The epidemiology and factors associated with nocturnal enuresis and its severity in primary school children in Taiwan

Tai, Hui-Lung; Chang, Yu-Jun; Chang, Sally Chia-Chien; Chen, Gin‐Den; Chang, Chin-Pao; Chou, Ming‐Chih

doi:10.1111/j.1651-2227.2007.00025.x

Cited by 47 publications

(57 citation statements)

References 27 publications

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“…Consistent with previous population-based studies,1,3,6,8-10,12,19 we found a higher prevalence of enuresis and encopresis in boys than in girls and maximum prevalence at age 7-9 years, followed by a decline by 12 years of age. Contrary to previous clinical studies,34 but consistent with previous epidemiological studies,10 socioeconomic status was not associated with enuresis in the current study.…”

Section: Discussionsupporting

confidence: 92%

“…According to the ICSS, enuresis or (intermittent) nocturnal incontinence is defined as at least one wet night per month. Higher rates of enuresis were observed in population-based epidemiological studies that applied the less stringent DSM-III criteria,4,5 ICD-10 criteria,12,15 or ICSS definition 6,13. In addition to different diagnostic criteria, differences in the age range and ethnicity of children and cultural differences may also explain the varying prevalence estimates of enuresis across different studies.…”

Section: Introductionmentioning

confidence: 98%

“…Two US studies yielded a prevalence rate of 3.8%16 and 4.5%10 for DSM-IV-defined enuresis. In Asian countries, there are no enuresis and encopresis prevalence studies using structured clinical interviews or formal DSM-IV diagnostic criteria, although there are a few prevalence studies using parental questionnaires for enuresis 8,9,12,13,24…”

Section: Introductionmentioning

confidence: 99%

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Nocturnal Enuresis Is Associated with Attention Deficit Hyperactivity Disorder and Conduct Problems

Park

Kim

et al. 2013

Psychiatry Investig

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ObjectiveThere are no published prevalence estimates of elimination disorders and their association with disruptive-behavior disorders among children in the Asian region using standardized diagnostic interviews. This study was conducted to determine the prevalence of elimination disorders and its association with disruptive-behavior disorders in a representative sample of children in Seoul, Korea.MethodsThe diagnosis of enuresis and encopresis was derived from parent-reported data for "enuresis and encopresis," collected using the Diagnostic Interview Schedule for Children, from a representative sample of 6- to 12-year-old children (n=1,645) who participated in the 2005 Seoul Child and Adolescent Mental Health Survey. Prevalence data for attention deficit and disruptive-behavior disorders were collected from the same sample.ResultsThe overall 12-month prevalence of nocturnal enuresis and encopresis was 1.8% and 0.6%, respectively. Enuresis and encopresis prevalence in boys was significantly greater than that in girls. Enuresis and encopresis was most common at 7 to 9 years of age. Enuresis was significantly associated with ADHD (OR 2.6, 95% CI 1.0-6.9) and conduct disorder (CD; OR 4.7, 95% CI 1.0-22.4).ConclusionEnuresis is significantly associated with ADHD and CD, so these conditions must be assessed together during the evaluation of children with enuresis.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 98%

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Nocturnal Enuresis Is Associated with Attention Deficit Hyperactivity Disorder and Conduct Problems

Park

Kim

et al. 2013

Psychiatry Investig

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“…Second, the caregivers may be more aware and easier to access to healthcare in urban area 5. Consistent with previous population-based studies, the present study observed NE to be male-predominated, and associated with increased prevalence of other neurobehavioral problems 28 29. In the present study, the distribution of ADHD and NE were both found to be male and school-age predominant.…”

Section: Discussionsupporting

confidence: 90%

Trend of Nocturnal Enuresis in Children with Attention Deficit/Hyperactivity Disorder: A Nationwide Population-Based Study in Taiwan

Tsai

Wang

Chen

et al. 2017

Journal of Investigative Medicine

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Attention-deficit/hyperactivity disorder (ADHD) and nocturnal enuresis are common disorders with extensive psychosocial suffering in affected children, and healthcare burden on parents. Whether the childhood psychological disorders and nocturnal enuresis are factors contributing to ADHD have not been clearly established. This study conducted a population-based case-control study using data sets from the National Health Research Insurance database, and identified 14 900 children diagnosed with ADHD. Risk factors that have been associated with or possibly related to ADHD development were included in this study. Performance of in groups of ADHD with enuresis was compared with controls. With adjustment for potential covariates, participants with enuresis exhibited a 2.24-fold greater risk of subsequent ADHD development compared with controls (95% CI 1.84 to 2.73). Participants with enuresis and comorbidity had a significantly greater risk of ADHD than those with no enuresis and no comorbidity (adjusted OR=8.43, 95% CI 4.38 to 16.2). Children who are assessed for ADHD should be evaluated for the presence of enuresis or other neurobehavioral comorbidities. Multidisciplinary treatment may benefit children with ADHD and minimize psychological burden on parents.

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“…Level of parents education Our study showed non significant difference between cases and controls regarding the educational level of the parents .Some studies have reported parents of enuretics had low educational level [46,26,47,29] .Also in Iran the most recent study ,there was low educational level of fathers in 48.3% and 62.8% in mothers [19] in all that studies the educational level was classified in two categories only (Primary school or less and Junior high school or more ) in our study the educational level of the parents was classified to four categories which are more precise and more expressive(illiterate, read and write, moderate and university and higher) In Turkey Gur et al found a relation between enuresis and the low educational level of the fathers, but there study had no control group. [25] …”

contrasting

confidence: 48%

Prevalence and Psychiatric Comorbiditiesof Nocturnal Enuresis in a Sample of Basic Education Students in Sharkia Governorate

Elgohary¹,

Shalanda²,

lethy³

2013

Zagazig University Medical Journal

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Background: Nocturnal enuresis and its psychiatric comorbidities are important psychosocial problem. Aim of the work: The aim is to study the prevalence and psychiatric comorbidities of nocturnal enuresis in 11 to13 years' old children in Sharkia governorate.Subject and Method:A random sample of school students aged 11 to 13 years old in Sharkia Governorate (N. 603) applied a strucured questionair searching for nocturnal enuresis. The cases having nocturnal enuresis (N.50) and non enuretic control group (51) applied Children's Manifest Anxiety Scale, Children Depression Inventory, Abuse and neglect scale for children. Results: The overall prevalence was 8.29% (50/603), depression, anxiety and child abuse are significantly associated with nocturnal enuresis. Conclusion: Our results with enuresis prevalence was comparable to other epidemiologic studies from various countries. Depression, anxiety and child abuse are more prevalent in enurtic child.

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The epidemiology and factors associated with nocturnal enuresis and its severity in primary school children in Taiwan

Cited by 47 publications

References 27 publications

Nocturnal Enuresis Is Associated with Attention Deficit Hyperactivity Disorder and Conduct Problems

Nocturnal Enuresis Is Associated with Attention Deficit Hyperactivity Disorder and Conduct Problems

Trend of Nocturnal Enuresis in Children with Attention Deficit/Hyperactivity Disorder: A Nationwide Population-Based Study in Taiwan

Prevalence and Psychiatric Comorbiditiesof Nocturnal Enuresis in a Sample of Basic Education Students in Sharkia Governorate

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