Psychopathology 410

Enuresis in Children

Enuresis in Children

Index

Introduction

Criteria

Risk Factors

Facts

Treatments

Introduction

Enuresis

Enuresis in a child is when the repeated letting out of urine into bed or clothing that begins to affect the child's social, emotional, or developmental health. There are three different types of enuresis. Nocturnal only, when innapropriate urination occurs only during nighttime. Diurnal only, when innapropriate urination occurs, urge incontinence, or voiding postponement happens during the day. Lastly, nocturnal and diurnal, which is a combination of both innapropriate urination during the daytime and nighttime. Enuresis in children can cause social decline especially with kids in school, health decline, and emotional discouragement within children.

Criteria

Criteria A

Repeated letting out of urine into bed or clothing

Criteria B

Has to happen for at least twice a week for 3 months or when clinically causing significant distress

Criteria C

Five years, or equivalent developmental level

Criteria D

you have to fule out substances or medical conditions first

Risk Factors

1. Lax or delayed toilet training 2. Psychosocial stress 3. Irregular circadian rhythms of urine production 4. Bladder capacity 5. Bladder hyperactivity 6. Family history of enueris 7. Gender - male dominant

Social & emotional difficulties sometimes emerge

Remission Rates: * 5‐10% of 5‐year‐olds * 3‐5% of 10‐year‐olds * 1% of 15‐year‐olds or older

Facts

Typically children do not suffer other disorders with enueris

Most children can grow out of enuresis

Some Possible Treatments

1. Night lifting or night awakening -Encouraging a child to use the bathroom before bed or routinely waking a child up at a specifc time in the night to use the bathroom. 2. Urine alarm -A device used to detect when a child's clotjhes or sheet begin to start getting wet from urine. The device then goes off to awake the child to stop urinating and get up and use the bathroom. 3. Dry bed training -This process is when an adult wakes up a child possibly every hour or so in the night to ask if the child needs to use the bathroom. As days go on the adult can gradually wake the child less and less until the child learns how to wake up on their own to use the bathroom 4. Retention control training -Encourging a child to hold their bladder during the day to increase their bladder capacity and teach the recognition of a full bladder 5. Medications -If physical training of a children does not decrease bed wetting, some doctors may recomend different types of medications to try to resolve the problem.

Thank you!

Paige Williams

Pychopathology 410 Christine Hodges