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Related Experiment Videos

Do children with primary nocturnal enuresis have clinically significant behavior problems?

P C Friman1, M L Handwerk, S M Swearer

  • 1Father Flanagan's Boys' Home, Boys Town, Neb, USA. frimanp@boystown.org

Archives of Pediatrics & Adolescent Medicine
|June 26, 1998
PubMed
Summary

Primary nocturnal enuresis (PNE) rarely involves significant behavioral issues. Most cases are common biobehavioral problems, not psychiatric conditions, suggesting PNE can be treated without a psychiatric focus.

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Area of Science:

  • Pediatric behavioral health
  • Child psychology
  • Urology

Background:

  • Primary nocturnal enuresis (PNE) is common in children.
  • The association between PNE and behavioral comorbidity requires further investigation.

Purpose of the Study:

  • To investigate the prevalence of behavioral comorbidity in children diagnosed with primary nocturnal enuresis (PNE).

Main Methods:

  • A survey design was employed using the Eyberg Child Behavior Inventory (ECBI), a standardized parent-report scale.
  • Participants included children with PNE (n=92), a clinical sample without PNE (n=92), and a nonclinical sample (n=92).

Main Results:

  • A significant main effect for group was found on both Problem Intensity and Problem Number (P<.001).

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  • The PNE sample showed higher Problem Intensity than the nonclinical sample, but lower than the clinical sample.
  • Problem Number did not differ between PNE and nonclinical samples, but both were lower than the clinical sample.

    • Conclusions:

    • Primary nocturnal enuresis (PNE) is typically not associated with significant behavioral comorbidity.
    • PNE is generally a common biobehavioral issue, not a psychiatric disorder.
    • Pediatricians can treat PNE as a biobehavioral problem, avoiding unnecessary psychiatric evaluation unless clinically indicated.