OBJECTIVE: To determine if primary nocturnal enuresis (PNE) is accompanied by significant behavioral comorbidity. DESIGN: A survey design using a standardized behavioral rating scale. SETTING: Behavioral pediatric clinics in the Midwest. PARTICIPANTS: Subjects with PNE (n=92) were selected from 122 consecutive referrals for enuresis. Criteria included age 5 years or older, PNE status, and wetting frequency of at least once per week. The clinical sample without PNE (n=92) was randomly selected from 429 consecutive referrals to the same pediatric clinics, stratified for age and sex. The nonclinical sample (n=92) was randomly selected by strata from the standardization sample (N=614) of the behavioral checklist used in the study. MAIN OUTCOME MEASURE: The Eyberg Child Behavior Inventory (ECBI), a standardized parent report scale, was used to measure the degree of behavioral comorbidity. The ECBI yields 2 scores, Problem Intensity and Problem Number. RESULTS: Results from 2 separate 3 (group) x 2 (sex) analyses of variance indicated a significant main effect for group on Problem Intensity and Problem Number (P<.001). For Problem Intensity, post hoc comparisons indicated the mean of the PNE sample was significantly higher than the mean of the nonclinical sample (P<.05), but the mean scores of the clinical sample were significantly higher than those of both the PNE and nonclinical samples (P<.05). For Problem Number, post hoc comparisons revealed the means of the PNE and nonclinical samples did not differ from each other (P>.05) but were lower than the mean of the clinical sample (P<.05). CONCLUSION: Primary nocturnal enuresis does not present with significant behavioral comorbidity in most cases. The results suggest that, with the exception of an extraordinary clinical presentation, pediatricians should treat PNE as a common biobehavioral problem without a psychiatric component.
OBJECTIVE: To determine if primary nocturnal enuresis (PNE) is accompanied by significant behavioral comorbidity. DESIGN: A survey design using a standardized behavioral rating scale. SETTING: Behavioral pediatric clinics in the Midwest. PARTICIPANTS: Subjects with PNE (n=92) were selected from 122 consecutive referrals for enuresis. Criteria included age 5 years or older, PNE status, and wetting frequency of at least once per week. The clinical sample without PNE (n=92) was randomly selected from 429 consecutive referrals to the same pediatric clinics, stratified for age and sex. The nonclinical sample (n=92) was randomly selected by strata from the standardization sample (N=614) of the behavioral checklist used in the study. MAIN OUTCOME MEASURE: The Eyberg Child Behavior Inventory (ECBI), a standardized parent report scale, was used to measure the degree of behavioral comorbidity. The ECBI yields 2 scores, Problem Intensity and Problem Number. RESULTS: Results from 2 separate 3 (group) x 2 (sex) analyses of variance indicated a significant main effect for group on Problem Intensity and Problem Number (P<.001). For Problem Intensity, post hoc comparisons indicated the mean of the PNE sample was significantly higher than the mean of the nonclinical sample (P<.05), but the mean scores of the clinical sample were significantly higher than those of both the PNE and nonclinical samples (P<.05). For Problem Number, post hoc comparisons revealed the means of the PNE and nonclinical samples did not differ from each other (P>.05) but were lower than the mean of the clinical sample (P<.05). CONCLUSION:Primary nocturnal enuresis does not present with significant behavioral comorbidity in most cases. The results suggest that, with the exception of an extraordinary clinical presentation, pediatricians should treat PNE as a common biobehavioral problem without a psychiatric component.
Authors: Ellen M Kessel; Anna E S Allmann; Brandon L Goldstein; Megan Finsaas; Lea R Dougherty; Sara J Bufferd; Gabrielle A Carlson; Daniel N Klein Journal: J Am Acad Child Adolesc Psychiatry Date: 2016-12-25 Impact factor: 8.829
Authors: Cortney Wolfe-Christensen; David A Fedele; DeMond Grant; Amy L Veenstra; Larisa G Kovacevic; Jack S Elder; Yegappan Lakshmanan Journal: J Clin Psychol Med Settings Date: 2014-03
Authors: Michael W Mellon; Brooke E Natchev; Slavica K Katusic; Robert C Colligan; Amy L Weaver; Robert G Voigt; William J Barbaresi Journal: Acad Pediatr Date: 2013-03-01 Impact factor: 3.107