A 2-year follow-up of bedwetters treated by dry-bed training and standard conditioning
Behaviour Research and TherapyPublished 1 January 1982
J. Bollard
Citations29
SJR quartileQ1
SJR score2.01
SNIP1.64
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TL;DR
Children who had a history of day-time wetting accidents beyond the age of 4 were found to be more likely to suffer a relapse in bedwetting following either DBT or standard conditioning.
Abstract
Sixty nocturnally-enuretic children treated by Dry-Bed Training (DBT) and 35 children treated by standard conditioning were followed-up over a 2-yr period. Results showed that after achieving the initial success criterion of 14 consecutive dry nights, 39% of the DBT group and 41% of the standard-conditioning group relapsed during the follow-up period. Renewed bedwetting was arrested in 14 out of 15 cases re-treated by DBT and in all 10 cases re-treated by standard conditioning. Children who relapsed following initial treatment were compared with those who remained dry in respect of the child's age and sex, bedwetting frequency prior to treatment, the number of bedwets (and consequent conditioning trials) during treatments, a history of primary or secondary enuresis and a history of diurnal micturitional difficulty. Children who had a history of day-time wetting accidents beyond the age of 4 were found to be more likely to suffer a relapse in bedwetting following either DBT or standard conditioning. None of the other variables examined was found to be significantly associated with proneness to relapse.
Keywords
MedicineHealth Professions
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233 Citations1974Nathan H. Azrin, T.J. Sneed +1 more
After one all-night training session, the 24 enuretic children averaged only two bedwettings before achieving fourteen consecutive dry nights and had no major relapses and the results of a control-procedure showed that the new procedure did not involve Pavlovian conditioning.
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120 Citations1965John S. Werry, John J. Cohrssen
A 4 month controlled treatment trial showed that the bedbuzzer or conditioning treatment, though producing a cure rate of only 30 per cent, is significantly superior to brief psychotherapy and spontaneous remission, though the latter two do not differ in end result.
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101 Citations1970H. D. Kimmel, Ellen Kimmel
The method is promising because it may be implemented in the home by the parent, with little special training, and complete cessation of nocturnal bedwetting was achieved within approximately 1 week from the beginning of treatment.
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Although changes in functional bladder capacity were seen in the DNW children who became dry, changes were only noticeable once dryness had been achieved, and the enuresis alarm was far superior to R.C.T. in reducing night wetting in both enuretic groups.
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87 Citations1968D. Shaffer, Anthony J. Costello +1 more
In this welter of literature, only 12 satisfactorily designed trials are noted, and only 2 of these were conducted on children referred to a paediatric out-patient clinic, the remainder having been carried out on children in institutions, service recruits, or disturbed children being seen at a psychiatric centre.
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72 Citations1981J. Bollard, T. Nettelbeck
Results showed that adequate patient-therapist contact is necessary for the effective use of the standard conditioning treatment of childhood nocturnal enuresis by behavioural methods.
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The results suggest that the ‘overlearning’ modification of standard treatment was successful in bringing about a reduction in the relapse rate.
Journal of Behavior Therapy and Experimental PsychiatryFurther study of diurnal instrumental conditioning in the treatment of enuresis nocturna
68 Citations1972A. Ph. Paschalis, H. D. Kimmel +1 more
Prolongation of retention of urine was rewarded during waking hours in 31 enuretic children who had never experienced a dry night as the treatment was administered by parents with only 2 hr of training by the experimenter.
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61 Citations1982J. Bollard, T. Nettelbeck
Bedwetting frequency was reduced slightly below levels achieved with alarm-only treatment, by the addition of either retention control training, or positive practice and cleanliness training, and the combination of all three components with the alarm did result in a significant reduction in bedwetting Frequency.
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53 Citations1973William W. Finley, R.L. Besserman +3 more
The results of this study may be interpreted as supporting the tenet that relapse can be viewed and treated as an extinction of the acquired response.
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52 Citations1978R.T.T. Morgan
A consensus of published results to date favouring overlearning as the more effective procedure in countering relapse is found, and auditory stimulus intensity is identified as a critical factor affecting rate of acquisition of continence, but not relapse.
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In 144 enuretic children at four Southwark school health service clinics a good measure of success was achieved by sympathetic handling alone, but the use of drugs needs to be carefully presented and supervised.
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37 Citations1973Peter M. Miller
An experimental analysis of a procedure labeled “retention control training” (RCT) is described for treatment of nocturnal enuresis, with marked decreases in both daytime urinations and bedwetting episodes observed during RCT with increases in these measures when baseline conditions were reinstated.
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25 Citations1964M.A. Coote
New high-sensitivity requirements in circuitry to match the recessed electrode pad are met in an unusual and inexpensive way.
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21 Citations1973G.C. Young, R.T.T. Morgan
Few investigators have attempted to identify the type of child whose learned responses are most susceptible to the extinction which represents relapse, although Lovibond and Coote (1970) found a significant increase in the relapse rate among children whose nocturnal enuresis was accompanied by diurnal urinary symptoms.
Journal of Behavior Therapy and Experimental PsychiatryAn extension of the Kimmel treatment method for enuresis to an adolescent: A case report
17 Citations1972James M. Stedman
Operant treatment methods, previously described by Kimmel and Kimmel, were successfully applied to an adolescent enuretic and certain procedural modification is delineated.
Journal of Behavior Therapy and Experimental PsychiatryA two-year follow-up of enuretic children treated with dry bed training
17 Citations1978Carolyn L. Williams, Daniel M. Doleys +1 more
In a two year follow-up of 12 children who had been treated with dry bed training it was found that five of the eight who had achieved continence averaged less than one bed wetting per month during the follow- up period.
Archives of Disease in ChildhoodDrugs for bed-wetting.
13 Citations1974Roy Meadow
The question that needs to be asked is whether drugs have any place at all in the management of bedwetting, particularly as many of them are expensive and others are addictive or dangerous.