Psychiatric disorders in children with enuresis at 6 and 11 years old in a birth cohort

Nocturnal enuresis: a comorbid condition

“…21 , 22 For motivated, compliant children with tolerant, supportive parents, this is achievable, often successful and rewarding for all concerned. However, healthcare professionals are well advised to be aware of the important message contained in Mota et al’s article, 3 which is in agreement with other series from around the world: there is a strong association between comorbid psychological disorders and NE with rates being two to four times higher than in non-enuretics. 23 In addition, older age, boys, and NMNE and secondary NE are even more strongly associated with comorbid psychological disorders.…”

“…Although internalizing disorders (such as anxiety) are associated, NE is more strongly associated with externalizing behavior disorders and attention deficit hyperactivity disorder (ADHD) in particular. In the Pelotas cohort, 3 the proportion of enuretics with NMNE was higher than that reported in other cohorts 2 , 3 (this may be because their definition includes “intestinal disorders” which is not routinely included in the ICCS definition) but their associations are similar. What does this mean?…”

“…Prevalence data from around the globe (including the Brazilian birth cohort presented by Mota et al in this journal) reveals that enuresis rates reduce with age, from approximately 9.7% at 7 years to 5.5% at 10 years, suggesting maturational delay factors in some children. 2 , 3 This leads most parents to hope their children will “grow out” of their bedwetting. However, new statistical methods, using longitudinal latent class trajectory analysis, have clarified that in two historically distinct UK prospective population cohort studies (the 1946 MRC Health and Development cohort [ n = 4755] and the 1991/2 ALSPAC cohort [ n = 10,818]) that 34% of 4-year-old bedwetters were persistent enuretics at 15 years of age 4 and 41% of 4.5-year-old bedwetters were persistent enuretics at 9.5 years of age, 5 respectively.…”

Quality of life in enuretic children

“…In addition, Mota et al showed an important association between enuresis and psychiatric disorders in children at 6 and 11 years age. Enuretic children showed higher prevalence of any psychiatrist, hyperactivity and oppositional disorders compared with those without enuresis (20). The analysis of our data showed significant loss in QoL of enuretic children when compared to those non-enuretic (p=0.035).…”

Nocturnal enuresis in an adolescent with anxiety disorder during the pandemic of the COVID-19, about a clinical case

“…Enuresis has a great impact on the social life of children, adolescents and their families, being the emotional and behavioral disorders the most frequent among children with enuresis, encopresis and urinary incontinence. 3 Events in a child's life can trigger these elimination disorders. 4 Children with developmental delay and difficult temperament traits are more likely to have daytime enuresis in school age.…”