Nocturnal Enuresis Frequency in Children and Anxiety-Depression Risks of Parents

Year 2016, Volume: 7 Issue: 2, 150 - 156, 16.06.2016

Hilal Aksoy

https://doi.org/10.5799/ahinjs.01.2016.02.0588

Abstract

Objective: In this study, we aimed to detect the
prevalence of the monosymptomatic nocturnal enuresis (MSE) in the
children attended to our clinics and to detect the relationship between
enuresis and social tendencies, anxiety and de­pression risks of the
parents.

Methods: Our study was performed with 133 children
aged between 5-16 years and with their parents who admitted to Ankara
Numune Training and Research Hospital outpatient clinics. The children’s
MSE were confirmed with voiding dysfunction scoring system scale. For
the parents Hospital Anxiety and Depression Scale and Fatih Social
Tendencies Scales (FSTS) were conducted.

Results: MSE frequency was found as 37.6% (n=50).
Enuresis was observed more frequently in the crowded families with low
socioeconomic status and low parent education level. Risk of MSE in
children was found to be increased 5.5 times in whom parents have also
MSE. High depression score of father was found to be related with MSE in
child (p=0.038).

Conclusion: Enuresis is a condition that decreases the
life quality of the children and their parents and increases the level
of anxiety. Family physicians have important mission for prevention of
the disease related with their biopsychoso­cial approach. J Clin Exp Invest 2016; 7 (2): 150-156

Keywords

Enuresis, anxiety, depression, social tendencies

References

• 1. Amerikan Psikiyatri Birliği, Ruhsal Bozuklukların Tanısal ve Sayımsal Elkitabı, (DSM -5). Tanı Ölçütleri Başvuru Elki - tabı’ndan çev. Köroğlu E, Hekimler Yayın Birliği, Ankara, 2013:181. 2. Avanoğlu A, Baskın E, Söylemezoğlu O, ve ark. Türki - ye Enürezis Kılavuzu, Türkiye Enürezis Çalışma Grubu, 2010:1-17. 3. Klackenberg G. Nocturnal enuresis in a longitudinal perspec - tive. A primary problem of maturity and/or a secondary en - vironmental reaction. Acta Paediatr Scand. 1981;70:453-7. 4. Forsythe WI, Redmond A. Enuresis and spontaneous cure rate: study of 1129 enuretics. Arch Dis Child. 1974;49:259- 63. 5. Paediatric Society of New Zealand. Best practice evidence based guideline: nocturnal enuresis “bedwetting.” Wel - lington: New Zealand Guidelines Group, 2005:23-24. Web address: http://www.paediatrics.org.nz/files/guidelines/En - uresisguidelinefinalendorsed.pdf 6. Schmitt BD. Seven deadly sins of childhood: advising par - ents about difficult developmental phases. Child Abuse Negl. 1987;11:421-32. 7. Haque M, Ellerstein NS, Gundy JH, et al. Parental percep - tions of enuresis: a collaborative study. Am J Dis Child. 1981;135:809-11. 8. Egemen A, Akil I, Canda E, et al. An evaluation of quality of life of mothers of children with enuresis nocturna. Pediatr Nephrol. 2008;23:93-8. 9. Sahtiyancı M, Aydoğan G, Yılmaz A, ve ark. Primer enürezis nokturnalı hastaların ve annelerinin depresyon ölçekleri ile değerlendirilmesi. JOPP Dergisi 2011;3:122-8. 10. Carman KB, Ceran O, Kaya C, et al. .Nocturnal enuresis in Turkey: prevalence and accompanying factors in different socioeconomic environments. Urol Int 2008;80:362-6. 11. Abuhandan M, Kandemir H, Geter S, Kar.ababa F. Primer enürezis nokturnalı çocuk ve ergen hastalarda oksidatif du - rumun değerlendirilmesi. Dicle Tıp Dergisi 2014;41:123-7. 12. Yurtçu M, Bilban S, Dinçer Ş, ve ark. Sağlıklı ve enüretik çocuklarda idrar tutabilme yaşlarının araştırılması. TSK Koruyucu Hekimlik Bülteni. 2006;5:45. 13. Bircan MK, Ekinci Z, Korkmaz K, ve ark. Enurezis noktur - nada desmopressin ve imipraminin etkinlik ve güvenilirlik yönünden karşılaştırılması. Üroloji Bülteni. 1993;4:27-9. 14. Butler RJ, Golding J, Northstone K. and The Alspac study Team. Nocturnal enuresis at 7, 5 years old: prevalance and analysis of clinical signs. BJU Int 2005;96:404-10. 15. Serel TA, Akhan G, Koyuncuoğlu HR, et ark. Epidemiol - ogy of enuresis Turkish children. Scand J Urol Nephrol. 1997;31:537-9. 16. Butler RJ. Annotation; nightwetting in children: psycho - logical aspect. J Clin Psychol Psychiatry. 1998;39:453-63. 17. Lie X, Sun Z, Uchiyama M, ve ark. Attaining nocturnal uri - nary control, nocturnal enuresis and behavioural problems in Chinese children aged 6 through 16 years. J Am Acad Child Adolesc Psychiatry. 2000;39:1557-64. 18. Toros F, Avlan D, Çamdeviren H. Enüretik çocukların bi - yopsikososyal değerlendirilmesi. Anadolu Psikiyatri Derg. 2003;4:38-45. 19. Miskulin M, Miskulin I, Mujkic A, et al. Enuresis in school children from eastern Croatia. Turk J Pediatr. 2010;52:393- 9. 20. Öge Ö, Koçak İ, Gemalmaz H. Enuresis point prevalence and associated factors among Turkish children. Turk J Pe - diatr. 2001;43:38-43. 21. Dündar P, Ergin D, Kurses M, ve ark. Manisa’da bir ge - cekondu bölgesinde 5-16 yaş grubunda enürezis noktur - na sıklığı ve ilişkili faktörler. DEÜ Tıp Fakültesi Derg. 2007;21:89-95. 22. Devlin JB, O’cothain C. Predicting outcome in nocturnal enuresis. Arch Dis Child. 1990;65:1158-61. 23. Gunes A, Gunes G, Acik Y, Akilli A. The epidemiology and factors associated with nocturnal enuresis among boarding and daytime school children in south east of Turkey: a cross sectional study. BMC Public Health. 2009;9:357-60. 24. Gür E, Turhan P, Can G, ve ark. Enürezis: prevalance, risk factors and urinary pathology among school children in İstanbul, Turkey. Pediatr Int. 2004;46:58-63.