EVALUATION OF ANXIETY LEVELS IN CHILDREN AND THEIR MOTHERS WITH MONOSYMPTOMATIC NOCTURNAL ENURESIS

Abstract

Objective: To evaluate the anxiety levels in children and their mothers with enuresis. Material and Method: The study population is consisted of 96 children (52 enuretic children, and 44 healthy children) and their mothers. Anxiety levels of the study population were evaluated by using the Screen for Child Anxiety and Related Disorders in children, the and State-Trait Anxiety Inventory in the mothers. Results: The mean score of SCARED was significantly higher in the Primary monosymptomatic nocturnal enuresis (PMNE) group compared to the healthy control group (32.5±10.7 vs 26.7±10.6 respectively, p=0.009). The STAI-2 score was significantly higher in the enuretic children’s mothers compared to mothers of the healthy control (49.4±8.8, 42.4±6.8 respectively, p=0.001). Conclusion: We demonstrated high anxiety levels in children with PMNE and in their mothers. Nocturnal enuresis is an important problem affecting the children and mothers. Recognition and management of anxiety in enuretic children and their mothers is crucial for a successful treatment.

Keywords

• Anxiety scales,enuretic children,mothers

PRİMER ENÜREZİS NOKTURNA TANILI ÇOCUKLAR VE ANNELERİNDE ANKSİYETE DÜZEYİNİN DEĞERLENDİRİLMESİ

Abstract

Amaç: Enürezisli çocuklar ve annelerindeki anksiyete durumunu değerlendirmek Gereç ve Yöntem: Araştırma 96 çocuk (52 enüretik çocuk, 44 sağlıklı çocuk) ve annelerinden oluşmaktadır. Çocuklarda Çocukluk Çağı Anksiyete Tarama Ölçeği, annelerde Anlık ve Sürekli Anksiyete Ölçekleri kullanılarak anksiyete düzeyleri değerlendirildi. Bulgular: Enüretik hastaların çocukluk çağı anksiyete tarama ölçeği (ÇATÖ) puanı ortalaması kontrol grubundan daha yüksekti (32,5±10,7 ve 26,7±10,6 p=0,009). Enüretik çocukların annelerinin Sürekli Anksiyete Ölçek puanı ortalaması kontrol grubundaki annelerin puanından daha yüksek bulundu (49,4±8,8 ve 42,4±6,8 p=0,001). Sonuç: Araştırmamızda PEN’li çocuklar ve annelerinde anksiyete düzeyleri kontrol grubuna göre yüksek bulundu. Gece idrar kaçırma, çocukları ve anneleri etkileyen önemli bir sorundur. Enüretik çocuklarda ve annelerinde anksiyetenin tanınması ve yönetimi başarılı bir tedavi için oldukça önemlidir.

References

1. 1. Neveus T, von Gontard A, Hoebeke P, Hjalmas K, Bauer S, Bower W, et al. The standardization of terminology of lower urinary tract function in children and adolescents: report from the standardisation committee of the international children’s continence society. J Urol 2006;176:314-24.
2. 2. Fergusson DM, Horwood LJ. Nocturnal enuresis and behavioral problems in adolescence: a 15-year longitudinal study. Pediatrics 1994;94:662-8.
3. 3. Salehi B, Yousefichaijan P, Rafeei M, Mostajeran M. The relationship between child anxiety related disorders and primary nocturnal enuresis Iran J Psychiatry Behav Sci 2016;10(2):1-4.
4. 4. Birmaher B, Khertapal S, Brent D. The Screen for Child Anxiety Related Emotional Disorders (SCARED): Scale construction and psychometric characteristics. J Am Acad Child Adolesc Psychiatry1997;36:545-53.
5. 5. Karaceylan Cakmakci F. Reliability and validity of SCARED in Turkish children (PhD dissertation). Kocaeli University 2005.
6. 6. Spielberger CD, Gorsuch RL, Lushene RE. Manual for the state-trait anxiety inventory. California: Consulting Psychologist Press 1970.
7. 7. Le Compte A, Öner N. Durumluk-Sürekli Kaygı Envanteri El Kitabı. İstanbul: Boğaziçi Üniversitesi Yayınları, 1985.
8. 8. Von Gontard A, Mauer-Mucke K, Plück J, Berner W, Lehmkuhl G. Clinical behavioural problems in day and night-wetting children. Pediatr Nephrol 1999;13:662-7.

9. 9. Chang SS, Ng CF, Wong SN. Behavioural problems in children and parenting stress associated with primary nocturnal enuresis in Hong Kong. Acta Paediatr 2002;91(4):475-9. 10. Sahtiyanci M, Aydogan G, Yilmaz A, Alcalar N, Ozturk E, Kıyak A, et al. Evaluation of patients with primary nocturnal enuresis and their mothers using depression scales. IKSSTD 2011;3(3):122-8.
10. 11. Kara A, Ozdemir K, Dincel N, Kutlu A, Yilmaz E, Canturk G, et al. Evaluation of life qualities on children with monosymptomatic enuresis nocturia. J Contemp Med 2015;5(2):83-7.
11. 12. Naitoh Y, Kawacuchi A, Soh J, Kamoi K, Miki T. Health related quality of life for monosymptomatic enuretic children and their mothers. J Urol 2012;188(5):1910-4.
12. 13. Keten HS, Olmez S, Gencoglan S, Kilic BD, Olmez C, Onay H, et al. Evaluation of anxiety and depression symptoms severity in children and adolescents diagnosed as primary nocturnal enuresis Ankara Med J 2014;14(3):85-90.
13. 14. Egemen A, Akil I, Canda E, Ozyurt BC, Eser E. An evaluation of quality of life of mothers of children with enuresis nocturna. Pediatr Nephrol 2008;23:93-8.
14. 15. Durmaz O, Kemer S, Mutluer T, Butun E. Psychiatric dimensions in mothers of children with primary nocturnal enuresis: A controlled study. J Pediatr Urol 2017;13(1):62.e162.e6.
15. 16. Butler RJ, Redfern EJ, Holland P. Children’s notions about enuresis and the implications for treatment. Scand J Urol Nephrol Suppl 1994;163:39-47.
16. 17. Tanriverdi MH, Palanci Y, Yilmaz A, Penbegul N, Bez Y, Daggulli M. Effects of enuresis nocturna on parents of affected children: case-control study. Pediatr Int 2014;56(2):254-7.
17. 18. Meydan EA, Civilibal M, Elevli M, Duru NS, Civilibal N. The quality of life of mothers of children with monosymptomatic enuresis nocturna. Int Urol Nephrol 2012;44(3):655-9.