Hostname: page-component-77c89778f8-7drxs Total loading time: 0 Render date: 2024-07-17T18:34:08.368Z Has data issue: false hasContentIssue false
  • English
  • Français

Factors Associated with Drop-Out, Relapse and Failure in the Conditioning Treatment of Nocturnal Enuresis

Published online by Cambridge University Press:  16 June 2009

Dorothy Fielding
Dorothy Fielding
Affiliation:
Sub-Department of Clinical Psychology, Liverpool University, Liverpool
Get access Rights & Permissions [Opens in a new window]

Extract

The enuresis alarm is a very successful method of treating nocturnal enuresis. Nevertheless many children drop-out of treatment and many relapse once dryness has been achieved. This paper examines the relationship between 30 variables, measured during the pre-treatment assessment of 75 enuretic children, and treatment outcome (success, failure, drop-out and relapse). Treatment was either by the enuresis alarm alone or the enuresis alarm preceded by four weeks of retention control training. Two features of diurnal bladder control (frequency and urgency) were related to failure in treatment and two factors reflecting parental intolerance to wetting (early toilet training and parental urging to use the toilet) were related to treatment drop-out.

Type
Research Article
Information
Behavioural and Cognitive Psychotherapy , Volume 13 , Issue 3 , July 1985 , pp. 174 - 185
Copyright
Copyright © British Association for Behavioural and Cognitive Psychotherapies 1985

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

Azrin, N. H. and Foxx, R. M. (1971). A rapid method of toilet training the institutionalised retarded. Journal of Applied Behaviour Analysis 4, 89–99.Google Scholar
Berg, I. (1979). Day wetting in children. Journal of Child Psychology and Psychiatry 20, 167–177.Google Scholar
Berg, I., Fielding, D. and Meadow, R. (1977). Psychiatric disturbance, urgency and bacteriuria in children with day and night wetting. Archives of Diseases in Childhood 52, 651–657.CrossRefGoogle ScholarPubMed
Berg, I., Forsythe, I. and McGuire, R. (1982). Response of bedwetting to the enuresis alarm. Archives of Diseases in Childhood 57, 394–396.CrossRefGoogle Scholar
Collins, R. W. (1973). Importance of bladder cue buzzer contingency in the conditioning treatment for enuresis. Journal of Abnormal Psychology 82, 299–308.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, 67–80.Google Scholar
Doleys, D. M. (1977). Behavioural treatment for nocturnal enuresis in children: a review of the recent literature. Psychological Bulletin 84, 30–54.CrossRefGoogle ScholarPubMed
Fielding, D. M. (1978). An investigation of some factors influencing the classification and treatment of childhood enuresis with special reference to day-time wetting. Ph.D. Thesis (University of Leeds).Google Scholar
Fielding, D. M. (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, 305–317.CrossRefGoogle ScholarPubMed
Fielding, D. M. (1982). An analysis of the behaviour of day and night wetting children: towards a model of micturition control. Behaviour Research and Therapy 20, 49–60.CrossRefGoogle Scholar
Finley, W. W., Besserman, R. L., Bennett, L. F., Clapp, R. K. and Finley, P. M. (1973). The effect of continuous, intermittent and placebo reinforcement on the effectiveness of the conditioning treatment for enuresis nocturne. Behaviour Research and Therapy 11, 289–297.CrossRefGoogle Scholar
Finley, W. W., Wansley, R. A. and Blenkarn, M. M. (1977). Conditioning treatment of enuresis using a 70% intermittent reinforcement schedule. Behaviour Research and Therapy 15, 419–427.Google Scholar
Foxx, R. M. and Azrin, N. H. (1973). Dry pants: A rapid method of toilet training children. Behaviour Research and Therapy 11, 435–442.Google Scholar
Jonge, G. A. de (1973). Epidemiology of Enuresis: A Survey of the Literature in Bladder Control and Enuresis, Kolvin, I., Mackeith, R. C. and Meadow, S. R. (Eds.). Clinics in Developmental Medicine 48/49. London: Heinmann.Google Scholar
Lovibond, S. H. (1964). Conditioning and Enuresis. Oxford: Pergamon Press.Google Scholar
Lovibond, S. H. and Coote, M. A. (1970). Enuresis in Symptoms of Psychopathology: A Handbook, Costello, G. C. (Ed.) New York: Wiley.Google Scholar
Morgan, R. T. T. and Young, G. C. (1975). Parental attitudes and the conditioning treatment of childhood enuresis. Behaviour Research and Therapy 13, 197–199.Google Scholar
Paschalis, A. Ph., Kimmel, H. D. and Kimmel, E. (1972). Further study of diurnal instrumental conditioning in the treatment of enuresis nocturna. Journal of Behaviour Therapy and Experimental Psychiatry 3, 253–256.Google Scholar
Starfield, B. (1967). Functional bladder capacity in enuretic and non-enuretic children. Journal of Paediatrics 70, 777–781.Google Scholar
Sugar, E. C. and Firlit, C. F. (1982). Urodynamic biofeedback: A new therapeutic approach for childhood incontinence/infection (vesical voluntary sphincter dyssynergia). The Journal of Urology 128, 1253–1258.Google Scholar
Taylor, P. D. and Turner, R. K. (1975). A clinical trial of continuous, intermittent and overlearning ‘bell and pad’ treatments for nocturnal enuresis. Behaviour Research and Therapy 13, 281–293.CrossRefGoogle ScholarPubMed
Turner, R. K., Young, G. C. and Rachman, S. (1970). Treatment of nocturnal enuresis by conditioning techniques. Behaviour Research and Therapy 8, 367–381.Google Scholar
Young, G. C. and Morgan, R. T. T. (1972a). Non-attending enuretic children. Community Medicine 127, 158–159.Google Scholar
Young, G. C. and Morgan, R. T. T. (1972b). Overlearning in the conditioning treatment of enuresis. Behaviour Research and Therapy 10, 147–151.Google Scholar
Young, G. C. and Morgan, R. T. T. (1972c). Overlearning in the conditioning treatment of enuresis on long term follow-up study. Behaviour Research and Therapy 10, 419–420.Google Scholar
Young, G. C. and Morgan, R. T. T. (1973a). Rapidity of response to the treatment of enuresis. Developmental Medicine and Child Neurology 15, 488–496.CrossRefGoogle Scholar
Young, G. C. and Morgan, R. T. T. (1973b). Analysis of factors associated with the extinction of a conditioned response. Behaviour Research and Therapy 11, 219–222.CrossRefGoogle ScholarPubMed
Submit a response

Comments

No Comments have been published for this article.