Childhood nocturnal enuresis: The prediction of premature withdrawal from behavioral conditioning

Journal of Abnormal Child PsychologyPublished 1 December 1988

William G. Wagner, James T. Johnson

Citations38

TL;DR

A stepwise discriminant function analysis revealed that the function containing number of previous techniques used, presence of child behavior problems, and parent tolerance of enuresis was a significant predictor of early termination of treatment.

Abstract

Predictors of premature withdrawal from a 12-week program of behavioral conditioning for childhood nocturnal enuresis were examined for 47 children treated at a university outpatient clinic. All children were administered the Piers-Harris Children's Self-Concept Scale; parents completed the 55-item Behavior Problem Checklist and the Tolerance Scale for Enuresis. Parents also reported the methods (i.e., random awakening, restriction of fluids, rewards, punishment, medication, other) previously used to control their child's wetting. A stepwise discriminant function analysis revealed that the function containing number of previous techniques used, presence of child behavior problems, and parent tolerance of enuresis was a significant predictor of early termination of treatment.

Keywords

Medicine

Archives of Disease in ChildhoodEnuresis and spontaneous cure rate: Study of 1129 enuretics

444 Citations1974W. I. Forsythe, Amy M. Redmond

A long-term follow-up of 1129 children with nocturnal enuresis, not treated by the electric alarm, has shown that the annual spontaneous cure rate between 5 and 9 years of age was 14%, between 10 and 14 years 16%, and between 15 and 19 years 16%.

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The Journal of PediatricsA controlled comparison of two treatments for nocturnal enuresis

102 Citations1982William G. Wagner, Suzanne Bennett Johnson +3 more

Comparison of pre- and post-treatment measures of adjustment provided insufficient evidence to support the hypotheses that either change in the frequency of nighttime wetting or the method of treatment received would influence the subject's level of emotional and behavioral adjustment.

Behaviour Research and TherapyTreatment of nocturnal enuresis by conditioning techniques

69 Citations1970R.K. Turner, G.C. Young +1 more

The investigation provided tentative evidence that intermittent conditioning treatment offers one way of reducing the frequency of relapse, and the problem of obtaining satisfactory parental co-operation in a badly housed working-class population was apparent, and ways of reduced the demands that treatment imposes on parents are indicated.

Behaviour Research and TherapyParental attitudes and the conditioning treatment of childhood enuresis

59 Citations1975R.T.T. Morgan, G.C. Young

Mothers regarding enuresis as a greater nuisance tended to have more anxious enuretic children, and mothers from the less skilled socioeconomic levels were found to be less tolerant of the problem and to rate it as a great nuisance.

Health PsychologyBehavioral interventions for childhood nocturnal enuresis: The differential effect of bladder capacity on treatment progress and outcome.

37 Citations1986Gary R. Geffken, Suzanne Bennett Johnson +1 more

For both wetting frequency and arising at night, there was a significant interaction between bladder capacity and treatment, and changes and postchanges in MFBC indicated that RCT did not lead to consistent increases in bladder capacity in the sample studies.

Journal of Counseling & DevelopmentThe Behavioral Treatment of Childhood Nocturnal Enuresis

7 Citations1987William G. Wagner

The author reviews the enuresis literature and provides recommendations for use of the urine alarm approach to behavioral conditioning with a urine alarm.