Factors Related to the Age of Attainment of Nocturnal Bladder Control: An 8-Year Longitudinal Study

Fergusson, David M.; Hons, BA; Horwood, L. John; Shannon, F. T.

doi:10.1016/s0022-5347(17)44243-1

Cited by 80 publications

(131 citation statements)

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“…Many other studies have shown a positive association between the presence of nocturnal enuresis and family disruption, low parental education, or low social class. 6,13,26,74 In the present study, as in several other studies, 38,39,[75][76][77] no such association was found. Gross and Dornbusch 23 argued that a greater understanding of the cause of enuresis necessitates specific information about individual development and the corresponding social stress.…”

Section: Influence Of Social Factors and Psychological Factorssupporting

confidence: 71%

Development of Parasomnias From Childhood to Early Adolescence

Laberge

Tremblay²,

Vitaro³

et al. 2000

Pediatrics

367

175

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ABSTRACT.Objectives. This study examines the prevalence and developmental changes of parasomnias and assesses gender differences, relationships between parasomnias, and associations with anxiety and family adversity using data collected during the course of a longitudinal study of a representative sample of children from Québec.Method. The present analyses are based on results available for 664 boys and 689 girls for whom mothers have completed questions concerning demographics, parasomnias, and anxiety level. For the prevalence and developmental aspects of parasomnias, prospective data were collected at annual intervals from 11 to 13 years old and retrospective data for the period between ages 3 and 10 years were collected when the children were 10 years old.Results. Somniloquy, leg restlessness, and sleep bruxism are the most frequent parasomnias. More girls were afflicted with leg restlessness, while enuresis and somniloquy were more common in boys. High anxiety scores were found in children suffering from night terrors, somniloquy, leg restlessness, sleep bruxism, and body rocking. Parasomnias were unrelated to the index of family adversity.Conclusions. Although sleepwalking, night terrors, enuresis, and body rocking dramatically decreased during childhood, somniloquy, leg restlessness, and sleep bruxism were still highly prevalent at age 13 years, paralleling results found in adults. Sleepwalking, night terrors, and somniloquy are conditions often found together. The only robust gender difference was for enuresis. High anxiety scores in parasomnias are reported for the first time in a large, controlled study. Sociodemographic variables do not seem to play a major role in the occurrence of parasomnias. Pediatrics 2000; 106:67-74; sleep disorders, parasomnias, epidemiology, gender differences, anxiety, childhood, adolescence.

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Section: Influence Of Social Factors and Psychological Factorssupporting

confidence: 71%

Development of Parasomnias From Childhood to Early Adolescence

Laberge

Tremblay²,

Vitaro³

et al. 2000

Pediatrics

367

175

View full text Add to dashboard Cite

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“…FST was associated with an increase in FBC and success was not attributable to a decrease in nocturnal urine volume. Fergusson et al [5] reported that a family history of enuresis was the strongest predictor for a child to develop enuresis; in the present study 22 (37%) of enuretic patients had a positive family history. Parents frequently report that their enuretic child sleeps more deeply than other children, but research in this field has shown conflicting results.…”

Section: Discussionsupporting

confidence: 50%

“…To be deemed successful, any treatment must produce an improvement rate of >15%/year, i.e. the spontaneous recovery rate [2][3][4][5][6]. The present success rate was also higher than in studies using bladder training only (30%) or pharmacological treatment (<60%) [7,13].…”

Section: Discussionmentioning

confidence: 82%

“…NE has been attributed to maturational delay [3] and the prevalence decreases with increasing age [2][3][4][5][6]. NE is less common amongst girls than boys and can be the result of a small bladder capacity, unstable detrusor contractions or high urine production during the night, or delayed arousal from sleep; it is also influenced by genetic and psychosocial factors [3].…”

Section: Introductionmentioning

confidence: 99%

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High initial efficacy of full‐spectrum therapy for nocturnal enuresis in children and adolescents

et al. 2002

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Objective To investigate the initial efficacy and predictive factors of full-spectrum therapy in the treatment of children and young adolescents with nocturnal enuresis (NE). Patients and methods Combined therapy for NE comprises an enuresis alarm, bladder training, motivational therapy and pelvic floor muscle training, and is more effective than each of the components alone or than medical intervention. A total of 60 children and adolescents (aged 4-20 years) with NE were treated once a week with full-spectrum therapy for a maximum of 6 months. Results Overall the therapy was successful (14 consecutive dry nights) in 52 of 60 patients. At 30 days the cure rate was 33%, after 60 days 72% and after 98 days, 87%. The remaining 13% did not achieve 14 consecutive dry nights; seven patients improved, having fewer dry nights/week. One patient discontinued the treatment because of lack of motivation. In children with an initial maximum bladder capacity less than normal for age, the capacity increased from 53% of the normal maximum bladder capacity in week 1 to 88% at the end of treatment. Neither age, gender, sleep arousal, bladder capacity, family history and pathophysiological profile had any association with the success rate. Conclusion The short-term success rate of full-spectrum therapy for NE is high. Age, gender, sleep arousal, bladder capacity, family history and pathophysiological profile of enuresis are unrelated to the success of the intervention.

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“…71,[74][75][76] Coercive or permissive methods of toilet training may be associated with the development of enuresis 22,77 and encopresis. 65 Analyzing the references identified, similarities can be observed between the recommendations, following the method described by Brazelton in 1962.…”

Section: Enuresismentioning

confidence: 99%

Treinamento esfincteriano: métodos, expectativas dos pais e morbidades associadas

Mota¹,

Barros²

2008

J. Pediatr. (Rio J.)

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Objective: To review both the scientific literature and lay literature on toilet training, covering parents' expectations, the methods available for achieving bladder and bowel control and associated morbidities. Summary of the findings:Parents have unrealistic expectations about the age at which diapers can be withdrawn, not taking child development into account. Toilet training strategies have not changed over recent decades, and in the majority of countries the age at which children are trained has been postponed. Training methods are rarely used.Starting toilet training prematurely and stressful events during this period can extend the training process. Children who have not been trained correctly present with enuresis, urinary infection, voiding dysfunction, constipation, encopresis and refusal to go to the toilet more frequently. Literature intended for lay parents is both abundant and adequate, available in book form and on the Internet, but it is not widely available to the Brazilian population. Just three international pediatrics societies have published guidelines on toilet training. Conclusions:Toilet training is occurring later in the majority of countries. The training methods that exist are the same from decades ago and are rarely used by mothers and valued little by pediatricians; incorrect training can be a causative factor for bladder and bowel disorders, which in turn cause problems for children and their families.J Pediatr (Rio J). 2008;84(1):9-17: Toilet training, enuresis, child, urinary tract infection, elimination disorders.

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Factors Related to the Age of Attainment of Nocturnal Bladder Control: An 8-Year Longitudinal Study

Cited by 80 publications

References 0 publications

Development of Parasomnias From Childhood to Early Adolescence

Development of Parasomnias From Childhood to Early Adolescence

High initial efficacy of full‐spectrum therapy for nocturnal enuresis in children and adolescents

Treinamento esfincteriano: métodos, expectativas dos pais e morbidades associadas

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