J Korean Neuropsychiatr Assoc.  2005 Nov;44(6):730-735.

Behavioral and Emotional Problems in Children with Nocturnal Enuresis: Results of a Multicenter Study

Affiliations
  • 1Division of Child and Adolescent Psychiatry, Department of Neuropsychiatry, Seoul National University College of Medicine, Seoul, Korea. adore@medigate.net
  • 2Department of Urology, Yonsei University College of Medicine, Seoul, Korea.
  • 3Department of Urology, Sungkyunkwan University College of Medicine, Seoul, Korea.
  • 4Department of Urology, Pusan National University College of Medicine, Busan, Korea.
  • 5Department of Urology, Chung Ang University College of Medicine, Seoul, Korea.
  • 6Department of Urology, Ulsan University College of Medicine, Seoul, Korea.
  • 7Department of Urology, The Catholic University of Korea College of Medicine, Seoul, Korea.
  • 8Department of Urology, Inje University College of Medicine, Busan, Korea.
  • 9Department of Urology, National Health Insurance Cooperation Ilsan Hospital, Goyang, Korea.
  • 10Department of Urology, Korea University College of Medicine, Ansan, Korea.
  • 11Department of Pediatrics, Yonsei University Wonju College of Medicine, Wonju, Korea.
  • 12Department of Urology, Dong-A University College of Medicine, Busan, Korea.
  • 13Department of Pediatrics, Ajou University College of Medicine, Suwon, Korea.
  • 14Department of Pediatrics, Inje University College of Medicine, Busan, Korea.
  • 15Department of Pediatrics, Pusan National University College of Medicine, Busan, Korea.
  • 16Department of Psychiatry, Yonsei University College of Medicine, Seoul, Korea.

Abstract


OBJECTIVES
The aim of this study was to examine the behavioral and emotional problems associated with nocturnal enuresis in Korean children.
METHODS
Three hundred eighteen children with nocturnal enuresis, together with their parents, completed the Child Behavior Checklist (CBCL), Disruptive Behavior Disorder Scale according to DSM-IV (DBDS), Children's Depression Inventory (CDI), State-Trait Anxiety Inventory for Children (STAIC), and Piers-Harris Children's Self-Concept Scale (PHCSC). Ninety-three normal students were selected as the control group.
RESULTS
Compared to the normal control group, the mean scores with regard to the withdrawn, social problems, attention problems, delinquent behavior, aggressive behavior, externalizing problems and total problems profiles were significantly higher in the nocturnal enuresis group according to the CBCL results. The nocturnal enuresis group also scored significantly higher in the ADHD and ODD profiles of the DBDS. The nocturnal enuresis group was more depressed and anxious than the control group according to the results of the CDI and STAI. The mean score of the PHCSC was significantly lower in the nocturnal enuresis group when compared to the normal control group.
CONCLUSION
The results of this study suggest that children with nocturnal enuresis in Korea have clinically relevant behavioral and emotional problems. The findings support the link between nocturnal enuresis and psychopathology in Korean children.

Keyword

Nocturnal enuresis; Behavioral problems; Emotional problems

MeSH Terms

Anxiety
Attention Deficit and Disruptive Behavior Disorders
Checklist
Child Behavior
Child*
Depression
Diagnostic and Statistical Manual of Mental Disorders
Humans
Korea
Nocturnal Enuresis*
Parents
Psychopathology
Social Problems
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