Hostname: page-component-cd9895bd7-lnqnp Total loading time: 0 Render date: 2024-12-26T03:26:14.702Z Has data issue: false hasContentIssue false

Relapse in Children Treated for Nocturnal Enuresis: Prediction of Response using Pre-Treatment Variables

Published online by Cambridge University Press:  16 June 2009

Richard Butler
Affiliation:
Department of Clinical Psychology, High Royds Hospital
Chris Brewin
Affiliation:
MRC Social Psychiatry Unit Department of Paediatrics, Leeds General Infirmary
Ian Forsythe
Affiliation:
MRC Social Psychiatry Unit Department of Paediatrics, Leeds General Infirmary

Abstract

Thirty-seven children successfully treated for nocturnal enuresis were followed-up. Short term relapse was determined by clinical contact for 6 months whilst long term monitoring was measured by a mailed questionnaire up to 4 years after treatment. The relationship between pre-treatment variables and relapse was examined with particular reference to maternal and child perceptions of the enuresis. Results suggest relapse was particularly related to the child's lack of concern over bedwetting.

Type
Clinical Section
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1990

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Atthowe, J. M. (1973). Nocturnal enuresis and behaviour therapy: a functional analysis. In Advances in Behaviour Therapy (Vol. 4), Rubin, R. B., Henderson, J., Fensterheim, H. and Ullman, L. P. (Eds), New York: Academic Press.Google Scholar
Bannister, D. (1986). Personal communication.Google Scholar
Bollard, J. (1982). A 2-year follow-up of bedwetters treated by dry bed training and standard conditioning. Behaviour Research and Therapy 20, 571580.CrossRefGoogle ScholarPubMed
Bollard, J. and Nettelbeck, T. (1981). A component analysis of dry bed training for treatment of bedwetting. Behaviour Research and Therapy 19, 215226.CrossRefGoogle Scholar
Breit, M., Kaplan, S. L., Gauthier, B. and Weinhold, C. (1984). The dry bed method for the treatment of enuresis: a failure to duplicate previous reports. Child and Family Behaviour Therapy 6, 1723.CrossRefGoogle Scholar
Butler, R. J. (1987). Nocturnal Enuresis: Psychological Perspectives. Bristol: John Wright and Son.Google Scholar
Butler, R. J., Brewin, C. R. and Forsythe, W. I. (1986). Maternal attributions and tolerance for nocturnal enuresis. Behaviour Research and Therapy 24, 307312.CrossRefGoogle ScholarPubMed
Butler, R. J., Brewin, C. R. and Forsythe, W. I. (1988). A comparison of two approaches to the treatment of nocturnal enuresis and the prediction of effectiveness using pre-treatment variables. Journal of Child Psychology and Psychiatry 29, 501509.CrossRefGoogle Scholar
Butler, R. J., Redfern, E. J. and Forsythe, W. I. (in press). The child's constructing of nocturnal enuresis: a method of enquiry and prediction of outcome. Journal of Child Psychology and Psychiatry.Google Scholar
Collins, R. W. (1973). Importance of the bladder cue buzzer contingency in the conditioning treatment for enuresis. Journal of Abnormal Psychology 82, 299308.CrossRefGoogle ScholarPubMed
DeLeon, G. and Mandell, W. (1966). A comparison of conditioning and psychotherapy in the treatment of functional enuresis. Journal of Clinical Psychology 22, 326330.3.0.CO;2-D>CrossRefGoogle Scholar
Dische, S. (1973). Treatment of enuresis with an enuresis alarm. In Bladder Control and Enuresis, Kolvin, I., Mackeith, R. C. and Meadow, S. R. (Eds), Philadelphia: Lippincott.Google Scholar
Dische, S., Yule, W., Corbett, J. and Hand, D. (1983). Childhood nocturnal enuresis: factors associated with outcome of treatment with an enuresis alarm. Developmental Medicine and Child Neurology 25, 6780.CrossRefGoogle ScholarPubMed
Doleys, D. M. (1977). Behavioural treatments for nocturnal enuresis in children: a review of the recent literature. Psychological Bulletin 84, 3054.CrossRefGoogle ScholarPubMed
Fielding, D. (1980). The response of day and night wetting children and children who wet only at night to retention control training and the enuresis alarm. Behaviour Research and Therapy 18, 305317.CrossRefGoogle ScholarPubMed
Fielding, D. (1985). Factors associated with drop-out, relapse and failure in the conditioning treatment of nocturnal enuresis. Behavioural Psychotherapy 13, 174185.CrossRefGoogle Scholar
Finley, W. W., Rainwater, A. J. and Johnson, G. (1982). Effect of varying alarm schedules on acquisition and relapse parameters in the conditioning treatment of enuresis. Behaviour Research and Therapy 20, 6980.CrossRefGoogle ScholarPubMed
Forsythe, W. I. and Butler, R. J. (1989), Fifty years of enuretic alarms. Archives of Disease in Childhood 64, 879885.CrossRefGoogle ScholarPubMed
Forsythe, W. I. and Redmond, A. (1970). Enuresis and the electric alarm: study of 200 cases. British Medical Journal 21, 13.Google Scholar
Houts, A. C. and Liebert, R. M. (1984). Bedwetting: A Guide for Parents and Children. Springfield: Charles C. Thomas.Google Scholar
Houts, A. C., Peterson, J. K. and Whelan, J. P. (1986). Prevention of relapse in full-spectrum home training for primary enuresis: a component analysis. Behaviour Research and Therapy 17, 462469.CrossRefGoogle Scholar
Lovibond, S. H. and Coote, M. A. (1970). Enuresis. In Symptoms of Psychopathology, Costello, C. G. (Ed), New York: Wiley.Google Scholar
Marshall, S., Marshall, H. H. and Lyon, R. P. (1973). Enuresis: an analysis of various therapeutic approaches. Paediatrics 52, 813817.CrossRefGoogle ScholarPubMed
Morgan, R. T. T. and Young, G. C. (1975). Parental attitudes and the conditioning treatment of childhood enuresis. Behaviour Research and Therapy 13, 197199.CrossRefGoogle ScholarPubMed
Sacks, S. and DeLeon, G. (1973). Conditioning two types of enuretics. Behaviour Research and Therapy 11, 653654.CrossRefGoogle ScholarPubMed
Sacks, S. and DeLeon, G. (1978). Training the disturbed enuretic. Behaviour Research and Therapy 16, 296299.CrossRefGoogle ScholarPubMed
Turner, R. K. (1973). Indications for research. In Bladder Control and Enuresis, Kolvin, I., Mackeith, R. C. and Meadow, S. R. (Eds), Philadelphia: Lippincott.Google Scholar
Williams, C. L., Doleys, D. M. and Ciminero, A. R. (1978). A two-year follow-up of enuretic children treated with dry bed training. Journal of Behaviour Therapy and Experimental Psychiatry 9, 285286.CrossRefGoogle Scholar
Young, G. C. and Morgan, R. T. T. (1972). Overlearning in the conditioning treatment of enuresis. Behaviour Research and Therapy 10, 147151.CrossRefGoogle ScholarPubMed
Young, G. C. and Morgan, R. T. T. (1973). Analysis of factors associated with the extinction of a conditioned response. Behaviour Research and Therapy 11, 219222.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.