Portal de Periódicos da CAPES

Artigo Produção Nacional Revisado por pares

BIBTEX RIS

Psychological Intervention with Parents Improves Treatment Results and Reduces Punishment in Children with Enuresis: A Randomized Clinical Trial

2020; Lippincott Williams & Wilkins; Volume: 205; Issue: 2 Linguagem: Inglês

10.1097/ju.0000000000001351

1527-3792

Cacilda Andrade de Sá, Stefani A. Martins de Souza, Maria Cecilia Barbosa Vieira Almeida Villela, Vitor de Moraes Souza, Márcia Helena de Fávero de Souza, André Avarese de Figueiredo, José de Bessa, José Murillo Bastos Netto,

Pelvic floor disorders treatments

No AccessJournal of UrologyPediatric Urology1 Feb 2021Psychological Intervention with Parents Improves Treatment Results and Reduces Punishment in Children with Enuresis: A Randomized Clinical TrialThis article is commented on by the following:Editorial CommentEditorial Comment Cacilda Andrade Sá, Stefani A. Martins de Souza, Maria Cecilia Barbosa Vieira Almeida Villela, Vitor de Moraes Souza, Márcia Helena de Fávero de Souza, André Avarese de Figueiredo, José de Bessa, and José Murillo B. Netto Cacilda Andrade SáCacilda Andrade Sá Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil , Stefani A. Martins de SouzaStefani A. Martins de Souza Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil , Maria Cecilia Barbosa Vieira Almeida VillelaMaria Cecilia Barbosa Vieira Almeida Villela Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil , Vitor de Moraes SouzaVitor de Moraes Souza Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil , Márcia Helena de Fávero de SouzaMárcia Helena de Fávero de Souza Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil , André Avarese de FigueiredoAndré Avarese de Figueiredo Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil , José de BessaJosé de Bessa State University of Feira de Santana, Feira de Santana, Bahia, Brazil , and José Murillo B. NettoJosé Murillo B. Netto *Correspondence: Av. Rio Branco, 2985/605, Juiz de Fora, Minas Gerais 36010-012, Brazil telephone: 55-32-3218-9899; E-mail Address: [email protected] Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil Hospital e Maternidade Therezinha de Jesus of the School of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil View All Author Informationhttps://doi.org/10.1097/JU.0000000000001351AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: This study aims to evaluate the impact of psychological intervention with parents of children with enuresis on treatment outcome. Materials and Methods: A total of 66 children with enuresis were randomized into 2 groups. All children received urotherapy orientation and psychological counseling. Psychological intervention was performed with parents in the experimental group and not in the control group. All parents answered a questionnaire to evaluate violence against their children (Parent-Child Conflict Tactics Scale) and the Tolerance Scale. The Child Behavior Checklist was applied to evaluate behavior problems. Children responded to the Impact Scale and the Children and Youth Self-Concept Scale. Treatment results were assessed with a 14-day wet night diary. Results: Mean age and gender were similar in both groups. Parent-Child Conflict Tactics Scale showed less violence after the treatment in the experimental group (p=0.007). The Tolerance Scale indicated that parents of children with enuresis were intolerant and that, after treatment, intolerance had a greater decrease in the experimental group (p <0.001). The Impact Scale showed that children suffer some impact from enuresis, and that in those in the experimental group this impact was smaller after treatment (p=0.008). No differences were seen in the Child Behavior Checklist or Children and Youth Self-Concept Scale after intervention. After treatment the percentage of dry nights had a greater improvement in the experimental group (52%, range 30% to 91%) than in the control group (10%, range 3% to 22.5%; p <0.001). Children in the experimental group had a 6.75 times greater chance of having a complete response to treatment. Conclusions: Psychological intervention with parents of children with enuresis during their treatment improved the percentage of dry nights and the impact of enuresis, while their parents started coping better with the problem and became more tolerant, reducing punishment toward their children. References 1. : Adherence in health and psychotherapy: conceptualization and application in nocturnal enuresis. Psicol USP 2012; 23: 539. Google Scholar 2. : Manual of Psychopathology of the Childhood of Ajuriaguerra. Porto Alegre, Brazil: Artmed 1998. Google Scholar 3. : Family and psychopathology: an overview series-1: children and adults. Delhi Psychiatry J 2008; 11: 140. Google Scholar 4. : Behavioral treatment for enuresis. In: Evidence-Based Psychotherapies for Children and Adolescents. Edited by . New York: Guilford Press 2003; p 389. Google Scholar 5. : Childhood nocturnal enuresis: developing a conceptual framework. Clin Psychol Rev 2004; 24: 909. Google Scholar 6. : Child enuresis and parental meanings: a qualitative perspective for healthcare professionals. Rev Bras Saude Mater Infant 2005; 5: 3. Google Scholar 7. : A survey of nocturnal enuresis in the city of São Paulo. Rev Bras de Cres e Desenv Humano 2007; 17: 31. Google Scholar 8. : Parent's and young people's attitudes toward bedwetting and their influence on behavior, including readiness to engage in and persist with treatment. Br J Urol 1998; 81: 56. Google Scholar 9. : Monosymptomatic nocturnal enuresis. J Pediatr 2001; 77: 161. Google Scholar 10. : Assessment of domestic violence against children and adolescents with enuresis. J Pediatr 2009; 85: 433. Google Scholar 11. : Increased risk of physical punishment among enuretic children with family history of enuresis. J Urol 2016; 195: 1227. Link, Google Scholar 12. : Cross-cultural adaptation of the Parent-Child Conflict Tactics Scales (CTSPC) instrument used to identify violence against children. Cad Saúde Pública 2003; 19: 1701. Google Scholar 13. : Parental attitudes and the conditioning treatment of childhood enuresis. Behav Res Ther 1975; 13: 197. Google Scholar 14. : Validation of the Brazilian version of the Child Behavior Checklist (CBCL). Inventory of behaviors of childhood and adolescence: preliminary data. Rev ABPAPAL 1995; 17: 55. Google Scholar 15. : Factorial analysis and unidimensionality of the enuresis impact scale. Psico 2008; 39: 240. Google Scholar 16. : Child-Juvenile Self-Concept Scale (CJ-SCS). São Paulo, Brazil: FTD 1999. Google Scholar 17. : The standardization of terminology of lower urinary tract function in children and adolescents: update report from the standardization committee of the International Children's Continence Society. Neurourol Urodyn 2016; 35: 471. Google Scholar 18. : Punishment for bedwetting is associated with child depression and reduced quality of life. Child Abuse Negl 2015; 43: 22. Google Scholar 19. : Methods and rates of punishment implemented by families to enuretic children in Turkey. Int Braz J Urol 2013; 39: 402. Google Scholar 20. : The enduring impact of violence against children. Psychol Health Med 2017; 22: 393. Google Scholar 21. : The impact of nocturnal enuresis on children and young people. Scand J Urol Nephrol 2001; 35: 169. Google Scholar 22. : Improvements in self-concept after treatment of nocturnal enuresis: randomized controlled trial. J Pediatr 1987; 110: 647. Google Scholar 23. : Psychological and psychiatric issues in urinary and fecal incontinence. J Urol 2011; 185: 1432. Link, Google Scholar 24. : Behavioral and self-concept changes after six months of enuresis treatment: a randomized, controlled trial. J Pediatr 2000; 105: 935. Google Scholar 25. : Behavioural problems and attention-deficit hyperactivity disorder in children with enuresis: a literature review. Eur J Pediatr 2005; 164: 665. Google Scholar 26. : Manual for the Aseba School-Age Forms and Profiles. Burlington, Vermont: University of Vermont Research Center for Children, Youth and Families 2004. Google Scholar 27. : Effect of dry bed training on behavioural problems in enuretic children. Acta Paediatr 2002; 91: 960. Google Scholar 28. : Prevalence of mental health problems in children and adolescents from the outskirts of Sao Paulo City: treatment needs and service capacity evaluation. Rev Bras Psiquiatr 2007; 29: 7. Google Scholar © 2020 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByTanaka S (2020) This Month in Pediatric UrologyJournal of Urology, VOL. 205, NO. 2, (323-323), Online publication date: 1-Feb-2021.Related articlesJournal of UrologyNov 26, 2020, 12:00:00 AMEditorial CommentJournal of UrologyNov 26, 2020, 12:00:00 AMEditorial Comment Volume 205Issue 2February 2021Page: 570-576 Advertisement Copyright & Permissions© 2020 by American Urological Association Education and Research, Inc.Keywordsenuresis, punishment, child, parents, behaviorMetricsAuthor Information Cacilda Andrade Sá Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil More articles by this author Stefani A. Martins de Souza Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil More articles by this author Maria Cecilia Barbosa Vieira Almeida Villela Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil More articles by this author Vitor de Moraes Souza Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil More articles by this author Márcia Helena de Fávero de Souza Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil More articles by this author André Avarese de Figueiredo Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil More articles by this author José de Bessa State University of Feira de Santana, Feira de Santana, Bahia, Brazil More articles by this author José Murillo B. Netto Federal University of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil Hospital e Maternidade Therezinha de Jesus of the School of Medical Sciences and Health of Juiz de Fora, Juiz de Fora, Minas Gerais, Brazil *Correspondence: Av. Rio Branco, 2985/605, Juiz de Fora, Minas Gerais 36010-012, Brazil telephone: 55-32-3218-9899; E-mail Address: [email protected] More articles by this author Expand All Advertisement Loading ...