Estratégias de enfrentamento parentalRev Bras Crescimento Desenvolvimento Hum. 2011; 21(2): 240-250 -240 - variáveis sociodemográficas e clínicas, bem como sobre estratégias de enfrentamento familiar. O predomínio de uma frequência superior a seis "molhadas" semanais foi identificado em crianças e adolescentes (70,6% e 50%). Observou-se ainda predominância do sexo masculino (67,9%), de população infantil (77,1%) e de famílias de classe média. Quando a família havia buscado tratamento anterior, o tratamento medicamentoso revelouse prioritário entre crianças (28,7%) e adolescentes (47,1%). Diante dos episódios enuréticos, as estratégias de minimização dos danos e prevenção mais utilizadas, para ambos os grupos, foram: o uso de fralda ou protetor de colchão e acordar a criança para ir ao banheiro. Punição foi declarada por apenas 15,4% dos pais de crianças e 17,3% de adolescentes. Os dados revelaram que o baixo índice de clientes de classes socioeconômicas desfavorecidas constitui um desafio para o serviço que busca atender a todas as faixas econômicas e o fardo trazido pela enurese parece impelir as famílias a procurarem alternativas ou outros tratamentos para sanar o problema quando a primeira intervenção clinica não é satisfatória. ESTRATÉGIAS DE ENFRENTAMENTO PARENTAL E PERFIL CLÍNICO E SOCIODEMOGRÁFICO DE CRIANÇAS E ADOLESCENTES COM ENURESE PARENTAL COPING STRATEGIES AND CLINICAL AND SOCIODEMOGRAPHIC PROFILE OF CHILDREN AND ADOLESCENTS WITH ENURESISPalavras-chave: psicologia, enurese, características da população, diagnóstico, tratamento.Rev Bras Crescimento Desenvolvimento Hum. 2011; 21(2): 240-250 PESQUISA ORIGINAL ORIGINAL RESEARCH
Abstract:Although the relation between enuresis (NE) and ADHD is frequently reported in the literature, the disparity among the results among several studies raises hypothesis to justify this; distinctions of types of ADHD help to understand these differences. Models for explanation of the co-occurrence, raised in a non-exhaustive literature review are displayed and analyzed in this paper as well as the report of impairments to treatment in children with nocturnal enuresis plus ADHD. The present study compares full spectrum alarm treatment plus management of other complaints besides NE (as requested by participants) of a sample of two groups of Brazilian children: with nocturnal enuresis plus ADHD (EG) versus nocturnal enuresis only (CG), searching for differences in the initial success criteria achievement time and adherence (measured directly by rate of dropouts and indirectly by lack of information from patients and by requests for management of other complaints, besides NE. With homogeneity regarding socio-demographic and clinical variables between pretreatment groups and leaving both groups free to ask for management of other complaints, no differences were observed in treatment results or time to acquire control. Comorbidity implied only in a higher proportion of lack of information from the patients. Only this indirect measure of adherence implied more failures on the treatment independently of the comorbidity.
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