of enuretic children with behavior disorder and low functional bladder volume, these two abnormalities are found in conjunction.