Iraqi Journal of Medical Sciences








Vol. 13 Issue 1 January - March / 2015
Published on website | Date : 2016-03-20 13:41:17

NOCTURNAL ENURESIS AND ITS RELATION TO CHILD’S BEHAVIOR IN A SAMPLE OF CHILDREN FROM BAGHDAD, IRAQ

Alaa A. Saleh, Atheer J. Al-Saffar


Abstract

Background:Nocturnal enuresis is one of common clinical problems in pediatric population that frequently diagnosed among school age children.
Objectives:To determine the prevalence of nocturnal enuresis, to detect the socio-demographic factors that may correlates with nocturnal enuresis and to assess the emotional and behavioral disorder in children with enuresis.
Methods: A cross sectional study was performed among children (5-15 years old) visited the general pediatric out patient in Al-Imamain Al-Kadhimain Medical City in the capital Baghdad during the period from the first of December 2013 to the first of April 2014, a special questionnaire was prepared for this study with assessment of Parents' Rutter Behavioral Questionnaire.
Results:Out of 623 children studied the overall prevalence of nocturnal enuresis was 29.5% (n=184). Male gender (60.3% of enuretic children), young age (37% of enuretic children at age 5-6 years old), positive family history of nocturnal enuresis (founded in 71.7% of enuretic children), large family size and increased number of household children (half of enuretic children living in extended family and household children more than four), these were significantly associated with the prevalence of nocturnal enuresis. Among the enuretic children, about half of them (45.1%) had moderate school performance, 50.5% had positive history of recurrent urinary tract infection and 63% had behavioral disturbances, so these factors were significantly associated with the prevalence of nocturnal enuresis.
Conclusion:Nocturnal enuresis is a common problem among school children, with four-fold risk among children with disturbed behavior. Most of the families do not have adequate attention about enuresis and most of the enuretic children don’t receive professional treatment.
Key words:Nocturnal enuresis, prevalence, behavioral disturbance, and Rutter Behavioral Questionnaire.


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