A Study of Psycho-social Factors Associated with Nocturnal Enuresis in Children Between 6–10 Years of Age & Factors Affecting the Outcome of Behaviour Therapy

To study the psycho-social factors associated with nocturnal enuresis in 6–10 years old children & factors affecting the outcome of behaviour therapy

Prospective interventional study. Fifty cases (6–10 years old) of either primary or secondary nocturnal enuresis were enrolled between April 2014 to March 2014 from OPD of Santosh Medical College and Hospital, Ghaziabad, U.P. A detailed history was elicited Urine examination and USG abdomen were done. Behaviour therapy was given as per the protocol. Primary and secondary nocturnal enuresis patients were compared with reference to psychosocial characteristics. Effect of various characteristics on treatment outcome was analysed.

Male: female ratio was 1.27: 1. Common associated symptoms were daytime enuresis (64%), infrequent voiding (54%) and urgency (48%). 12(24%) out of 50 children had a positive family history in either parent. Bruxism and nail biting were most commonly (13.15% each). associated with primary NE, while nail biting was most commonly associated with secondary NE (33.33%). 30% of children were having poor scholastic performance. 14(28%) out of 50 children had history of marital discord in their parents. USG abnormalities in urinary bladder were significantly higher in secondary NE (66.7%) as compared to Primary NE (15.7%). USG abnormalities of bladder were also associated with significantly lower response rate (50% with USG abnormalities vs 77.76% with normal USG).

Various psychological factors affect outcome of behavior therapy in PNE and SNE