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Child Psychiatry and Enuresis

Published online by Cambridge University Press:  29 January 2018

Extract

The status of enuresis as a symptom of psychiatric disturbance is still uncertain despite a considerable amount of research, which has been well reviewed by Shaffer (1973, 1977, 1980). The problem is that although general population surveys, such as the Isle of Wight investigation (Rutter et al, 1973) and the National Child Development Study (Essen and Peckham, 1976) have indicated a definite association between enuresis and psychiatric disorders, particularly the common neurotic and conduct disturbances, they have also made it abundantly clear that the majority of children who wet are actually well-adjusted and free from other problems affecting their behaviour. Enuretic children referred to clinics for treatment are more likely to be psychiatrically disturbed (Hallgren, 1957), but even then the majority of them are free from other behaviour difficulties.

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Copyright © Royal College of Psychiatrists, 1981 

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References

Azrin, N. H. & Thienes, P. M. (1978) Rapid elimination of enuresis by intensive learning without a conditioning apparatus. Behaviour Therapy, 9, 342–54.CrossRefGoogle Scholar
Azrin, N. H. & Besabel-Azrin, V. (1979) Bedwetting Eliminated Through Training. New York: Simon and Schuster.Google Scholar
Berg, I. (1979) Annotation: Day wetting in children. Journal of Child Psychology and Psychiatry, 20, 167–73.CrossRefGoogle Scholar
Berg, I., Fielding, D. & Meadow, R. (1977) Psychiatric disturbance, urgency and bacteruria in children with day and night wetting. Archives of Disease in Childhood, 52, 651–7.CrossRefGoogle Scholar
DeLeon, J. & Mandell, W. (1966) A comparison of conditioning and psychotherapy in the treatment of functional enuresis. Journal of Clinical Psychology, 22, 326–30.Google Scholar
Doleys, D. M. (1977) Behavioural treatments for nocturnal enuresis in children: a review of recent literature. Psychological Bulletin, 84, 3054.CrossRefGoogle ScholarPubMed
Douglas, J. W. B. (1973) Early disturbing events and later enuresis. In Bladder Control and Enuresis (eds. Kolvin, I., MacKeith, R. C. and Meadow, S. R.). London: William Heinemann.Google Scholar
Essen, J. & Peckham, C. (1976) Nocturnal enuresis in childhood. Developmental Medicine and Child Neurology, 18, 577–89.CrossRefGoogle ScholarPubMed
Fielding, D. M., Berg, I. & Bell, S. (1978) An observational study of postures and limb movements of children who wet by day and at night. Developmental Medicine and Child Neurology, 20, 453–61.CrossRefGoogle ScholarPubMed
Forsythe, W. I. & Redmond, A. (1974) Enuresis and spontaneous cure rate. Archives of Disease in Childhood, 49, 259–63.CrossRefGoogle ScholarPubMed
Hallgren, B. (1956) Enuresis. Acta Psychiatrica et Neurologica Scandinavica, 31, 379436.CrossRefGoogle ScholarPubMed
Hallgren, B. (1957) Enuresis. A clinical and genetic study. Acta Psychiatrica et Neurologica Scandinavica Supplement 114, 32, 1159.Google ScholarPubMed
MacKeith, R. C. (1959) Micturition induced by giggling? cataplexy. Archives of Disease in Childhood, 34, 358.Google Scholar
Meadow, R. (1981) Help for Bed Wetting. Edinburgh: Churchill Livingstone.Google Scholar
Morgan, R. T. T. (1978) Relapse and therapeutic responses in the conditioning treatment of enuresis. A review of recent findings on intermittent reinforcement, over-learning and stimulus intensity. Behaviour Research and Therapy, 16, 273–9.CrossRefGoogle Scholar
Morgan, R. T. T. & Young, G. C. (1975) Parental attitudes and the conditioning treatment of childhood enuresis. Behaviour Research and Therapy, 13, 197–9.CrossRefGoogle ScholarPubMed
Rutter, M., Yule, W. & Graham, P. (1973) Enuresis and behaviour deviance: some epidemiological considerations. In Bladder Control and Enuresis (eds. Kolvin, I., MacKeith, R. C. and Meadow, S. R.). London: William Heinemann.Google Scholar
Shaffer, D. (1973) The association between enuresis and emotional disorder: a review of the literature. In Bladder Control and Enuresis (eds. Kolvin, I., MacKeith, R. C. and Meadow, S. R.). London: William Heinemann.Google Scholar
Shaffer, D. (1977) Enuresis. In Child Psychiatry: Modern Approaches (eds. Rutter, M. and Hersov, L.). Oxford: Blackwell Scientific.Google Scholar
Shaffer, D. (1980) The development of bladder control. In Scientific Foundations of Developmental Psychiatry (ed. Rutter, M.). London: William Heinemann.Google Scholar
Werry, J. S. (1967) Is enuresis a psychosomatic entity? Canadian Medical Association Journal, 97, 319–27.Google ScholarPubMed
Werry, J. S. & Cohrssen, J. (1965) Enuresis: an etiologic and therapeutic study. Journal of Pediatrics, 67, 423–31.CrossRefGoogle ScholarPubMed
Williams, D. I. (1968) The presentation of urogenital disorders in children. In Paediatric Urology (ed. D. Innes Williams). London: Butterworth.Google Scholar
Young, G. C. & Morgan, R. T. T. (1972) Childhood enuresis: termination of treatment by parents. Community Medicine, 129, 247–50.Google Scholar
Young, G. C. & Morgan, R. T. T. (1973) Rapidity of response to the treatment of enuresis. Developmental Medicine and Child Neurology, 15, 488–96.CrossRefGoogle Scholar
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