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Enuresis in children with attention-deficit hyperactivity disorder
W L Robson1, H P Jackson, D Blackhurst
1Pediatric Nephrology Service, Children's Hospital, Greenville, SC 29605-4253, USA.
Southern Medical Journal
|May 1, 1997
Summary
Children with attention-deficit hyperactivity disorder (ADHD) are significantly more likely to experience both nocturnal and diurnal enuresis. Early identification and management of enuresis are crucial for these children.
Area of Science:
- Pediatric Neurology
- Developmental Pediatrics
- Urology
Background:
- Attention-deficit hyperactivity disorder (ADHD) is a prevalent neurodevelopmental disorder.
- Enuresis, encompassing both nocturnal and diurnal forms, affects a significant number of children.
- The co-occurrence of ADHD and enuresis requires further investigation.
Purpose of the Study:
- To determine the prevalence of nocturnal and diurnal enuresis in children diagnosed with ADHD.
- To compare the incidence of enuresis in children with ADHD versus a control group.
Main Methods:
- A retrospective study design was employed.
- Patients with ADHD were identified from a developmental pediatrics referral center.
- Control patients were selected from general pediatric and allergy clinics.
Main Results:
- At age 6, children with ADHD were 2.7 times more likely to have nocturnal enuresis and 4.5 times more likely to have diurnal enuresis compared to controls.
- These differences, while consistent at current ages, did not reach statistical significance.
- Overall, enuresis was significantly more common in children with ADHD.
Conclusions:
- Nocturnal and diurnal enuresis are significantly more prevalent in children with ADHD.
- Healthcare providers should routinely screen for enuresis in pediatric ADHD patients.
- Further research may explore underlying mechanisms and targeted interventions.